Multidisciplinary Team Meeting in Digestive Oncology: When Opinions Differ
| Autor: | R N Audrey Bruderer, Christian Herve M.D., F.A.C.S. Renato Costi M.D., Claude Smadja, M.P.H. Alban Zarzavadjian Le Bian M.D. |
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| Rok vydání: | 2014 |
| Předmět: |
Oncology
medicine.medical_specialty business.industry General Neuroscience media_common.quotation_subject Ignorance General Medicine Multidisciplinary team Referent Patient preference General Biochemistry Genetics and Molecular Biology Technical feasibility Nursing Internal medicine medicine Interdisciplinary communication General Pharmacology Toxicology and Pharmaceutics Decision-making business media_common |
| Zdroj: | Clinical and Translational Science. 7:319-323 |
| ISSN: | 1752-8054 |
| Popis: | In daily oncology, Multidisciplinary Team (MDT) meetings are used worldwide to take every main decision. In order to improve the MDT efficiency, an analysis of decision-making process relying on patients refusing to undergo MDT proposal during presentations, in accordance with their referent specialist, was retrospectively performed in an academic and tertiary center, from 1995 to 2010. Out of 1000 patients, 0.5% refused the MDT proposal because of (1) ignorance of current evidence-based literature, (2) heterogeneous interpretations of the technical feasibility, and (3) the MDT undervaluing patient's specificities and wishes. In order to offset the MDT decision, patient needs to come from a well-off and educated background and to get the uttered support of the referent specialist. MDT conclusion is not customized because of interindividual exceptions and technical evaluations. Clinical Nurse Specialists attending to "blind" MDT meetings may help to back oncologic patient's specificities and wishes. |
| Databáze: | OpenAIRE |
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