Benefits, barriers and opinions on multidisciplinary team meetings: a survey in Swedish cancer care View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Linn Rosell, Nathalie Alexandersson, Oskar Hagberg, Mef Nilbert

ABSTRACT

BACKGROUND: Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceived benefits and barriers. METHODS: In a cross-sectional study design, 244 health professionals from south Sweden rated MDTM meeting structure and function, benefits from these meetings and barriers to reach a treatment recommendation. RESULTS: The top-ranked advantages from MDTMs were support for patient management and competence development. Low ratings applied to monitoring patients for clinical trial inclusion and structured work to improve the MDTM. Nurses and cancer care coordinators did less often than physicians report involvement in the case discussions. Major benefits from MDTM were reported to be more accurate treatment recommendations, multidisciplinary evaluation and adherence to clinical guidelines. Major barriers to a joint treatment recommendation were reported to be need for supplementary investigations and insufficient pathology reports. CONCLUSIONS: Health professionals' report multiple benefits from MDTMs, but also define areas for improvement, e.g. access to complete information and clarified roles for the different health professions. The emerging picture suggests that structures for regular MDTM evaluations and increased focus on patient-related perspectives should be developed and implemented. More... »

PAGES

249

References to SciGraph publications

  • 2014-12. “No decision about me without me” in the context of cancer multidisciplinary team meetings: a qualitative interview study in BMC HEALTH SERVICES RESEARCH
  • 2015-05. Multidisciplinary Cancer Conferences for Gastrointestinal Malignancies Result in Measureable Treatment Changes: A Prospective Study of 149 Consecutive Patients in ANNALS OF SURGICAL ONCOLOGY
  • 2015-12. Do Multidisciplinary Team (MDT) processes influence survival in patients with colorectal cancer? A population-based experience in BMC CANCER
  • 2014-12. Strategies to improve the efficiency and utility of multidisciplinary team meetings in urology cancer care: a survey study in BMC HEALTH SERVICES RESEARCH
  • 2011-08. Quality of Care Management Decisions by Multidisciplinary Cancer Teams: A Systematic Review in ANNALS OF SURGICAL ONCOLOGY
  • 2013-06. Multidisciplinary decisions in breast cancer: does the patient receive what the team has recommended? in BRITISH JOURNAL OF CANCER
  • 2013-05. Facilitators and Barriers to Teamworking and Patient Centeredness in Multidisciplinary Cancer Teams: Findings of a National Study in ANNALS OF SURGICAL ONCOLOGY
  • 2013-12. Ten principles of good interdisciplinary team work in HUMAN RESOURCES FOR HEALTH
  • 2011-09. Teamwork and Team Decision-making at Multidisciplinary Cancer Conferences: Barriers, Facilitators, and Opportunities for Improvement in WORLD JOURNAL OF SURGERY
  • 2012-12. The cancer multi-disciplinary team from the co-ordinators’ perspective: results from a national survey in the UK in BMC HEALTH SERVICES RESEARCH
  • 2012-12. Measuring the quality of MDT working: an observational approach in BMC CANCER
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12913-018-2990-4

    DOI

    http://dx.doi.org/10.1186/s12913-018-2990-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1103128663

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29622020


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Public Health and Health Services", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Adult", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Aged", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Attitude of Health Personnel", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Cross-Sectional Studies", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Female", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Health Personnel", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Humans", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Male", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Middle Aged", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Neoplasms", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Patient Care Team", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Physicians", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Surveys and Questionnaires", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Sweden", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Young Adult", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Scania Regional Council", 
              "id": "https://www.grid.ac/institutes/grid.426217.4", 
              "name": [
                "Institute of Clinical Sciences, Division of Oncology and Pathology, Lund University, Scheelev. 2, 223 63, Lund, Sweden", 
                "Regional Cancer Centre South, Region Sk\u00e5ne, Sweden"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Rosell", 
            "givenName": "Linn", 
            "id": "sg:person.012773515773.57", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012773515773.57"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Scania Regional Council", 
              "id": "https://www.grid.ac/institutes/grid.426217.4", 
              "name": [
                "Regional Cancer Centre South, Region Sk\u00e5ne, Sweden"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Alexandersson", 
            "givenName": "Nathalie", 
            "id": "sg:person.010603174373.20", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010603174373.20"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Scania Regional Council", 
              "id": "https://www.grid.ac/institutes/grid.426217.4", 
              "name": [
                "Regional Cancer Centre South, Region Sk\u00e5ne, Sweden"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Hagberg", 
            "givenName": "Oskar", 
            "id": "sg:person.01307530652.09", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01307530652.09"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Danish Cancer Society", 
              "id": "https://www.grid.ac/institutes/grid.417390.8", 
              "name": [
                "Institute of Clinical Sciences, Division of Oncology and Pathology, Lund University, Scheelev. 2, 223 63, Lund, Sweden", 
                "Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark", 
                "Danish Cancer Society Research Center, Copenhagen, Denmark"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Nilbert", 
            "givenName": "Mef", 
            "id": "sg:person.01011210506.87", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01011210506.87"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1186/1472-6963-14-377", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1000083012", 
              "https://doi.org/10.1186/1472-6963-14-377"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.healthpol.2014.09.006", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1003564878"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.healthpol.2014.09.006", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1003564878"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1136/bmjopen-2016-012559", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1005529834"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00268-011-1152-1", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1006249422", 
              "https://doi.org/10.1007/s00268-011-1152-1"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1111/bju.12764", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1008329690"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1471-2407-12-202", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1009424630", 
              "https://doi.org/10.1186/1471-2407-12-202"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.breast.2013.11.009", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1012139945"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.ijsu.2013.02.026", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1017527055"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1093/jnci/djs502", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1017841101"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1111/codi.12581", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1020608502"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1136/bmjqs.2010.048660", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1024143564"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1136/bmjqs.2010.048660", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1024143564"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.athoracsur.2015.05.056", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1027479130"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1478-4491-11-19", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1029609384", 
              "https://doi.org/10.1186/1478-4491-11-19"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1245/s10434-014-4163-y", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1033731448", 
              "https://doi.org/10.1245/s10434-014-4163-y"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1371/journal.pone.0154969", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1036487368"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1371/journal.pone.0154969", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1036487368"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-014-0488-2", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1039019715", 
              "https://doi.org/10.1186/s12913-014-0488-2"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12913-014-0488-2", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1039019715", 
