ArticlePloS one2016
Patients' Non-Medical Characteristics Contribute to Collective Medical Decision-Making at Multidisciplinary Oncological Team Meetings.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Article
- Patients' psychosocial attributes and aggressiveness of cancer treatments near the end of life.The oncologist · 2025Article
- Exploring the Language Used to Describe Older Patients at Multidisciplinary Cancer Conferences.Cancers · 2024Article
- Multidisciplinary team meetings in treatment of spinal muscular atrophy adult patients: a real-life observatory for innovative treatments.Orphanet journal of rare diseases · 2024Article
- Article
- Registered nurses' views on consideration of patient perspectives during multidisciplinary team meetings in cancer care.BMC nursing · 2022Article
- How shared is decision-making in multidisciplinary tumour conferences with patient participation? An observational study.Health expectations : an international journal of public participation in health care and health policy · 2022Observational
- Both Medical and Context Elements Influence the Decision-Making Processes of Pediatricians.Children (Basel, Switzerland) · 2022Article
- Medical and Nonmedical Information during Multidisciplinary Team Meetings in Cancer Care.Current oncology (Toronto, Ont.) · 2021Article
- The Next Step Toward Patient-Centeredness in Multidisciplinary Cancer Team Meetings: An Interview Study with Professionals.Journal of multidisciplinary healthcare · 2021Article
- Knowing what the patient wants: a hospital ethnography studying physician culture in shared decision making in the Netherlands.BMJ open · 2020Article
- Function, information, and contributions: An evaluation of national multidisciplinary team meetings for rare cancers.Rare tumors · 2019Article
- Benefits, barriers and opinions on multidisciplinary team meetings: a survey in Swedish cancer care.BMC health services research · 2018Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe contribution of patients' non-medical characteristics to individual physicians' decision-making has attracted considerable attention, but little information is available on this topic in the context of collective decision-making. Medical decision-making at cancer centres is currently carried out using a collective approach, at MultiDisciplinary Team (MDT) meetings. The aim of this study was to determine how patients' non-medical characteristics are presented at MDT meetings and how this information may affect the team's final medical decisions.
designObservations were conducted at a French Cancer Centre during MDT meetings at which non-standard cases involving some uncertainty were discussed from March to May 2014. Physicians' verbal statements and predefined contextual parameters were collected with a non-participant observational approach. Non numerical data collected in the form of open notes were then coded for quantitative analysis. Univariate and multivariate statistical analyses were performed.
resultsIn the final sample of patients' records included and discussed (N = 290), non-medical characteristics were mentioned in 32.8% (n = 95) of the cases. These characteristics corresponded to demographics in 22.8% (n = 66) of the cases, psychological data in 11.7% (n = 34), and relational data in 6.2% (n = 18). The patient's age and his/her "likeability" were the most frequently mentioned characteristics. In 17.9% of the cases discussed, the final decision was deferred: this outcome was positively associated with the patients' non-medical characteristics and with uncertainty about the outcome of the therapeutic options available. LIMITATIONS: The design of the study made it difficult to draw definite cause-and-effect conclusions.
conclusionThe Social Representations approach suggests that patients' non-medical characteristics constitute a kind of tacit professional knowledge that may be frequently mobilised in physicians' everyday professional practice. The links observed between patients' attributes and the medical decisions made at these meetings show that these attributes should be taken into account in order to understand how medical decisions are reached in difficult situations of this kind.
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