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Not all MDTs are created equal: international survey of HPB MDT practices.
Dharanikota, Harini; Dick, Lachlan; Wigmore, Stephen J; Skipworth, Richard J E; Yule, Steven.
Afiliación
  • Dharanikota H; Surgical Sabermetrics Laboratory, Centre for Medical Informatics, Usher Institute, University of Edinburgh, EH16 4UX, Edinburgh, Scotland, UK. Electronic address: L.H.Dharanikota@sms.ed.ac.uk.
  • Dick L; Surgical Sabermetrics Laboratory, Centre for Medical Informatics, Usher Institute, University of Edinburgh, EH16 4UX, Edinburgh, Scotland, UK; Clinical Surgery, University of Edinburgh & Royal Infirmary of Edinburgh, EH16 4SA, Edinburgh, Scotland, UK.
  • Wigmore SJ; Surgical Sabermetrics Laboratory, Centre for Medical Informatics, Usher Institute, University of Edinburgh, EH16 4UX, Edinburgh, Scotland, UK; Clinical Surgery, University of Edinburgh & Royal Infirmary of Edinburgh, EH16 4SA, Edinburgh, Scotland, UK.
  • Skipworth RJE; Surgical Sabermetrics Laboratory, Centre for Medical Informatics, Usher Institute, University of Edinburgh, EH16 4UX, Edinburgh, Scotland, UK; Clinical Surgery, University of Edinburgh & Royal Infirmary of Edinburgh, EH16 4SA, Edinburgh, Scotland, UK.
  • Yule S; Surgical Sabermetrics Laboratory, Centre for Medical Informatics, Usher Institute, University of Edinburgh, EH16 4UX, Edinburgh, Scotland, UK; Clinical Surgery, University of Edinburgh & Royal Infirmary of Edinburgh, EH16 4SA, Edinburgh, Scotland, UK.
HPB (Oxford) ; 2024 Aug 13.
Article en En | MEDLINE | ID: mdl-39181817
ABSTRACT

BACKGROUND:

In order to identify opportunities to streamline hepatopancreaticobiliary (HPB) multidisciplinary teams (MDT) for cancer care, it is important to first document variability in MDT team practices worldwide. We aimed to develop a comprehensive checklist of parameters to evaluate existing practices and guide the development of MDTs for new cancer services.

METHODS:

Participants were recruited via the International Hepato-Pancreato-Biliary Association (IHPBA) and European-African HPB Association (E-AHPBA) and emailed an anonymised online survey. The survey comprised 29 questions, including a combination of closed-ended and open-ended questions. Responses were analysed using descriptive statistics and inductive content analysis.

RESULTS:

Analysing 72 responses from 31 countries, we found substantial variations in HPB MDT practices across regions. Notable variability was found in core team composition, chairing practices, caseload planning, information practices and MDT audit practices. Issues impacting efficiency were common to many MDTs.

DISCUSSION:

MDT care is understood and applied differently across the world. There is a lack of standardisation of practice, and an apparent need for better case preparation, effective specialist contribution, improved audit frequency and metrics to improve performance. It may be valuable to consider human factors while designing MDTs to support team decision processes, minimise errors, and enhance efficiency.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: HPB (Oxford) Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: HPB (Oxford) Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido