Multidisciplinary team meeting in digestive oncology: when opinions differ.

Clin Transl Sci

Digestive 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.

Published: August 2014

In daily oncology, Multidisciplinary Team (MDT) meetings are used worldwide to take every main decision. In order to improve the MDT efficiency, an analysis of decision-making process relying on patients refusing to undergo MDT proposal during presentations, in accordance with their referent specialist, was retrospectively performed in an academic and tertiary center, from 1995 to 2010. Out of 1000 patients, 0.5% refused the MDT proposal because of (1) ignorance of current evidence-based literature, (2) heterogeneous interpretations of the technical feasibility, and (3) the MDT undervaluing patient's specificities and wishes. In order to offset the MDT decision, patient needs to come from a well-off and educated background and to get the uttered support of the referent specialist. MDT conclusion is not customized because of interindividual exceptions and technical evaluations. Clinical Nurse Specialists attending to "blind" MDT meetings may help to back oncologic patient's specificities and wishes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439809PMC
http://dx.doi.org/10.1111/cts.12164DOI Listing

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