Evidence map›Paper›PMID 34511928›Full record

ArticleJournal of multidisciplinary healthcare2021

Contributions to Multidisciplinary Team Meetings in Cancer Care: Predictors of Complete Case Information and Comprehensive Case Discussions.

Jessica Wihl, Linn Rosell, Kirsten Frederiksen, Sara Kinhult, Gert Lindell, Mef Nilbert

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Jessica WihlDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.ORCID 0000-0002-6708-3563
Linn RosellDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.ORCID 0000-0003-2719-1866
Kirsten FrederiksenDanish Cancer Society Research Centre, Copenhagen, Denmark.ORCID 0000-0001-7919-6613
Sara KinhultDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.
Gert LindellDepartment of Surgery, Skåne University Hospital, Lund, Sweden.
Mef NilbertDepartment of Clinical Sciences Lund, Division of Oncology and Pathology, Lund University, Lund, Sweden.ORCID 0000-0003-2717-1937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMultidisciplinary team (MDT) meetings integrate complex information and base recommendations for clinical management on interdisciplinary and multiprofessional decision-making. To support high-quality decision-making and define key performance indicators, we aimed to determine completeness of case information and contributions to MDT case discussions in cancer care.

methodsIn a prospective observational study design, based on three MDTs, we applied the Metric for Observation of Decision-Making (MODe) tool to assess the quality of case presentation and team members' contributions to case discussions. The MDTs handled patients with brain tumors, soft tissue sarcomas and hepatobiliary cancers. The results were correlated to patient and team characteristics and to MDT leadership skills.

resultsData were collected from 349 case discussions during 32 MDT meetings. Information on radiology received the highest scores, followed by case history and information on histopathology. Patient-related information was less frequently mentioned and generally received low scores. Contributions to the case discussions were predominantly by the chair, surgeons, and oncologists with limited contributions from nurses. Leadership skills showed a positive correlation with case presentations scores and failure to reach a treatment recommendation correlated with lower case discussion scores.

conclusionConsiderable resources are spent on MDT meetings in cancer care, which motivate initiatives to ensure high-quality and efficient decision-making processes. We identify unbalanced contributions from team members during MDT meetings, demonstrate limited provision of patient-related information and show that leadership skills may positively influence the quality of the case presentations. We suggest that MDTs should consider and develop these aspects to ensure high-quality MDT-based case management and decision-making.

Indexed as

cancer conferencecomorbiditydecision-makingpatient-centredtumor board

Identifiers

PMID34511928
PMCPMC8426643

What OpenQuestion holds

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LicenceCC BY-NC
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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.