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Structure of multidisciplinary heart teams, a survey-based heart team study
Umar Imran Hamid1,2, Thomas Modine3, Jos Maessen1
1Department of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, Netherlands.
Interdisciplinary Cardiovascular and Thoracic Surgery
|August 11, 2023
Summary
European heart teams show significant variability in practice. Standardized guidelines are needed to improve transparency and decision-making in cardiovascular care.
Area of Science:
- Cardiology
- Healthcare Management
Background:
- Multidisciplinary approaches, including heart teams, are recognized for improving patient outcomes.
- The structure and function of heart teams in real-world clinical practice require investigation.
Purpose of the Study:
- To assess the current practices and variability of heart teams across European institutions.
- To identify potential areas for standardization in heart team operations.
Main Methods:
- A survey was distributed to cardiac surgeons and cardiologists across Europe.
- Responses from 220 clinicians in 26 countries were analyzed.
Main Results:
- Heart team meetings were typically weekly and face-to-face.
- Only 10-20% of patients undergoing percutaneous coronary intervention were discussed.
- A significant portion of institutions lacked ad hoc guidelines or audit processes for heart team decisions.
Conclusions:
- There is considerable variation in the infrastructure and execution of heart teams across European institutions.
- Developing standardized guidelines for heart team composition and function is recommended to enhance decision-making transparency and facilitate outcome comparison.
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