title: [Multidisciplinary meetings in oncology do not impact the physician-patient relationship].
abstract: BACKGROUND
  The setting of multidisciplinary meeting (MDM) by the French Cancer Plan has introduced new decisional elements in the patient-physician relationship in oncology.
  
  
  METHODS
  To assess the potential impact of MDM on this relationship, a study was conducted at the Tours Hospital: 145 questionnaires were collected from patients whose files have been discussed in MDM, 40 questionnaires were collected from physicians attending these meetings and an analysis of 324 files was performed.
  
  
  RESULTS
  Patients recognize the decisional process of MDM as reassuring for 80% of them. However, a majority (73%) expressed that the most important for them is the relationship with the referring physician, almost all (96%) having a total or great confidence in him. The results emphasize that trust appears to be related to the quality of communication, open dialogue and the competence of the doctor in particular in the choice of treatment. A review of files shows that in 91% of cases, the opinion of the RCP is applied and that, in 69% of cases, the referring doctor delivers the information to the patient after MDM. From the physicians' perspective, 33/40 report that the MDM do not alter their relationship with the patient. We note that 35/40 express that the consultation after MDM facilitates the presentation of the decision and 37/40 that the decision is always or often applied in accordance with the opinion of the MDM.
  
  
  CONCLUSIONS
  MDM appears in most cases in this study not to modify the patient-physician relationship. Due to the patient confidence into the referring physician, the role of this one is essential in integrating the decisional multidisciplinary opinion of MDM and it is important to ensure from his/her disengagement in the decisional process.
authors.affiliation: CHRU Tours, hôpital Bretonneau, pôle Henry-S.-Kaplan de cancérologie, 37044 Tours cedex, France. b.orgerie@chu-tours.fr
authors.forename: Marie-Brigitte
authors.initials: MB
authors.lastname: Orgerie
authors.forename: Nathalie
authors.initials: N
authors.lastname: Duchange
authors.forename: Nicole
authors.initials: N
authors.lastname: Pélicier
authors.forename: Philippe
authors.initials: P
authors.lastname: Rosset
authors.forename: Etienne
authors.initials: E
authors.lastname: Lemarié
authors.forename: Etienne
authors.initials: E
authors.lastname: Dorval
authors.forename: Sophie
authors.initials: S
authors.lastname: Chapet
authors.forename: Christian
authors.initials: C
authors.lastname: Hervé
authors.forename: Grégoire
authors.initials: G
authors.lastname: Moutel
mesh_terms: D003142:Communication; D003657:Decision Making; D019468:Disease Management; D006801:Humans; D008495:Medical Oncology; D009369:Neoplasms / Q000523:psychology / Q000628:therapy; D010348:Patient Care Team; D010358:Patient Participation; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D035502:Trust