title: General surgeons' views on Oncologic Multidisciplinary Group meetings as part of colorectal cancer care.
abstract: This study aimed to assess the current effectiveness of Oncologic Multidisciplinary Groups (OMGs) meetings across central Tuscany through surgeons' reports and their individual perceived benefits on colorectal cancer management. One hundred and sixty-seven general surgeons received a questionnaire with 21 questions covering organizational characteristics of OMGs and the individual perceived benefits of OMGs. The responses were analyzed by hospital setting (teaching vs. community hospital). The reply rate was 62.8 %, and 82 respondent surgeons (49.1 %) were involved in the treatment of colorectal cancer patients. At community hospitals, there was a more frequent participation of medical oncologists, radiation oncologists and pathologists; a less selection of discussed cases was performed; and almost all decisions were inserted into official patient charts (p < 0.05). Community hospital surgeons perceived more of a benefit than academic surgeons: OMGs ensure that all treatment options are considered and improve timeliness of care, patient outcomes, patient satisfaction and communication with patients (p < 0.05). The surveyed surgeons reported that OMGs offer a modest degree of protection from malpractice but improve communications between colleagues and are an opportunity for personal professional development. Professionals regularly participating in well-conducted and well-organized OMGs for colorectal cancer felt that the multidisciplinary strategy may be advantageous to both patients and caregivers.
authors.affiliation: General Surgery Unit, Misericordia and Dolce Hospital, Ospedale Misericordia e Dolce Piazza dell'Ospedale 5, 59100, Prato, PO, Italy. fferoci@yahoo.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Feroci
authors.forename: Elisa
authors.initials: E
authors.lastname: Lenzi
authors.forename: Maddalena
authors.initials: M
authors.lastname: Baraghini
authors.forename: Stefano
authors.initials: S
authors.lastname: Cantafio
authors.forename: Marco
authors.initials: M
authors.lastname: Scatizzi
mesh_terms: D015179:Colorectal Neoplasms / Q000601:surgery*; D013502:General Surgery; D006126:Group Processes; D006764:Hospitals, Community; D006801:Humans; D007558:Italy; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011795:Surveys and Questionnaires