Evidence map›Paper›PMID 41508663›Full record

ArticleKorean journal of clinical oncology2025

Patients participation in multidisciplinary management in gastric cancer: regulation comparison and expert survey among major countries.

Kyoyoung Park, Hyuk-Joon Lee, Seong-Ho Kong, Do Joong Park, Hyunsoo Chung, Soo-Jeong Cho, Seock-Ah Im, Yoonjin Kwak, Hye Seung Lee, Eui Kyu Chie and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Korean journal of clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Kyoyoung ParkDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.
Hyuk-Joon LeeDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.
Seong-Ho KongDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.
Do Joong ParkDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.
Hyunsoo ChungDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Soo-Jeong ChoDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Seock-Ah ImCancer Research Institute, Seoul National University, Seoul, Korea.
Yoonjin KwakCancer Research Institute, Seoul National University, Seoul, Korea.
Hye Seung LeeCancer Research Institute, Seoul National University, Seoul, Korea.
Eui Kyu ChieCancer Research Institute, Seoul National University, Seoul, Korea.
Jimmy Bok Yan SoDivision of Surgical Oncology, National University Cancer Institute, Singapore.
Zekuan XuDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Narikazu BokuDepartment of Oncology and General Medicine, IMSUT Hospital, Institute of Medical Science, University of Tokyo, Tokyo, Japan.
Jiafu JiDepartment of Gastrointestinal Surgery, Peking University Cancer Hospital, Beijing, China.
Yuko KitagawaDepartment of Surgery, Keio University School of Medicine, Tokyo, Japan.
Raul J RosenthalBariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Weston, FL, USA.
Takeshi SanoDepartment of Surgery, Cancer Institute Hospital, Tokyo, Japan.
Han-Kwang YangDepartment of Surgery, Seoul National University Hospital, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn Korea, the Health Insurance Review and Assessment Service (HIRA) mandates patient participation in outpatient multidisciplinary team (MDT) meetings as part of national cancer quality assessment. However, the necessity of involving patients and families in MDT discussions remains debatable. This study explored international expert perspectives on patient participation in gastric cancer MDTs.

methodsA cross-national expert survey was conducted in September 2021 among 15 gastric cancer specialists from Korea, China, Japan, Singapore, and the United States. The survey assessed the frequency of patient and family member attendance, perceived pros and cons, and preferences regarding mandatory versus selective involvement. Additionally, MDT structures and policies were reviewed by countries.

resultsMost respondents reported that patients and families rarely or never attend MDT meetings: nine stated that patients are never included, three reported "usually not," and three indicated "sometimes." None consistently included patients. The most cited benefits were sharing opinions with patients and families simultaneously, followed by improved explanation of treatment and legal protection. Major concerns included hindered discussion, inefficiency, and logistical challenges. Only four respondents supported routine participation, while 11 favored case-dependent involvement.

conclusionInternational experts do not widely support mandatory patient participation in MDT meetings. A flexible approach that allows MDTs to operate with or without patient involvement may better reflect actual clinical practice.

Indexed as

Multidisciplinary teamPatient participationStomach neoplasms

Identifiers

PMID41508663
PMCPMC12784146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.