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Multidisciplinary Approach to Obesity Management: A Case Report
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How Effective Is the Multidisciplinary Team Approach in Bariatric Surgery?
Naomi Laura Bullen1, Jitesh Parmar2, Jeremy Gilbert2
1Cornwall Bariatric and Metabolic Surgery Unit, Royal Cornwall Hospital, Truro, UK. N.bullen@nhs.net.
Obesity Surgery
|June 19, 2019
Summary
Multidisciplinary team (MDT) meetings for bariatric surgery patients showed significant plan alterations, indicating improved care quality. The MDT approach is valuable for optimizing patient management and surgical outcomes.
Area of Science:
- Bariatric Surgery
- Clinical Decision Making
- Healthcare Management
Background:
- Multidisciplinary team (MDT) meetings are recommended for bariatric surgery patient management.
- Limited evidence currently exists regarding the effectiveness of these MDT meetings.
Purpose of the Study:
- To evaluate the decision-making process within a single-day bariatric MDT clinic.
- To assess the implementation and adherence to MDT decisions for bariatric surgery patients.
Main Methods:
- Retrospective observational study analyzing MDT treatment decisions from February 2012 to June 2013.
- Investigated MDT decision-making by assessing management plan alterations between surgeons and other MDT members.
- Assessed adherence to the established MDT decisions.
Main Results:
- Analysis of 200 consecutive patients revealed 55% MDT agreement, with 45% disagreement.
- Conflicting opinions were noted among surgeons (17%), anaesthetists (30%), and dieticians (33%).
- The MDT plan was implemented in 78% of cases; 85% of patients ultimately underwent bariatric surgery.
Conclusions:
- A single-day MDT clinic format led to significant plan changes, suggesting enhanced quality of care.
- The MDT approach is concluded to be valuable in bariatric surgery patient management.
- Further assessment attendance was the primary barrier to MDT plan implementation.
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