ArticleCureus2025
Audit of a Streamlined Multidisciplinary Team Meeting (MDT) to Results Clinic Pathway in Urology: Evaluating the Impact of a Nurse-Led Intervention on Consultant Clinic Waiting Times.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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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.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe time from uro-oncology multidisciplinary team (MDT) discussions to the outpatient results clinic was recognised as a bottleneck that could potentially delay patients' shared decision-making and timely initiation of management plans. In an effort to reduce waiting times for time sensitive patients a nurse-led results clinic was introduced to streamline select patients. Objective: This study aimed to audit and compare waiting times from MDT discussion to consultant results clinic before and after the implementation of a nurse-led results clinic pathway.
methodsThis two-cycle audit included data from January to May 2023 and 2024 (Cycle 1, pre-intervention baseline), and prospective data from January to May 2025 (Cycle 2, post-intervention). Average waiting times across five consultant clinics were calculated on a monthly basis. A weekly eight-slot nurse-led results clinic was opened in October 2024, enabling select patients to be booked directly from MDT to have prompt discussions, shared decision-making, and timely initiation of treatment plans. Results: The mean wait time for consultant-led clinics dropped from 34.1 days (SD 7.89) in 2023 and 2024 to 16.0 days (SD 3.16) in 2025; a 53.1% reduction. The difference was statistically significant: Welch's t-test, t(12.75) = 6.31, p = 0.00003; paired t-test by month, t(4) = -7.64, p = 0.0016. The effect size was large (Cohen's d = -2.66). Conclusion: This nurse-led intervention significantly reduced waiting times for consultant-led clinics, as well as having the direct benefit of reviewing eight patients a week directly from MDT in less than a week. The model is sustainable and scalable, with implications for wider service redesign across outpatient specialties.
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