              "https://doi.org/10.1186/s12913-014-0488-2"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s12885-015-1683-1", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041101096", 
              "https://doi.org/10.1186/s12885-015-1683-1"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.ctrv.2015.11.007", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041354333"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1245/s10434-011-1675-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041468837", 
              "https://doi.org/10.1245/s10434-011-1675-6"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1245/s10434-012-2676-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1042939001", 
              "https://doi.org/10.1245/s10434-012-2676-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1038/bjc.2013.267", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1045870983", 
              "https://doi.org/10.1038/bjc.2013.267"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1371/journal.pone.0126547", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1048606284"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/j.suronc.2010.07.007", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1048608861"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.2147/jmdh.s65160", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1051908468"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1472-6963-12-457", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1051982701", 
              "https://doi.org/10.1186/1472-6963-12-457"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.3109/0284186x.2014.952387", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1053424493"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1093/intqhc/mzw030", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1059713100"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1200/jgo.2015.000158", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1064204527"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.14694/edbook_am.2014.34.e461", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1067344631"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.3310/hsdr02370", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1071138788"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/nur.0000000000000308", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085941679"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/nur.0000000000000308", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1085941679"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1080/0284186x.2017.1400682", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1093157546"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1080/0284186x.2017.1400682", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1093157546"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2018-12", 
        "datePublishedReg": "2018-12-01", 
        "description": "BACKGROUND: Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceived benefits and barriers.\nMETHODS: In a cross-sectional study design, 244 health professionals from south Sweden rated MDTM meeting structure and function, benefits from these meetings and barriers to reach a treatment recommendation.\nRESULTS: The top-ranked advantages from MDTMs were support for patient management and competence development. Low ratings applied to monitoring patients for clinical trial inclusion and structured work to improve the MDTM. Nurses and cancer care coordinators did less often than physicians report involvement in the case discussions. Major benefits from MDTM were reported to be more accurate treatment recommendations, multidisciplinary evaluation and adherence to clinical guidelines. Major barriers to a joint treatment recommendation were reported to be need for supplementary investigations and insufficient pathology reports.\nCONCLUSIONS: Health professionals' report multiple benefits from MDTMs, but also define areas for improvement, e.g. access to complete information and clarified roles for the different health professions. The emerging picture suggests that structures for regular MDTM evaluations and increased focus on patient-related perspectives should be developed and implemented.", 
        "genre": "research_article", 
        "id": "sg:pub.10.1186/s12913-018-2990-4", 
        "inLanguage": [
          "en"
        ], 
        "isAccessibleForFree": true, 
        "isPartOf": [
          {
            "id": "sg:journal.1327417", 
            "issn": [
              "1472-6963"
            ], 
            "name": "BMC Health Services Research", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "1", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "18"
          }
        ], 
        "name": "Benefits, barriers and opinions on multidisciplinary team meetings: a survey in Swedish cancer care", 
        "pagination": "249", 
        "productId": [
          {
            "name": "readcube_id", 
            "type": "PropertyValue", 
            "value": [
              "c6c3d200089dcbefe5c7647d39283ac2e1fad4a4bfee3e950adc8fe2438328cc"
            ]
          }, 
          {
            "name": "pubmed_id", 
            "type": "PropertyValue", 
            "value": [
              "29622020"
            ]
          }, 
          {
            "name": "nlm_unique_id", 
            "type": "PropertyValue", 
            "value": [
              "101088677"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1186/s12913-018-2990-4"
            ]
          }, 
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1103128663"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1186/s12913-018-2990-4", 
          "https://app.dimensions.ai/details/publication/pub.1103128663"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2019-04-11T13:58", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000371_0000000371/records_130820_00000005.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://link.springer.com/10.1186%2Fs12913-018-2990-4"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-2990-4'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-2990-4'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-2990-4'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-2990-4'


