Multidisciplinary team meetings appear to be effective in inflammatory bowel disease management: an audit of process and outcomes

Internal Medicine Journal
Mutaz FermanJane M Andrews

Abstract

Multidisciplinary team meetings (MDTM) have proven efficacy in cancer management. Whilst widely implemented in inflammatory bowel disease (IBD) care, their value is yet to be investigated. We reviewed the performance of MDTM for IBD patients. Retrospective review of MDTM from March 2013 to July 2016. Each patient's first MDTM was considered. Data collected included: report production and location, disease factors, recommendation(s), implementation and barriers to implementation. The MDTM process was considered successful when at least top-level recommendations were implemented within 6 months. MDTM attendance included an IBD gastroenterologist, surgeons, a radiologist, nurses, dieticians, psychologists and clinical trial staff. Initial MDTM encounters of 166 patients were reviewed: 86 females, mean age 40 years, 140 (84.3%) with Crohn disease and mean disease duration of 10.8 years (interquartile range 15 years). Electronic reports were filed for all patients, with hard copies in 84%. In 151 of 166 episodes, all (n = 127) or top-line (n = 24) recommendations were implemented, although there was a delay beyond 6 months in 5. Of 146 patients with a successful MDTM, 85 (58.2%) were in clinical remission at last review (median foll...Continue Reading

References

Aug 1, 1994·British Journal of Cancer·E J JunorC R Gillis
May 20, 1998·Journal of the American Academy of Dermatology·D J FaderT M Johnson
Jul 9, 2004·Journal of Telemedicine and Telecare·A G DavisonA Sharma
Feb 9, 2006·British Journal of Cancer·S BurtonUNKNOWN Royal Marsden Hospital, Colorectal Cancer Network
May 26, 2006·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M R StephensK Shute
Apr 17, 2009·European Journal of Gastroenterology & Hepatology·Antonina A Mikocka-WalusGerald Holtmann
Oct 24, 2009·Internal Medicine Journal·J M AndrewsG J Holtmann
Jan 14, 2012·Inflammatory Bowel Diseases·Antonina A Mikocka-WalusGabriele Moser
Jun 15, 2013·Alimentary Pharmacology & Therapeutics·R V BryantJ M Andrews
Sep 17, 2013·British Journal of Nursing : BJN·Kay Greveson, Sue Woodward
Aug 19, 2014·Journal of Crohn's & Colitis·Antonina Mikocka-WalusCharles N Bernstein
Sep 2, 2015·Nature Reviews. Gastroenterology & Hepatology·Gilaad G Kaplan

❮ Previous
Next ❯

Citations

Jul 7, 2020·Journal of Pediatric Nursing·Adrienn ErősPatrícia Sarlós
Jul 21, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·D BoldovjakovaG Ramsay
Jan 18, 2022·Irish Journal of Medical Science·Orla CullivanCatherine M Dowling

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
Winston CheungJeffrey Th Tan
Journal of Crohn's & Colitis
Antonina Mikocka-WalusGabriele Moser
Nature Reviews. Gastroenterology & Hepatology
Hugh Thomas
© 2022 Meta ULC. All rights reserved