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Is it worth reorganising cancer services on the basis of multidisciplinary teams (MDTs)? A systematic review of the objectives and organisation of MDTs and their impact on patient outcomes

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  • Prades, Joan
  • Remue, Eline
  • van Hoof, Elke
  • Borras, Josep M.

Abstract

Multidisciplinary teams (MDTs) are considered the gold standard of cancer care in many healthcare systems, but a clear definition of their format, scope of practice and operational criteria is still lacking. The aims of this review were to assess the impact of MDTs on patient outcomes in cancer care and identify their objectives, organisation and ability to engage patients in their care. We conducted a systematic review of the literature in the Medline database. Fifty-one peer-reviewed papers were selected from November 2005 to June 2012. MDTs resulted in better clinical and process outcomes for cancer patients, with evidence of improved survival among colorectal, head and neck, breast, oesophageal and lung cancer patients in the study period. Also, it was observed that MDTs have been associated with changes in clinical diagnostic and treatment decision-making with respect to urological, pancreatic, gastro-oesophageal, breast, melanoma, bladder, colorectal, prostate, head and neck and gynaecological cancer. Evidence is consistent in showing positive consequences for patients’ management in multiple dimensions, which should encourage the development of structured multidisciplinary care, minimum standards and exchange of best practices.

Suggested Citation

  • Prades, Joan & Remue, Eline & van Hoof, Elke & Borras, Josep M., 2015. "Is it worth reorganising cancer services on the basis of multidisciplinary teams (MDTs)? A systematic review of the objectives and organisation of MDTs and their impact on patient outcomes," Health Policy, Elsevier, vol. 119(4), pages 464-474.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:4:p:464-474
    DOI: 10.1016/j.healthpol.2014.09.006
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    References listed on IDEAS

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    1. Atun, R & Ogawa, T & Martin-Moreno, JM, 2009. "Analysis of National Cancer Control Programmes in Europe," Working Papers 4204, Imperial College, London, Imperial College Business School.
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    1. Andrea Di Pilla & Maria Rosaria Cozzolino & Alice Mannocci & Elettra Carini & Federica Spina & Francesco Castrini & Albino Grieco & Rosaria Messina & Gianfranco Damiani & Maria Lucia Specchia, 2022. "The Impact of Tumor Boards on Breast Cancer Care: Evidence from a Systematic Literature Review and Meta-Analysis," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    2. Roberta Laurita, 2022. "I team multidisciplinari in sanit?: evidenze da un?analisi nazionale," MECOSAN, FrancoAngeli Editore, vol. 2022(124), pages 45-63.
    3. Maria Lucia Specchia & Andrea Di Pilla & Maria Antonietta Gambacorta & Alessandro Filippella & Flavia Beccia & Sara Farina & Elisa Meldolesi & Chiara Lanza & Rocco Domenico Alfonso Bellantone & Vincen, 2022. "An IT Platform Supporting Rectal Cancer Tumor Board Activities: Implementation Process and Impact Analysis," IJERPH, MDPI, vol. 19(23), pages 1-10, November.
    4. Jianlong Lu & Yan Jiang & Mengcen Qian & Lilang Lv & Xiaohua Ying, 2019. "The Improved Effects of a Multidisciplinary Team on the Survival of Breast Cancer Patients: Experiences from China," IJERPH, MDPI, vol. 17(1), pages 1-11, December.
    5. Americo Cicchetti & Roberta Laurita & Luca Giorgio, 2022. "L?importanza dell?organizzazione in oncologia: collaborazione e coordinamento. Evidenze da una ricerca intervento sul tumore del polmone," MECOSAN, FrancoAngeli Editore, vol. 2022(124), pages 93-111.

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