Standardisation and streamlining of multidisciplinary team meetings in prostate cancer: A win-win change
BAUS ePoster online library. Hadjipavlou M. Jun 25, 2019; 259486; P12-2
Mr. Marios Hadjipavlou
Mr. Marios Hadjipavlou
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Abstract
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Introduction:
Multidisciplinary teams (MDTs) form the core in management of patients with suspected or proven cancer. The 2016 Cancer Research UK Report 'Meeting Patients' Needs' outlined the importance of standardising and streamlining MDT processes. As part of the National Cancer Programme, we piloted and evaluated the impact of streamlining MDT meetings in prostate cancer in a single large volume cancer centre.

Methodology:
Baseline data (pre-streamlining) was collected on the established MDT meetings over 4 weeks. In the next phase, predetermined standards of care (SoC) were introduced to protocolise patients that did not require full discussion at the MDT meeting as they conformed to the SoC. Data was collected for the subsequent 4 weeks (post-streamlining).

Results:

Following streamlining, the average number of patients discussed at the MDT meeting was reduced from 26 patients to 3 patients. The average time discussing cases at each meeting was reduced by more than four-fold (46:30min to 11:15min) while the average time spent discussing each patient doubled from 1:49min to 3:26min. Following streamlining, 77% of cases did not require MDT meeting discussion. Cases of low-risk and intermediate-risk prostate cancer did not require discussion. Reasons for MDT meeting discussion included high-risk and metastatic disease, discordant imaging/histology and incidental findings on imaging.

Conclusions:

Streamlining of multidisciplinary meetings using predetermined standards of care enables specialist time to be focused on higher-risk and complex cases not following well-established pathways while potentially increasing departmental efficiency. The impact on teaching and training will need to be further evaluated.
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