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Multidisciplinary team meeting in digestive oncology: when opinions differ
Alban Zarzavadjian Le Bian1, Renato Costi, Audrey Bruderer
1Digestive Surgery Unit, Antoine Béclère Hospital, Clamart, Assistance Publique - Hôpitaux de Paris, University Paris XI, Paris, France; Medical Ethics and Legal Medicine Laboratory, University Paris V Descartes, Paris, France.
Clinical and Translational Science
|May 21, 2014
Summary
Multidisciplinary Team (MDT) meetings are crucial for cancer care decisions. However, patient refusal stems from overlooked individual needs and specialist support, impacting MDT efficiency.
Area of Science:
- Oncology
- Medical Decision-Making
Background:
- Multidisciplinary Team (MDT) meetings are standard practice in oncology for major treatment decisions.
- Analysis of patient refusal of MDT proposals was conducted retrospectively from 1995-2010 at an academic tertiary center.
Observation:
- 0.5% of 1000 patients refused MDT proposals.
- Reasons for refusal included lack of awareness of evidence-based literature, differing interpretations of technical feasibility, and MDT's failure to consider patient specifics and desires.
Findings:
- Patients refusing MDT decisions often had supportive referent specialists and came from educated, affluent backgrounds.
- MDT conclusions lacked customization due to individual variations and technical assessments.
Implications:
- Clinical Nurse Specialists attending MDT meetings could better incorporate patient individuality and preferences.
- Improving MDT efficiency requires addressing patient-specific factors and enhancing communication regarding evidence-based practices.