Evidence map›Paper›PMID 32794351›Full record

Observational studyCancer medicine2020

A multicentre cross-sectional observational study of cancer multidisciplinary teams: Analysis of team decision making.

Tayana Soukup, Benjamin W Lamb, Abigail Morbi, Nisha J Shah, Anish Bali, Viren Asher, Tasha Gandamihardja, Pasquale Giordano, Ara Darzi, James Sa Green and 1 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
7.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Tayana SoukupCentre for Implementation Science, King's College London, UK.ORCID 0000-0003-0203-7264
Benjamin W LambCambridge University Hospital NHS Trust, London, UK.
Abigail MorbiDepartment of Surgery and Cancer, Imperial College London, London, UK.
Nisha J ShahHeLEX Centre, University of Oxford, Oxford, UK.
Anish BaliRoyal Derby Hospital, Derby, UK.
Viren AsherRoyal Derby Hospital, Derby, UK.
Tasha GandamihardjaChelmsford Breast Unit, Broomfield Hospital, Chelmsford, UK.
Pasquale GiordanoWhipps Cross University Hospital, Barts Health NHS Trust, London, UK.
Ara DarziDepartment of Surgery and Cancer, Imperial College London, London, UK.
James Sa GreenWhipps Cross University Hospital, Barts Health NHS Trust, London, UK.
Nick SevdalisCentre for Implementation Science, King's College London, UK.
Barts Health NHS Trust · GBImperial College London · GBKing's College London · GBRoyal Derby Hospital · GBBroomfield Hospital · GBCambridge University Hospitals NHS Foundation Trust · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidisciplinary teams (MDT) formulate expert informed treatment recommendations for people with cancer. We set out to examine how the factors proposed by the functional perspective of group decision making (DM), that is, interaction process, internal factors (factors emanating from within the group such as group size), external circumstances (factors coming from the outside of the team), and case-complexity affect the quality of MDT decision making.

methodsThis was a cross-sectional observational study. Three cancer MDTs were recruited with 44 members overall and 30 of their weekly meetings filmed. Validated observational instruments were used to measure quality of DM, interactions, and complexity of 822 case discussions.

resultsThe full regression model with the variables proposed by the functional perspective was significant, R DISCUSSION: To the best of our knowledge, this is the first study to attempt to assess the factors proposed by the functional perspective in cancer MDTs. One novel finding is the effect of sociocognitive factors on team DM quality, while another is the cognitive-catch 22 effect: while the case discussions are significantly simpler in the second half of the meeting, there is significantly less time left to discuss the remaining cases, further adding to the cognitive taxation in teams who are now rapidly attempting to close their time-workload gap. Implications are discussed in relation to quality and safety.

Indexed as

Attitude of Health PersonnelClinical Decision-MakingGroup ProcessesHealth Knowledge, Attitudes, PracticePatient Care TeamCognitionCross-Sectional StudiesEnglandFemaleHumansMaleNeoplasmsOncologistsSocial BehaviorTime FactorsWorkloadcancercancer multidisciplinary team meetingsdecision makingmultidisciplinary teams

Identifiers

PMID32794351
PMCPMC7541152
OpenAlexW3049761316

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.