Improving the effectiveness of multidisciplinary team meetings on skin cancer: Analysis of the National Cancer Research UK survey responses.

Autor: Ali SR; Reconstructive Surgery and Regenerative Medicine Research Centre (ReconRegen), Institute of Life Sciences, Swansea University Medical School, Swansea, UK; Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK., Dobbs TD; Reconstructive Surgery and Regenerative Medicine Research Centre (ReconRegen), Institute of Life Sciences, Swansea University Medical School, Swansea, UK; Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK., Jovic M; Reconstructive Surgery and Regenerative Medicine Research Centre (ReconRegen), Institute of Life Sciences, Swansea University Medical School, Swansea, UK., Hutchings HA; Patient and Population Health and Informatics Research, Swansea University Medical School, Swansea, UK., Whitaker IS; Reconstructive Surgery and Regenerative Medicine Research Centre (ReconRegen), Institute of Life Sciences, Swansea University Medical School, Swansea, UK; Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK. Electronic address: iainwhitaker@fastmail.fm.
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2023 Jul; Vol. 82, pp. 141-151. Date of Electronic Publication: 2023 Mar 28.
DOI: 10.1016/j.bjps.2023.01.002
Abstrakt: Introduction: Skin cancer is the most common form of cancer in the UK, comprising at least 25% of all new cancer diagnoses. Many patients require referral to the local or specialist skin cancer multidisciplinary team (MDT) for ongoing management. However, national data have shown that Specialist Skin Cancer MDTs are costly and do not currently meet NICE standards for composition and quoracy. Innovative solutions to these problems are therefore warranted.
Methods: We performed a secondary comparative analysis of 3563 quantitative responses to two Cancer Research UK commissioned surveys along with subanalysis of 282 skin cancer MDT respondents.
Results: Good uniformity was observed amongst skin respondents in the belief that risk stratification and prioritization of complex cases were the most important factors compared to other cancer MDT members. The most important priorities for areas requiring change to MDT working deemed by the skin MDT were 1) imaging and pathology results ready for the meeting, 2) time to discuss patients in detail, 3) clear meeting owner in charge, and 4) clear agenda, in advance of the meeting. There was agreement (median Likert score 4) amongst skin MDT respondents that patients should be placed on protocolized treatment pathways.
Conclusion: The responses of skin MDT respondents analyzed in the current study support changes to meeting attendance, preparation, and protocolized streaming. In line with other studies, we support tumor-specific guidance for streamlining MDT discussions. We also encourage stakeholders to adopt an evidence-based approach to test, develop, and reassess changes in this herculean task.
Competing Interests: Conflicts of interest None.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE
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