The proliferation of multidisciplinary team meetings (MDTMs): how can radiology departments continue to support them all?

@article{Balasubramaniam2015ThePO,
  title={The proliferation of multidisciplinary team meetings (MDTMs): how can radiology departments continue to support them all?},
  author={Ravivarma Balasubramaniam and Manil Subesinghe and Jonathan T. Smith},
  journal={European Radiology},
  year={2015},
  volume={25},
  pages={3679-3684}
}
AbstractObjectivesTo quantify the changes in multidisciplinary team meeting (MDTM) workload for consultant radiologists working in a single UK tertiary referral cancer institution, assess its impact and suggest solutions to these challenges.MethodsThe annual number of MDTM cases was collated over a 5-year period (2009 − 2013). Qualitative information was obtained through questionnaire-based interviews of 47 consultant radiologists. Data analysed included number of MDTMs involved with, type of… Expand

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References

SHOWING 1-10 OF 27 REFERENCES
Factors that can make an impact on decision-making and decision implementation in cancer multidisciplinary teams: an interview study of the provider perspective.
TLDR
This study demonstrates the main barriers that MDTs face in deciding on and, importantly, implementing a management plan and proposes interventions to enhance translation of MDT decision-making into cancer care to expedite and improve care. Expand
A multidisciplinary approach to the management of urologic malignancies: does it influence diagnostic and treatment decisions?
TLDR
A multidisciplinary team approach affects the diagnostic and management decisions in a significant number patients with a newly diagnosed urologic malignancy, and thereby seems to have a clinical impact for many of the authors' patients with urology cancers. Expand
Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women
TLDR
A significant improvement in breast cancer survival was shown in the intervention area in 1996, compared with the expected survival in the same year had the pre-intervention trend continued (P=0.004). Expand
Colorectal MDTs: the team's perspective
TLDR
The purpose of this study was to obtain the views of a national cohort of CRSs and CNSs regarding various important aspects of MDT functioning and role of CNS in current setting. Expand
MRI directed multidisciplinary team preoperative treatment strategy: the way to eliminate positive circumferential margins?
TLDR
MDT discussion of MRI and implementation of a preoperative treatment strategy results in significantly reduced positive CRM in rectal cancer patients, significantly lower than quoted in national guidelines. Expand
Multidisciplinary care in oncology: medicolegal implications of group decisions.
TLDR
Doctors should be made aware of the legal implications of their participation in such meetings and improved team dynamics should optimise outcomes for patients while limiting exposure of the participants to legal liability. Expand
The impact of the Calman–Hine report on the processes and outcomes of care for Yorkshire's colorectal cancer patients
TLDR
The extent of implementation of the Calman–Hine report has been variable and its recommendations are associated with improvements in processes and outcomes of care for colorectal cancer patients. Expand
An evaluation of the impact of a multidisciplinary team, in a single centre, on treatment and survival in patients with inoperable non-small-cell lung cancer
Treatment and survival of patients with inoperable Non-small-cell lung cancer in 1997 (n=117) and 2001 (n=126), before and after the introduction of a multidisciplinary team, was examined in a singleExpand
Management of ovarian cancer: referral to a multidisciplinary team matters.
TLDR
The results of this study support the contents of the 1991 Department of Health report on present acceptable practice in the management of ovarian cancer, circulated to gynaecologists and surgeons in Scotland in 1992. Expand
The royal college of radiologists.
Welcome to the 16th edition of READ. One of the great pleasures of chairing the READ panel is not only receiving all the interesting cases that are submitted to the newsletter but also the stream ofExpand
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