     

    This table displays all metadata directly associated to this object as RDF triples.

    262 TRIPLES      21 PREDICATES      76 URIs      36 LITERALS      24 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1186/s12913-018-2990-4 schema:about N291913dea95e48e0b3ccb56665f4d18f
    2 N2affc013282743868b2faeae1968712c
    3 N4bc7ebd025b2454a983b38d9127f796e
    4 N4e1923f1c4834db1893c1a79f9e95809
    5 N81f29c550141422680b8e95f319daffd
    6 N8656c85b6c0849d086e238a68ee1ed15
    7 N8efd69bac714479da397eaaa720a9da6
    8 N9688a16723b14a95805547cfd714c23a
    9 Nb153ef7b050440a99133a14800908bf1
    10 Nbf1ddf8ffa1a463688601ea5893d859b
    11 Nc3bbc1d9df484b2fa9bf902db8892c85
    12 Nd331238100b647de900b9c13c3412efe
    13 Ndbc6defd9dc54369bae86dac6593c81c
    14 Ne5cb1f321b7941ea95074175cff957de
    15 Ne83ef70adcaf4445a763eb8cd71fe9a3
    16 anzsrc-for:11
    17 anzsrc-for:1117
    18 schema:author N0997b5fde60d4048b01348aeddbe6d23
    19 schema:citation sg:pub.10.1007/s00268-011-1152-1
    20 sg:pub.10.1038/bjc.2013.267
    21 sg:pub.10.1186/1471-2407-12-202
    22 sg:pub.10.1186/1472-6963-12-457
    23 sg:pub.10.1186/1472-6963-14-377
    24 sg:pub.10.1186/1478-4491-11-19
    25 sg:pub.10.1186/s12885-015-1683-1
    26 sg:pub.10.1186/s12913-014-0488-2
    27 sg:pub.10.1245/s10434-011-1675-6
    28 sg:pub.10.1245/s10434-012-2676-9
    29 sg:pub.10.1245/s10434-014-4163-y
    30 https://doi.org/10.1016/j.athoracsur.2015.05.056
    31 https://doi.org/10.1016/j.breast.2013.11.009
    32 https://doi.org/10.1016/j.ctrv.2015.11.007
    33 https://doi.org/10.1016/j.healthpol.2014.09.006
    34 https://doi.org/10.1016/j.ijsu.2013.02.026
    35 https://doi.org/10.1016/j.suronc.2010.07.007
    36 https://doi.org/10.1080/0284186x.2017.1400682
    37 https://doi.org/10.1093/intqhc/mzw030
    38 https://doi.org/10.1093/jnci/djs502
    39 https://doi.org/10.1097/nur.0000000000000308
    40 https://doi.org/10.1111/bju.12764
    41 https://doi.org/10.1111/codi.12581
    42 https://doi.org/10.1136/bmjopen-2016-012559
    43 https://doi.org/10.1136/bmjqs.2010.048660
    44 https://doi.org/10.1200/jgo.2015.000158
    45 https://doi.org/10.1371/journal.pone.0126547
    46 https://doi.org/10.1371/journal.pone.0154969
    47 https://doi.org/10.14694/edbook_am.2014.34.e461
    48 https://doi.org/10.2147/jmdh.s65160
    49 https://doi.org/10.3109/0284186x.2014.952387
    50 https://doi.org/10.3310/hsdr02370
    51 schema:datePublished 2018-12
    52 schema:datePublishedReg 2018-12-01
    53 schema:description BACKGROUND: Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceived benefits and barriers. METHODS: In a cross-sectional study design, 244 health professionals from south Sweden rated MDTM meeting structure and function, benefits from these meetings and barriers to reach a treatment recommendation. RESULTS: The top-ranked advantages from MDTMs were support for patient management and competence development. Low ratings applied to monitoring patients for clinical trial inclusion and structured work to improve the MDTM. Nurses and cancer care coordinators did less often than physicians report involvement in the case discussions. Major benefits from MDTM were reported to be more accurate treatment recommendations, multidisciplinary evaluation and adherence to clinical guidelines. Major barriers to a joint treatment recommendation were reported to be need for supplementary investigations and insufficient pathology reports. CONCLUSIONS: Health professionals' report multiple benefits from MDTMs, but also define areas for improvement, e.g. access to complete information and clarified roles for the different health professions. The emerging picture suggests that structures for regular MDTM evaluations and increased focus on patient-related perspectives should be developed and implemented.
    54 schema:genre research_article
    55 schema:inLanguage en
    56 schema:isAccessibleForFree true
    57 schema:isPartOf Nd3f9e10869344f3284cf5a2d2f2f099b
    58 Ndf5cf02faaea48188d8698f4e7636672
    59 sg:journal.1327417
