Exploring the impact of uro-oncology multidisciplinary team meetings on patient outcomes: a systematic review.

Askelin, Blake; Hind, Alica; Paterson, Catherine

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