Observational studyBMC anesthesiology2024
Does preoperative multidisciplinary team assessment of high-risk patients improve the safety and outcomes of patients undergoing surgery?
Observational study in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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.
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Who cites it
15 citing papers in PubMed, 17 citations in OpenAlex.
- Time Matters: One Year Later, Rethinking Anesthesia Time.Journal of clinical medicine · 2026Article
- The Importance of Plastic Surgery in Multidisciplinary Teams: A Systematic Review and Meta-analysis of Comparative Studies.Plastic and reconstructive surgery. Global open · 2026Article
- Optimization of nursing care for patients with acute intestinal obstruction using dedicated multidisciplinary team.World journal of gastrointestinal surgery · 2026Article
- Fu Zheng Li Qi Tang combined with FOCUS-PDCA model in postoperative rehabilitation of elderly biliary surgery patients.World journal of gastrointestinal surgery · 2026Article
- Comprehensive perioperative management of a giant neurofibroma complicated by hemorrhagic shock: a case report.Frontiers in surgery · 2026Article
- Overcoming the data barrier: transfer learning for 90-day mortality prediction in general surgery - a retrospective multicenter development and comparison study.International journal of surgery (London, England) · 2026Article
- Multidisciplinary meetings for lower urinary tract symptoms and benign prostate hyperplasia.BJUI compass · 2025Article
- Radical resections of hepatopancreatobiliary cancers: balancing surgical innovation, evidence, and societal impact.ANZ journal of surgery · 2025Article
- Analysis of the causes of improper medical decision-making in medical damage liability disputes in China: a text mining approach.BMC health services research · 2025Article
- Last-minute cancellation of elective lung cancer surgery is associated with poorer survival.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Racial and Ethnic Disparities in Failure-to-Rescue After Postoperative Sepsis After Noncardiac Surgery.Anesthesia and analgesia · 2025Article
- Identifying those at risk: predicting patient factors associated with worse EGS outcomes.Trauma surgery & acute care open · 2025Article
- Pediatric nasal dermoid sinus cysts: advances in pathogenesis, management strategies, and translational research-a multidisciplinary management perspective.Frontiers in pediatrics · 2025Review
- Development of a predictive model for postoperative major adverse cardiovascular events in elderly patients undergoing major abdominal surgery.BMC surgery · 2024Article
- Anaesthesiologist-led Multidisciplinary Model for Evaluating High-risk Obstructive Sleep Apnea (OSA) Surgical Patients.Translational medicine @ UniSa · 2024Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternational guidelines recommend preoperative multidisciplinary team (MDT) assessment for high-risk surgical patients. Preoperative MDT meetings can help to improve surgical care, but there is little evidence on whether they improve patient outcomes.
methodsThis paper aims to share our experience of MDT meetings for high-risk surgical patients to underline their added value to the current standard of care. An observational study of a retrospective cohort of preoperative high-risk MDT meetings of a tertiary referral hospital between January 2015 and December 2020. For 249 patients the outcomes preoperative data, MDT decisions, and patient outcomes were collected from electronic health records. MAIN
resultsA total of 249 patients were discussed at high-risk MDT meetings. Most of the patients (97%) were assessed as having an American Society of Anesthesiology score ≥ 3, and 219 (88%) had a European Society of Cardiology and European Society of Anaesthesiology risk score of intermediate or high. After MDT assessment, 154 (62%) were directly approved for surgery, and 39 (16%) were considered ineligible for surgery. The remaining 56 (23%) patients underwent additional assessments before reconsideration at a high-risk MDT meeting. The main reason for patients being discussed at the high-risk MDT meeting was to assess the risk-benefit ratio of surgery. Ultimately, 184 (74%) patients underwent surgery. Of the operated patients, 122 (66%) did not have a major complication in the postoperative period, and 149 patients (81%) were alive after one year.
conclusionsThis cohort study shows the vulnerability and complexity of high-risk patients but also shows that the use of an MDT assessment contributes too improved peri- and postoperative treatment strategies in high-risk patients. Most patients underwent surgery after careful risk assessment and, if deemed necessary, preoperative and perioperative treatment optimization to reduce their risk.
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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.