    60 schema:name Benefits, barriers and opinions on multidisciplinary team meetings: a survey in Swedish cancer care
    61 schema:pagination 249
    62 schema:productId N50ec1f81f0474ff38f9a74fca2edc03d
    63 N69c5bfe6ae1941289039bce6c8aaaae0
    64 N898e8f1d8b4041f3b3f591059c5d56d2
    65 Nb7b7d724188641019b09b59ded0ed126
    66 Nf849a35279d94a6fb79d882537a2741b
    67 schema:sameAs https://app.dimensions.ai/details/publication/pub.1103128663
    68 https://doi.org/10.1186/s12913-018-2990-4
    69 schema:sdDatePublished 2019-04-11T13:58
    70 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    71 schema:sdPublisher N9adea78058384dc4bf153d7d92542dac
    72 schema:url https://link.springer.com/10.1186%2Fs12913-018-2990-4
    73 sgo:license sg:explorer/license/
    74 sgo:sdDataset articles
    75 rdf:type schema:ScholarlyArticle
    76 N0997b5fde60d4048b01348aeddbe6d23 rdf:first sg:person.012773515773.57
    77 rdf:rest N7d55a06527d149a5a2a9b733d5791487
    78 N291913dea95e48e0b3ccb56665f4d18f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    79 schema:name Patient Care Team
    80 rdf:type schema:DefinedTerm
    81 N2affc013282743868b2faeae1968712c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    82 schema:name Adult
    83 rdf:type schema:DefinedTerm
    84 N4bc7ebd025b2454a983b38d9127f796e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    85 schema:name Young Adult
    86 rdf:type schema:DefinedTerm
    87 N4e1923f1c4834db1893c1a79f9e95809 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    88 schema:name Physicians
    89 rdf:type schema:DefinedTerm
    90 N50ec1f81f0474ff38f9a74fca2edc03d schema:name nlm_unique_id
    91 schema:value 101088677
    92 rdf:type schema:PropertyValue
    93 N69c5bfe6ae1941289039bce6c8aaaae0 schema:name dimensions_id
    94 schema:value pub.1103128663
    95 rdf:type schema:PropertyValue
    96 N7d55a06527d149a5a2a9b733d5791487 rdf:first sg:person.010603174373.20
    97 rdf:rest N8f199ed944044c18a1627ea86dfc5277
    98 N81f29c550141422680b8e95f319daffd schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    99 schema:name Male
    100 rdf:type schema:DefinedTerm
    101 N8656c85b6c0849d086e238a68ee1ed15 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    102 schema:name Attitude of Health Personnel
    103 rdf:type schema:DefinedTerm
    104 N898e8f1d8b4041f3b3f591059c5d56d2 schema:name doi
    105 schema:value 10.1186/s12913-018-2990-4
    106 rdf:type schema:PropertyValue
    107 N8efd69bac714479da397eaaa720a9da6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    108 schema:name Surveys and Questionnaires
    109 rdf:type schema:DefinedTerm
    110 N8f199ed944044c18a1627ea86dfc5277 rdf:first sg:person.01307530652.09
    111 rdf:rest N99c2718b845e411ea25416c71833fcfc
    112 N9688a16723b14a95805547cfd714c23a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    113 schema:name Female
    114 rdf:type schema:DefinedTerm
    115 N99c2718b845e411ea25416c71833fcfc rdf:first sg:person.01011210506.87
    116 rdf:rest rdf:nil
    117 N9adea78058384dc4bf153d7d92542dac schema:name Springer Nature - SN SciGraph project
    118 rdf:type schema:Organization
    119 Nb153ef7b050440a99133a14800908bf1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    120 schema:name Humans
    121 rdf:type schema:DefinedTerm
    122 Nb7b7d724188641019b09b59ded0ed126 schema:name pubmed_id
    123 schema:value 29622020
    124 rdf:type schema:PropertyValue
    125 Nbf1ddf8ffa1a463688601ea5893d859b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    126 schema:name Neoplasms
    127 rdf:type schema:DefinedTerm
    128 Nc3bbc1d9df484b2fa9bf902db8892c85 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    129 schema:name Middle Aged
    130 rdf:type schema:DefinedTerm
    131 Nd331238100b647de900b9c13c3412efe schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    132 schema:name Aged
    133 rdf:type schema:DefinedTerm
    134 Nd3f9e10869344f3284cf5a2d2f2f099b schema:volumeNumber 18
    135 rdf:type schema:PublicationVolume
    136 Ndbc6defd9dc54369bae86dac6593c81c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    137 schema:name Sweden
