Impact of multidisciplinary team meetings on the management of venous thromboembolism. A clinical study of 142 cases

Autor: I. Gouin, C. Lefeuvre, A. Baillerie, S. Bayard, Vincent Jaquinandi, Guillaume Mahé, P. Jégo, F. Nedelec Gac, P. Guéret, Chadi Mauger, B. Boutruche
Přispěvatelé: CH de Saint-Malo [Broussais], Centre Hospitalier Universitaire [Rennes], CHP Saint Grégoire, CRLCC Eugène Marquis (CRLCC), Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), CHU Pontchaillou [Rennes], Centre d'Investigation Clinique [Rennes] (CIC), Université de Rennes (UR)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM), Université d'Angers (UA)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Hôpital Pontchaillou-Institut National de la Santé et de la Recherche Médicale (INSERM)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
medicine.medical_specialty
medicine.drug_class
[SDV]Life Sciences [q-bio]
Clinical Decision-Making
Administration
Oral
030204 cardiovascular system & hematology
Vitamin k
Multidisciplinary team
Drug Administration Schedule
Hospitals
University
Clinical study
03 medical and health sciences
Anticoagulation
0302 clinical medicine
medicine
Humans
Routine clinical practice
030212 general & internal medicine
Cooperative Behavior
Blood Coagulation
Retrospective Studies
Cancer
Patient Care Team
business.industry
Patient Selection
Anticoagulant
Venous thromboembolism disease
Anticoagulants
Venous Thromboembolism
University hospital
3. Good health
Discontinuation
Treatment Outcome
Multidisciplinary Evaluation Consortium
Emergency medicine
Interdisciplinary Communication
France
Cardiology and Cardiovascular Medicine
business
Venous thromboembolism
Zdroj: JMV-Journal de Médecine Vasculaire
JMV-Journal de Médecine Vasculaire, 2020, 45 (4), pp.192-197. ⟨10.1016/j.jdmv.2020.04.011⟩
JMV-Journal de Médecine Vasculaire, Elsevier, 2020, 45 (4), pp.192-197. ⟨10.1016/j.jdmv.2020.04.011⟩
ISSN: 2542-4513
DOI: 10.1016/j.jdmv.2020.04.011⟩
Popis: International audience; Objective - Numerous guidelines have been published on the management of venous thromboembolism (VTE). However, therapeutic decision-making may prove challenging in routine clinical practice. With this in mind, multidisciplinary team (MDT) meetings have been set up in Rennes University Hospital, France. This study sought to describe the situations discussed during MDT meetings and to assess whether the meetings bring about changes in the management of these patients. Materials and methods - A retrospective single-center study conducted at the Rennes University Hospital included cases presented from the beginning of the MDT meetings (February 2015) up to May 2017. Results - In total, 142 cases were presented in 15 MDT meetings, corresponding to a mean of 10±4 cases per meeting. Of these, 129 related to VTE patients: 33 provoked VTEs, 22 unprovoked VTEs, 49 cancer-related VTEs, and 25 unspecified VTEs. MDT meetings led to significant changes in the anticoagulation type (therapeutic, prophylactic, or discontinuation) and duration, but not in the anticoagulant choice (direct oral anticoagulants, vitamin K antagonists, heparins, etc.). Conclusion - Requests for MDT meetings are made for all VTE types, and these meetings have an impact on VTE management.
Databáze: OpenAIRE
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