跨区域研究强调泌尿病癌症负担日益增加 英国各地多学科团队会议
Zain Kasmani1, Wail Mohamed2, Zain Siddiqui3
1Urology, Birmingham City Hospitals, Birmingham, GBR.
Cureus
|December 11, 2023
概括
泌尿器科多学科团队 (MDT) 会议工作量在英国各地显著增加. 讨论了许多不必要的案例,强调迫切需要更新MDT管理准则以提高效率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 泌尿学多学科团队 (MDT) 会议对于讨论泌尿癌症管理至关重要.
- 人口日益老龄化和癌症检测/管理的改善正在增加MDT的需求.
研究的目的:
- 评估当前的工作量,并确定泌尿病学MDT会议的趋势.
- 评估目前MDT实践的效率并确定需要改进的领域.
主要方法:
- 一项跨区域的合作研究,结合了多中心的回顾性审计和快照在线调查.
- 数据收集来自英国三家医院 (伯明翰,利物浦,卡迪夫) 超过五年 (2017-2022) 和从34家英国医院通过问卷.
- 参数包括每周讨论的患者,患者人口统计,MDT持续时间和顾问人数.
主要成果:
- 泌尿器科MDT会议显示,所有中心每周讨论的患者数量呈上升趋势 (例如,伯明翰增加了34.8%).
- MDT会议的长度差异很大 (1-6小时),平均讨论时间低至每案3.8分钟.
- 大多数 (76%) 调查的泌尿科医生报告说,讨论了不必要的病例,这表明效率低下.
结论:
- 在英国泌尿器科MDTs讨论的患者数量中,有一个明确且不断增长的趋势.
- 在全国范围内,MDT的结构和功能存在显著的变化.
- 紧急实施更新的MDT管理指南是必要的,以确保未来的有效性和效率.
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