Journal
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
Volume 11, Issue -, Pages 49-61Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/JMDH.S117945
Keywords
cancer MDT; MDM; cancer meeting; patients with cancer
Categories
Funding
- UK's National Institute for Health Research (NIHR) via Imperial Patient Safety Translational Research Center (RD PSC) [79560]
- NIHR Collaboration for Leadership in Applied Health Research and Care South London at King's College Hospital NHS Foundation Trust
- Guy's and St Thomas' NHS Foundation Trust
- King's College Hospital NHS Foundation Trust
- King's College London
- South London and Maudsley NHS Foundation Trust
- Guy's and St Thomas' Charity
- Maudsley Charity
- Health Foundation [ISCLA01131002]
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In many health care systems globally, cancer care is driven by multidisciplinary cancer teams (MDTs). A large number of studies in the past few years and across different literature have been performed to better understand how these teams work and how they manage patient care. The aim of our literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization; this, in turn, should provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement. We describe the characteristics of an effective MDT and factors that influence how these teams work. A range of factors pertaining to teamwork, availability of patient information, leadership, team and meeting management, and workload can affect how well MDTs are implemented within patient care. We also review how to assess and improve these teams. We present a range of instruments designed to be used with cancer MDTs - including observational tools, self-assessments, and checklists. We conclude with a practical outline of what appears to be the best practices to implement (Dos) and practices to avoid (Don'ts) when setting up MDT-driven cancer care.
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