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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

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Related Experiment Videos

Do multidisciplinary meetings follow guideline-based care?

Shalini K Vinod1, Mark A Sidhom, Geoff P Delaney

  • 1Collaboration for Cancer Outcomes, Research and Evaluation (CCORE), Liverpool Hospital, Liverpool BC; University of New South Wales, Sydney, Australia.

Journal of Oncology Practice
|March 2, 2011
PubMed
Summary

Multidisciplinary meetings (MDMs) largely align with lung cancer treatment guidelines. Physician discretion, often for older patients or those with comorbidities, explains most deviations from standard care.

Related Experiment Videos

Area of Science:

  • Oncology
  • Clinical Practice Guidelines
  • Evidence-Based Medicine

Background:

  • Multidisciplinary meetings (MDMs) are increasingly mandated in oncology.
  • Data on the effectiveness of MDMs in lung cancer treatment is limited.

Purpose of the Study:

  • To evaluate the concordance of MDM recommendations with established guidelines for lung cancer treatment.
  • To identify factors influencing deviations from guideline-based recommendations in lung cancer care.

Main Methods:

  • Prospective data collection from a lung cancer MDM in South West Sydney.
  • Comparison of MDM recommendations against evidence-based guidelines based on pathology, stage, and Eastern Cooperative Oncology Group (ECOG) performance status.
  • Analysis of reasons for discrepancies between MDM recommendations and guideline treatments.

Main Results:

  • Overall concordance of MDM recommendations with guidelines was 71% across 335 lung cancer patients.
  • Concordance varied by treatment modality: 58% for surgery, 88% for radiotherapy, and 77% for chemotherapy.
  • Factors associated with non-guideline recommendations included age >70, ECOG performance status ≥2, and Stage III non-small-cell lung cancer (NSCLC).
  • Primary reasons for deviation were physician decision (39%), comorbidity (25%), and technical factors (22%).

Conclusions:

  • MDM recommendations demonstrate substantial concordance with lung cancer treatment guidelines.
  • Physician judgment plays a key role in deviating from guidelines, particularly in elderly patients or those with compromised performance status.
  • Clinical guidelines may not fully encompass individual patient factors that necessitate alternative treatment approaches.