Multi-disciplinary team meetings for lung cancer in Norway and Denmark: results from national surveys and observations with MDT-MODe.
Anja GouliaevJanna BergRana BibiArman ArshadHåkon Olav LeiraKirill NeumannChristina AamelfotNiels Lyhne ChristensenTorben Riis RasmussenPublished in: Acta oncologica (Stockholm, Sweden) (2024)
We found similar organization of MDT meetings in both countries, with the main difference being more local MDT meetings in Norway. All lung cancer MDTs were chaired by respiratory physicians and attended by a radiologist. Other members included oncologists, pathologists, thoracic surgeons, specialist nurses, nuclear medicine specialists and junior doctors. Overall, members reported that they had sufficient time for preparation and attending MDT meetings. With the MDT-MODe instrument it was found that the MDT chairs, surgeons, oncologists, radiologists all contributed positively to case discussion. Comorbidities were included in the discussion of most patients while the patient's view and psychosocial issues were less often discussed. A treatment decision was reached in 79.7% of cases discussed. In conclusion, we found similar settings and overall good quality concerning lung cancer MDT meetings in Denmark and Norway.
Keyphrases
- quality improvement
- end stage renal disease
- palliative care
- ejection fraction
- primary care
- mental health
- healthcare
- chronic kidney disease
- advanced cancer
- peritoneal dialysis
- prognostic factors
- cross sectional
- patient reported outcomes
- high resolution
- thoracic surgery
- mass spectrometry
- deep learning
- patient reported
- combination therapy