    138 rdf:type schema:DefinedTerm
    139 Ndf5cf02faaea48188d8698f4e7636672 schema:issueNumber 1
    140 rdf:type schema:PublicationIssue
    141 Ne5cb1f321b7941ea95074175cff957de schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    142 schema:name Health Personnel
    143 rdf:type schema:DefinedTerm
    144 Ne83ef70adcaf4445a763eb8cd71fe9a3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    145 schema:name Cross-Sectional Studies
    146 rdf:type schema:DefinedTerm
    147 Nf849a35279d94a6fb79d882537a2741b schema:name readcube_id
    148 schema:value c6c3d200089dcbefe5c7647d39283ac2e1fad4a4bfee3e950adc8fe2438328cc
    149 rdf:type schema:PropertyValue
    150 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    151 schema:name Medical and Health Sciences
    152 rdf:type schema:DefinedTerm
    153 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
    154 schema:name Public Health and Health Services
    155 rdf:type schema:DefinedTerm
    156 sg:journal.1327417 schema:issn 1472-6963
    157 schema:name BMC Health Services Research
    158 rdf:type schema:Periodical
    159 sg:person.01011210506.87 schema:affiliation https://www.grid.ac/institutes/grid.417390.8
    160 schema:familyName Nilbert
    161 schema:givenName Mef
    162 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01011210506.87
    163 rdf:type schema:Person
    164 sg:person.010603174373.20 schema:affiliation https://www.grid.ac/institutes/grid.426217.4
    165 schema:familyName Alexandersson
    166 schema:givenName Nathalie
    167 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010603174373.20
    168 rdf:type schema:Person
    169 sg:person.012773515773.57 schema:affiliation https://www.grid.ac/institutes/grid.426217.4
    170 schema:familyName Rosell
    171 schema:givenName Linn
    172 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.012773515773.57
    173 rdf:type schema:Person
    174 sg:person.01307530652.09 schema:affiliation https://www.grid.ac/institutes/grid.426217.4
    175 schema:familyName Hagberg
    176 schema:givenName Oskar
    177 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01307530652.09
    178 rdf:type schema:Person
    179 sg:pub.10.1007/s00268-011-1152-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006249422
    180 https://doi.org/10.1007/s00268-011-1152-1
    181 rdf:type schema:CreativeWork
    182 sg:pub.10.1038/bjc.2013.267 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045870983
    183 https://doi.org/10.1038/bjc.2013.267
    184 rdf:type schema:CreativeWork
    185 sg:pub.10.1186/1471-2407-12-202 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009424630
    186 https://doi.org/10.1186/1471-2407-12-202
    187 rdf:type schema:CreativeWork
    188 sg:pub.10.1186/1472-6963-12-457 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051982701
    189 https://doi.org/10.1186/1472-6963-12-457
    190 rdf:type schema:CreativeWork
    191 sg:pub.10.1186/1472-6963-14-377 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000083012
    192 https://doi.org/10.1186/1472-6963-14-377
    193 rdf:type schema:CreativeWork
    194 sg:pub.10.1186/1478-4491-11-19 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029609384
    195 https://doi.org/10.1186/1478-4491-11-19
    196 rdf:type schema:CreativeWork
    197 sg:pub.10.1186/s12885-015-1683-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041101096
    198 https://doi.org/10.1186/s12885-015-1683-1
    199 rdf:type schema:CreativeWork
    200 sg:pub.10.1186/s12913-014-0488-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039019715
    201 https://doi.org/10.1186/s12913-014-0488-2
    202 rdf:type schema:CreativeWork
    203 sg:pub.10.1245/s10434-011-1675-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041468837
    204 https://doi.org/10.1245/s10434-011-1675-6
    205 rdf:type schema:CreativeWork
    206 sg:pub.10.1245/s10434-012-2676-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042939001
    207 https://doi.org/10.1245/s10434-012-2676-9
    208 rdf:type schema:CreativeWork
