Multidisciplinary care meeting practices across diverse international settings

IF 2.9 2区医学 Q2 ONCOLOGY

Cancer Medicine Pub Date : 2024-08-21 DOI:10.1002/cam4.70136

Alisha R. Pershad, Dylan Graetz, Mai An Le, Heather Forrest, Miriam Gonzalez-Guzman, Paola Friedrich

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Abstract

Purpose

Multidisciplinary care (MDC) meetings improve the quality of cancer care by providing a space for interdisciplinary communication. The Pediatric Oncology Facility Integrated Local Evaluation (PrOFILE) tool assesses MDC meetings as part of the Service Integration module. We aimed to evaluate the characteristics of MDC meetings at institutions that completed PrOFILE.

Methods

From 2019 to 2021, 112 institutions from 23 countries collected data by utilizing the abbreviated version of PrOFILE. Within a secondary data analysis, we descriptively analyzed the characteristics of MDC meetings stratified by income level.

Results

Participating institutions were located in low-income countries (LICs) (n = 6), lower-middle-income countries (LMICs) (n = 34), upper-middle-income countries (UMICs) (n = 55), and high-income countries (HICs) (n = 17). Of the 112 participating facilities, 79% reported having MDC meetings. The existence of an MDC varied with income, with 50% of LICs and 100% of HICs hosting MDCs. The frequency of MDC meetings also differed, with 100% of MDCs in LICs occurring weekly, while 53% of MDCs in HICs occurred monthly. Specialties regularly represented at MDC meetings across all participating institutions were hematology/oncology (93%), pathology (52%), radiology (60%), general surgery (57%), and radiation oncology (51%). All MDC meetings in LICs reported representation from these specialties. Availability of test results and discussion of new cases did not vary with income. Residual disparities were identified for the following characteristics: discussion of new and interesting cases, inclusion of patient preferences, and ability to meet urgently.

Conclusions

The existence and components of a functional MDC meeting may vary between countries' income levels. Variation in certain components, such as access to tests, may be due to differences in resource distribution, but other factors such as inclusion of patient preferences and ability to meet urgently can be optimized in all settings to foster high-quality teamwork and communication.

Abstract Image

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在不同国际环境下的多学科护理会议实践。

目的：多学科护理（MDC）会议为跨学科交流提供了空间，从而提高了癌症护理的质量。儿科肿瘤机构综合地方评估（PrOFILE）工具将多学科会议作为服务整合模块的一部分进行评估。我们旨在评估完成 PrOFILE 的机构中 MDC 会议的特点：从 2019 年到 2021 年，来自 23 个国家的 112 家机构利用 PrOFILE 的缩略版收集了数据。在二次数据分析中，我们按收入水平对MDC会议的特点进行了描述性分析：参与机构分别位于低收入国家（LICs）（6 个）、中低收入国家（LMICs）（34 个）、中高收入国家（UMICs）（55 个）和高收入国家（HICs）（17 个）。在 112 个参与机构中，79% 的机构报告称已召开了 MDC 会议。多指标类集调查中心的存在因收入而异，50%的低收入国家和 100%的高收入国家设有多指标类集调查中心。MDC 会议的频率也不尽相同，在低收入国家，100% 的 MDC 会议每周举行一次，而在高收入国家，53% 的 MDC 会议每月举行一次。在所有参与机构中，定期参加 MDC 会议的专科有血液学/肿瘤学（93%）、病理学（52%）、放射学（60%）、普通外科（57%）和放射肿瘤学（51%）。LICs 的所有 MDC 会议都有这些专科的代表参加。检验结果的提供和新病例的讨论并不因收入而异。以下特点仍存在差异：新病例和有趣病例的讨论、纳入患者偏好以及紧急会议的能力：结论：不同国家的收入水平不同，功能性 MDC 会议的存在和组成部分也可能不同。结论：在不同收入水平的国家，功能性 MDC 会议的存在和构成要素可能有所不同。某些构成要素的差异（如获得检查的机会）可能是由于资源分配的差异造成的，但其他因素（如纳入患者偏好和紧急会议的能力）可以在所有环境中进行优化，以促进高质量的团队合作和沟通。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Medicine ONCOLOGY-

CiteScore

5.50

自引率

2.50%

发文量

907

审稿时长

19 weeks

期刊介绍： Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.