Évaluation des réunions de concertation pluridisciplinaire ; l’exemple des cancers gynéco-mammaires dans un centre de référence tertiaire au Maroc
| Autor: | Mohsine Mimouni, H. Hachi, Saber Boutayeb, Hassan Errihani, Wahid Chaouki, Noureddine Benjaafar |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Cancer Research
medicine.medical_specialty business.industry 030232 urology & nephrology Medical practice Hematology General Medicine Multidisciplinary team 03 medical and health sciences 0302 clinical medicine Oncology Multidisciplinary approach 030220 oncology & carcinogenesis Family medicine Retrospective analysis Structure based Medicine Referral center Radiology Nuclear Medicine and imaging business Organizational evolution Mammary Cancers |
| Zdroj: | Bulletin du Cancer. 104:644-651 |
| ISSN: | 0007-4551 |
| DOI: | 10.1016/j.bulcan.2017.04.004 |
| Popis: | The multidisciplinary team meeting has become a standard medical practice in oncology. However, no evaluation of this activity was carried out in Morocco. The aim of this study was to evaluate the multidisciplinary team meeting of gynecological mammary cancers in a National Tertiary Referral Center. The study was carried out by retrospective analysis of 207 cases of patients randomly selected among the 1190 cases recruited during the year 2015. Completeness and quality criteria were evaluated. The global completeness rate of passage in multidisciplinary team meeting is 38%. According to the therapeutic specialities, the completeness of passage in multidisciplinary team meeting is 68% of surgery, 35% of medical oncology and 19% of radiotherapy. As far as localizations are concerned, the completeness of passage in multidisciplinary team meeting is 43% for the breast and only 19% for the cervix. A quorum was met 100% of the cases. In 96% of cases the treatment performed is in accordance with the decision of the multidisciplinary team meeting. Eighty-four percent of cases performed multidisciplinary team meeting within less than one month. This analysis shows that the completeness of the transition to multidisciplinary team meeting has not reached the 100% planned by our institution. However, the requirements for conducting the multidisciplinary team meeting were generally met. This study shows an organizational evolution of our structure based on collective and multidisciplinary medical decision. The national obligation measure of multidisciplinary team meeting is necessary. |
| Databáze: | OpenAIRE |
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