An evaluation of treatment decisions at a colorectal cancer multi-disciplinary team

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
J J WoodJ M Blazeby

Abstract

It is mandatory for treatment decisions for patients with colorectal cancer to be made within the context of a multi-disciplinary team (MDT) meeting. It is currently uncertain, however, how to best evaluate the quality of MDT decision-making. This study examined MDT decision-making by studying whether MDT treatment decisions were implemented and investigated the reasons why some decisions changed after the meeting. Consecutive MDT treatment decisions were prospectively recorded. Implementation of decisions was studied by examining hospital records. Reasons for changes in MDT decisions were identified. In all, 201 consecutive treatment decisions were analysed, concerning 157 patients. Twenty decisions (10.0%, 95% confidence interval 6.3-15.2%) were not implemented. Looking at the reasons for nonimplementation, nine (40%) related to co-morbidity, seven (35%) to patient choice, two changed in light of new clinical information, one doctor changed a decision and for one changed decision, no reason was apparent. When decisions changed, the final treatment was always more conservative than was originally planned and decisions were more likely to change for colon rather than rectal cancer (P = 0.024). The vast majority of colorectal MD...Continue Reading

References

May 15, 2002·Nursing Management·M O JumaaF Smith
Nov 18, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M J KellyM Beach
Jul 26, 2005·Psycho-oncology·Julie B MallingerHoward Gross
Oct 20, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jane M GeraciJames S Goodwin
Dec 3, 2005·Annals of Oncology : Official Journal of the European Society for Medical Oncology·J M BlazebyJ L Donovan
May 26, 2006·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M R StephensK Shute
Nov 4, 2006·The Lancet Oncology·Anne FleissigLesley Fallowfield

❮ Previous
Next ❯

Citations

Nov 3, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M Hosseinali Khani, K Smedh
Oct 21, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G PalmerT Holm
May 23, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K M AugestadUNKNOWN International Rectal Cancer Study Group (IRCSG)
Mar 29, 2011·Annals of Surgical Oncology·Benjamin W LambNick Sevdalis
Oct 8, 2014·Acta Oncologica·Fredrik BrännströmMalin Mörner
Aug 20, 2010·Surgical Oncology·B LambN Sevdalis
Sep 29, 2015·Clinical Journal of Oncology Nursing·Joseph D Tariman, Katharine L Szubski
Mar 3, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·J KidgerJ M Blazeby
Jul 11, 2012·The Breast Journal·Rachel EnglishUNKNOWN breast cancer multi-disciplinary team
May 21, 2014·Clinical and Translational Science·Alban Zarzavadjian Le BianClaude Smadja
Mar 13, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J Ryan, I Faragher
Apr 30, 2013·Clinical Radiology·N ChinaiK B Hosie
May 12, 2010·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·L I OlssonB Glimelius
Jan 22, 2015·Annals of Oncology : Official Journal of the European Society for Medical Oncology·J StairmandC Cunningham
Nov 3, 2016·Internal Medicine·Sho NakamuraTakashi Yoshioka
Mar 25, 2017·Annals of Surgical Oncology·Yara L BastaKristien M A J Tytgat
Jan 10, 2014·Diseases of the Colon and Rectum·M A AbbasUNKNOWN Consortium for Optimizing Surgical Treatment of Rectal Cancer
Jan 10, 2014·Diseases of the Colon and Rectum·William C CiroccoW Donald Buie
Dec 29, 2017·World Journal of Surgery·Sung Min JungChang Sik Yu
Nov 15, 2008·BJU International·Andras Horvath, Hugh Mostafid
Dec 15, 2010·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Neil HillDuncan Wilson
Jan 15, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Mazen A JuratliChristian Mönch
Jan 10, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Randa Ghazal AsswadNick Roland
Nov 22, 2019·Abdominal Radiology·Arya Haj-MirzaianAtif Zaheer
Dec 7, 2018·European Journal of Cancer Care·Jessica BateJeremy Whelan
Feb 11, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·E R M ScheepersM E Hamaker
Dec 2, 2020·European Annals of Otorhinolaryngology, Head and Neck Diseases·J AlkasbiF Mouawad
May 16, 2021·BMC Health Services Research·Shalini K VinodJesmin Shafiq
May 18, 2021·Journal of Multidisciplinary Healthcare·Juan J Díez, Juan C Galofré
Jun 12, 2021·Journal of Multidisciplinary Healthcare·Paulus A F GeertsAlbine Moser

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Incidence & Mortality

Cancer has emerged as a global concern due to its increase in incidence and mortality. Efforts are underway to evaluate and develop action plans to reduce the global burden of cancer. Currently, lung cancer, breast cancer and prostate cancer are the leading causes of cancer mortality. Here is the latest research on cancer incidence and mortality.

Related Papers

BJOG : an International Journal of Obstetrics and Gynaecology
J KidgerJ M Blazeby
Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer
Francesco LeoGroupe d'Oncologie Thoracique Azuréen
European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)
Thomas RuhstallerJonathan J Nicoll
© 2021 Meta ULC. All rights reserved