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Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care

Background: Multidisciplinary team (MDT) meetings provide treatment recommendations based on available information and collective decision-making in teams with complementary professions, disciplines and skills. We aimed to map ancillary medical and nonmedical patient information during case presenta...

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Autores principales: Wihl, Jessica, Rosell, Linn, Carlsson, Tobias, Kinhult, Sara, Lindell, Gert, Nilbert, Mef
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985788/
https://www.ncbi.nlm.nih.gov/pubmed/33672110
http://dx.doi.org/10.3390/curroncol28010098
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author Wihl, Jessica
Rosell, Linn
Carlsson, Tobias
Kinhult, Sara
Lindell, Gert
Nilbert, Mef
author_facet Wihl, Jessica
Rosell, Linn
Carlsson, Tobias
Kinhult, Sara
Lindell, Gert
Nilbert, Mef
author_sort Wihl, Jessica
collection PubMed
description Background: Multidisciplinary team (MDT) meetings provide treatment recommendations based on available information and collective decision-making in teams with complementary professions, disciplines and skills. We aimed to map ancillary medical and nonmedical patient information during case presentations and case discussions in MDT meetings in cancer care. Methods: Through a nonparticipant, observational approach, we mapped verbal information on medical, nonmedical and patient-related characteristics and classified these based on content. Data were collected from 336 case discussions in three MDTs for neuro-oncology, sarcoma and hepato-biliary cancer. Results: Information on physical status was presented in 48.2% of the case discussions, psychological status in 8.9% and comorbidity in 48.5% of the cases. Nonmedical factors, such as family relations, occupation, country of origin and abode were referred to in 3.6–7.7% of the cases, and patient preferences were reported in 4.2%. Conclusions: Provision of information on comorbidities in half of the cases and on patient characteristics and treatment preferences in <10% of case discussions suggest a need to define data elements and develop reporting standards to support robust MDT decision-making.
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spelling pubmed-79857882021-03-24 Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care Wihl, Jessica Rosell, Linn Carlsson, Tobias Kinhult, Sara Lindell, Gert Nilbert, Mef Curr Oncol Article Background: Multidisciplinary team (MDT) meetings provide treatment recommendations based on available information and collective decision-making in teams with complementary professions, disciplines and skills. We aimed to map ancillary medical and nonmedical patient information during case presentations and case discussions in MDT meetings in cancer care. Methods: Through a nonparticipant, observational approach, we mapped verbal information on medical, nonmedical and patient-related characteristics and classified these based on content. Data were collected from 336 case discussions in three MDTs for neuro-oncology, sarcoma and hepato-biliary cancer. Results: Information on physical status was presented in 48.2% of the case discussions, psychological status in 8.9% and comorbidity in 48.5% of the cases. Nonmedical factors, such as family relations, occupation, country of origin and abode were referred to in 3.6–7.7% of the cases, and patient preferences were reported in 4.2%. Conclusions: Provision of information on comorbidities in half of the cases and on patient characteristics and treatment preferences in <10% of case discussions suggest a need to define data elements and develop reporting standards to support robust MDT decision-making. MDPI 2021-02-23 /pmc/articles/PMC7985788/ /pubmed/33672110 http://dx.doi.org/10.3390/curroncol28010098 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wihl, Jessica
Rosell, Linn
Carlsson, Tobias
Kinhult, Sara
Lindell, Gert
Nilbert, Mef
Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care
title Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care
title_full Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care
title_fullStr Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care
title_full_unstemmed Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care
title_short Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care
title_sort medical and nonmedical information during multidisciplinary team meetings in cancer care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985788/
https://www.ncbi.nlm.nih.gov/pubmed/33672110
http://dx.doi.org/10.3390/curroncol28010098
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