Australian breast cancer specialists' involvement in multidisciplinary treatment planning meetings.
Australian breast cancer specialists' involvement in multidisciplinary team (MDT) treatment planning meetings was ascertained in a cross sectional survey. The format of MDT meetings was also investigated. Medical specialists were regular attendees (>or=78%) compared to allied health staff and psychologists (<or=28%). Clinicians based in a major city (AOR 1.90; 95%CI: 1.01-3.58) and who treated >or=50 new cases a year (AOR 7.34; 95%CI: 3.38-15.96) were more likely to attend. Over 69% reported that the proportion of time devoted to case discussions was >or=75%. Topics always discussed were pathology, extent of disease, surgery performed and a treatment plan (>or=83%). The majority of respondents stated that MDT meetings were effective and improved referrals. Suggested improvements included that all key personnel attend, meetings are structured and that the views of all be heard. Work is needed to ensure MDT's function and co-operate as intended in treatment planning meetings.
Harrison
James D
JD
Surgical Outcomes Research Centre, Sydney South West Area Health Service, University of Sydney, Sydney, NSW, Australia. james.harrison@email.cs.nsw.gov.au
Choy
Ellis T
ET
Spillane
Andrew
A
Butow
Phyllis
P
Young
Jane M
JM
Evans
Alison
A
D001291:Attitude of Health Personnel; D001315:Australia; D001943:Breast Neoplasms / Q000628:therapy*; D003430:Cross-Sectional Studies; D005260:Female; D006126:Group Processes; D019983:Guideline Adherence; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008495:Medical Oncology; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*