    209 sg:pub.10.1245/s10434-014-4163-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1033731448
    210 https://doi.org/10.1245/s10434-014-4163-y
    211 rdf:type schema:CreativeWork
    212 https://doi.org/10.1016/j.athoracsur.2015.05.056 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027479130
    213 rdf:type schema:CreativeWork
    214 https://doi.org/10.1016/j.breast.2013.11.009 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012139945
    215 rdf:type schema:CreativeWork
    216 https://doi.org/10.1016/j.ctrv.2015.11.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041354333
    217 rdf:type schema:CreativeWork
    218 https://doi.org/10.1016/j.healthpol.2014.09.006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003564878
    219 rdf:type schema:CreativeWork
    220 https://doi.org/10.1016/j.ijsu.2013.02.026 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017527055
    221 rdf:type schema:CreativeWork
    222 https://doi.org/10.1016/j.suronc.2010.07.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048608861
    223 rdf:type schema:CreativeWork
    224 https://doi.org/10.1080/0284186x.2017.1400682 schema:sameAs https://app.dimensions.ai/details/publication/pub.1093157546
    225 rdf:type schema:CreativeWork
    226 https://doi.org/10.1093/intqhc/mzw030 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059713100
    227 rdf:type schema:CreativeWork
    228 https://doi.org/10.1093/jnci/djs502 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017841101
    229 rdf:type schema:CreativeWork
    230 https://doi.org/10.1097/nur.0000000000000308 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085941679
    231 rdf:type schema:CreativeWork
    232 https://doi.org/10.1111/bju.12764 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008329690
    233 rdf:type schema:CreativeWork
    234 https://doi.org/10.1111/codi.12581 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020608502
    235 rdf:type schema:CreativeWork
    236 https://doi.org/10.1136/bmjopen-2016-012559 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005529834
    237 rdf:type schema:CreativeWork
    238 https://doi.org/10.1136/bmjqs.2010.048660 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024143564
    239 rdf:type schema:CreativeWork
    240 https://doi.org/10.1200/jgo.2015.000158 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064204527
    241 rdf:type schema:CreativeWork
    242 https://doi.org/10.1371/journal.pone.0126547 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048606284
    243 rdf:type schema:CreativeWork
    244 https://doi.org/10.1371/journal.pone.0154969 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036487368
    245 rdf:type schema:CreativeWork
    246 https://doi.org/10.14694/edbook_am.2014.34.e461 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067344631
    247 rdf:type schema:CreativeWork
    248 https://doi.org/10.2147/jmdh.s65160 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051908468
    249 rdf:type schema:CreativeWork
    250 https://doi.org/10.3109/0284186x.2014.952387 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053424493
    251 rdf:type schema:CreativeWork
    252 https://doi.org/10.3310/hsdr02370 schema:sameAs https://app.dimensions.ai/details/publication/pub.1071138788
    253 rdf:type schema:CreativeWork
    254 https://www.grid.ac/institutes/grid.417390.8 schema:alternateName Danish Cancer Society
    255 schema:name Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark
    256 Danish Cancer Society Research Center, Copenhagen, Denmark
    257 Institute of Clinical Sciences, Division of Oncology and Pathology, Lund University, Scheelev. 2, 223 63, Lund, Sweden
    258 rdf:type schema:Organization
    259 https://www.grid.ac/institutes/grid.426217.4 schema:alternateName Scania Regional Council
    260 schema:name Institute of Clinical Sciences, Division of Oncology and Pathology, Lund University, Scheelev. 2, 223 63, Lund, Sweden
    261 Regional Cancer Centre South, Region Skåne, Sweden
    262 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...