Blake Askelin
Exploring the impact of uro-oncology multidisciplinary team meetings on patient outcomes: a systematic review.
Askelin, Blake; Hind, Alica; Paterson, Catherine
Authors
Alica Hind
Catherine Paterson
Abstract
Purpose: Multidisciplinary team (MDT) meetings are mainstay clinical management globally. Clinical guidelines state that patients should be considered for MDT review, but evidence has identified that within the specialty of uro-oncology not all patients are reviewed by an MDT. This systematic review aimed to understand the impact of uro-oncology MDT meetings on patient outcomes, to explore how patient engagement is incorporated in the process, and to identify the barriers and facilitators within an MDT. Methods: A systematic review was reported according to PRISMA guidelines. Electronic databases (MEDLINE, CINAHL and PsychINFO) were searched in EBSCOhost from January 2010 to March 2021, using a range of key search words. Studies were assessed for inclusion according to a pre-defined eligibility criteria. Data extraction and quality assessment was undertaken. The findings were tabulated, and a narrative synthesis undertaken. Results: 373 articles were screened, and seven studies were included. The studies were conducted in a range of international countries which provided an overview of uro-oncology MDTs in different healthcare contexts. The following themes were identified: 1) MDT and clinical outcomes, 2) structure and format, 3) patient engagement in the process, and 4) barriers and facilitators. Conclusion: Cancer care is constantly being challenged due to complex newer therapies, including multimodality treatments, and newer emergent broader considerations such as, oncogeriatrics, genetic counselling, and survivorship issues which should have a central place for consideration in the MDT.
Citation
ASKELIN, B., HIND, A. and PATERSON, C. 2021. Exploring the impact of uro-oncology multidisciplinary team meetings on patient. European journal of oncology nursing [online], 54, article 102032. Available from: https://doi.org/10.1016/j.ejon.2021.102032
Journal Article Type | Article |
---|---|
Acceptance Date | Sep 4, 2021 |
Online Publication Date | Sep 16, 2021 |
Publication Date | Oct 31, 2021 |
Deposit Date | Nov 5, 2021 |
Publicly Available Date | Sep 17, 2022 |
Journal | European Journal of Oncology Nursing |
Print ISSN | 1462-3889 |
Electronic ISSN | 1532-2122 |
Publisher | Elsevier |
Peer Reviewed | Peer Reviewed |
Volume | 54 |
Article Number | 102032 |
DOI | https://doi.org/10.1016/j.ejon.2021.102032 |
Keywords | Multidisciplinary teams; Cancer; Genitourinary; Review; Sysematic; Patient outcomes; Decision-making; Cancer care |
Public URL | https://rgu-repository.worktribe.com/output/1457207 |
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