Multidisciplinary team meetings in urogynaecology

International Urogynecology Journal
Deepa Gopinath, Swati Jha

Abstract

The concept of multidisciplinary team (MDT) is well accepted in the current National Health Service (NHS) and is considered good practice for the management of chronic conditions. There has been a recent drive to have MDTs in managing women with incontinence and complex prolapse as a result of recommendations by National Institute for Health and Care Excellence (NICE) guidance, Medicines and Healthcare Products Regulatory Agency (MHRA) etc. Currently, there are no data on the outcome of case discussion at urogynaecology MDTs. The aim of this study was to review the clinical impact of discussion of a select group of cases at an urogynaecology MDT and review the clinical literature to justify the MDT approach. MDT proformas of cases discussed from October 2012 to December 2013 were reviewed. Outcomes of the MDT were compared with recommendations at the initial consultation. This included change in management plan, type of surgery and surgeon as well as time delay due to MDT discussion. One hundred six proformas were available for analysis. Age range was 23-89 (58) years. Average time from clinic visit to MDT discussion was 8.32 + 5.9 days. The MDT recommended a change in management plan in 31 cases (29.3%), with 11 cases (10.4%) ...Continue Reading

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Citations

Dec 5, 2017·Journal of the Chinese Medical Association : JCMA·Huann-Cheng HorngPeng-Hui Wang
Mar 8, 2018·The Journal of Laryngology and Otology·S H HancoxD C Howlett
Jul 19, 2020·International Urogynecology Journal·Glaucia Miranda Varella PereiraLuiz Gustavo Oliveira Brito
Dec 10, 2019·International Urogynecology Journal·Keren E WalesThomas G Gray

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