Imperial College London
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Dr Tayana Soukup PhD CPsychol FRSPH

Faculty of Medicine, Department of Surgery & Cancer

Research Fellow in Human Factors - Artificial Intelligence
 
 
 
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Contact

 

t.soukup

 
 
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Location

 

508Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Soukup:2021:10.2147/JMDH.S270394,
author = {Soukup, T and Murtagh, G and Lamb, BW and Green, JSA and Sevdalis, N},
doi = {10.2147/JMDH.S270394},
journal = {Journal of Multidisciplinary Healthcare},
pages = {411--424},
title = {Degrees of multidisciplinarity underpinning care planning for patients with cancer in weekly multidisciplinary team meetings: conversation analysis},
url = {http://dx.doi.org/10.2147/JMDH.S270394},
volume = {14},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Purpose: Despite an increase in research on multidisciplinary team (MDT) meetings, the implementation of MDT-driven decision-making, ie, its fidelity, remains unstudied. We report fidelity using an observational protocol measuring degree to which MDTs in their weekly meetings in the UK adhere to 1) the stages of group decision-making as per the ‘Orientation-Discussion-Decision-Implementation’ framework, and 2) cancer guidelines on the composition and characteristics of their weekly meetings produced by the UK’s Department of Health, UK’s National Cancer Action Team, Cancer Research UK, World Health Organization, and The Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales.Patients and Methods: This is a prospective cross-sectional observational study of MDT meetings in the UK. Breast, colorectal, and gynecological cancer MDTs across three hospitals in the UK were video recorded over 12 weekly meetings, respectively, encompassing 822 case-reviews. A cross-section of 24 case-reviews was analysed with the main outcomes being adherence to the ‘Orientation-Discussion-Decision-Implementation’ framework, and the cancer guidelines.Results: Eight percent of case-reviews in the MDT meetings involved all five core disciplines including surgeons, oncologists, radiologists, histopathologists, and specialist cancer nurses, and 38% included four. The majority of case-reviews (54%) were between two (25%) or three (29%) disciplines only. Surgeons (83%) and oncologists (8%) most consistently engaged in all stages of decision-making. While all patients put forward for MDT meeting were actually reviewed, 4% of them either bypassed the orientation (case presentation), and 8% did not articulate the final decision to the entire team.Conclusion: We found that, despite being a set policy, cancer case-reviews in MDT meetings are not entirely MDT-driven, with more than half of the case-reviews not adhering to the cancer guideli
AU  - Soukup,T
AU  - Murtagh,G
AU  - Lamb,BW
AU  - Green,JSA
AU  - Sevdalis,N
DO  - 10.2147/JMDH.S270394
EP  - 424
PY  - 2021///
SN  - 1178-2390
SP  - 411
TI  - Degrees of multidisciplinarity underpinning care planning for patients with cancer in weekly multidisciplinary team meetings: conversation analysis
T2  - Journal of Multidisciplinary Healthcare
UR  - http://dx.doi.org/10.2147/JMDH.S270394
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000619432600001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://www.dovepress.com/degrees-of-multidisciplinarity-underpinning-care-planning-for-patients-peer-reviewed-fulltext-article-JMDH
UR  - http://hdl.handle.net/10044/1/92417
VL  - 14
ER  -
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