title: Evaluating the interstitial lung disease multidisciplinary meeting: a survey of expert centres.
abstract: BACKGROUND
  Multidisciplinary meetings (MDM) are the current "gold standard" in interstitial lung disease (ILD) diagnosis and comprise inter-disciplinary discussion of multiple forms of information to provide diagnostic and management outputs. Although bias could be potentially inserted at any step in the discussion process, to date there has been no consensus regarding the appropriate constitution and governance of MDM. We sought to determine the features of ILD MDMs based within ILD centres of excellence around the world.
  
  
  METHODS
  An internet based questionnaire was sent to twelve expert centres in Europe, North America, and Australia seeking information regarding the structure and governance of their MDM. Data was analysed for consistent themes and points of contrast.
  
  
  RESULTS
  Responses were received from 10 out of 12 centres. Similarities were demonstrated with regards to contributing attendees, meeting frequency and case numbers reviewed. Significant heterogeneity in attendee speciality group type, quantity and method of data presentation, approach to diagnosis formulation and documentation, and information provision was apparent.
  
  
  CONCLUSIONS
  The constitution of ILD MDMs differs considerably between expert centres. Such differences may result in discordant outcomes, and emphasise the need for further evidence regarding the appropriate constitution and governance of ILD MDMs.
authors.affiliation: Royal Prince Alfred Hospital, Sydney, Australia. helen.jo@sydney.edu.au.|University of Sydney, Sydney, Australia. helen.jo@sydney.edu.au.
authors.forename: Helen E
authors.initials: HE
authors.lastname: Jo
authors.affiliation: Royal Prince Alfred Hospital, Sydney, Australia. tameracorte@me.com.|University of Sydney, Sydney, Australia. tameracorte@me.com.
authors.forename: Tamera J
authors.initials: TJ
authors.lastname: Corte
authors.affiliation: University of Western Australia, Perth, Australia. Yuben.moodley@uwa.edu.au.|Fiona Stanley Hospital, Perth, Australia. Yuben.moodley@uwa.edu.au.|Respiratory Health Institute, Perth, Australia. Yuben.moodley@uwa.edu.au.
authors.forename: Yuben
authors.initials: Y
authors.lastname: Moodley
authors.affiliation: The Alfred Hospital, Melbourne, Australia. levinkovi@gmail.com.
authors.forename: Kovi
authors.initials: K
authors.lastname: Levin
authors.affiliation: The Alfred Hospital, Melbourne, Australia. G.Westall@alfred.org.au.|Monash University, Melbourne, Australia. G.Westall@alfred.org.au.
authors.forename: Glen
authors.initials: G
authors.lastname: Westall
authors.affiliation: Prince Charles Hospital, Brisbane, Australia. Peter.Hopkins@health.qld.gov.au.|University of Queensland, Brisbane, Australia. Peter.Hopkins@health.qld.gov.au.
authors.forename: Peter
authors.initials: P
authors.lastname: Hopkins
authors.affiliation: Prince Charles Hospital, Brisbane, Australia. Daniel.Chambers@health.qld.gov.au.|University of Queensland, Brisbane, Australia. Daniel.Chambers@health.qld.gov.au.
authors.forename: Daniel
authors.initials: D
authors.lastname: Chambers
authors.affiliation: The Alfred Hospital, Melbourne, Australia. i.glaspole@alfred.org.au.|Monash University, Melbourne, Australia. i.glaspole@alfred.org.au.
authors.forename: Ian
authors.initials: I
authors.lastname: Glaspole
mesh_terms: D000486:Allergy and Immunology; D001315:Australia; D002170:Canada; D003226:Congresses as Topic / Q000458:organization & administration*; D019468:Disease Management; D005602:France; D006801:Humans; D033183:Interdisciplinary Communication; D017563:Lung Diseases, Interstitial / Q000175:diagnosis / Q000628:therapy; D009740:Nursing Staff; D065126:Palliative Medicine; D010338:Pathology, Clinical; D010348:Patient Care Team / Q000458:organization & administration*; D015272:Pulmonary Medicine; D011871:Radiology; D012219:Rheumatology; D011795:Surveys and Questionnaires; D013903:Thoracic Surgery; D006113:United Kingdom; D014481:United States
references.citation: Ann Intern Med. 2000 Jun 20;132(12):947-54
references.pmid: 10858177
references.citation: Am J Respir Crit Care Med. 2015 Jul 15;192(2):e3-19
references.pmid: 26177183
references.citation: Am J Respir Crit Care Med. 2001 Oct 1;164(7):1182-5
references.pmid: 11673206
references.citation: Am J Respir Crit Care Med. 2002 Jan 15;165(2):277-304
references.pmid: 11790668
references.citation: Thorax. 2004 Jun;59(6):500-5
references.pmid: 15170033
references.citation: Thorax. 2004 Jun;59(6):506-11
references.pmid: 15170034
references.citation: Am J Respir Crit Care Med. 2004 Oct 15;170(8):904-10
references.pmid: 15256390
references.citation: Arch Environ Health. 1989 Sep-Oct;44(5):317-22
references.pmid: 2817962
references.citation: Am J Respir Crit Care Med. 1996 Sep;154(3 Pt 1):794-9
references.pmid: 8810621
references.citation: N Engl J Med. 2006 Jun 22;354(25):2655-66
references.pmid: 16790698
references.citation: Chest. 2006 Jul;130(1):30-6
references.pmid: 16840379
references.citation: Am J Respir Crit Care Med. 2007 May 15;175(10):1054-60
references.pmid: 17255566
references.citation: Respir Med. 2008 Jan;102(1):150-5
references.pmid: 17822892
references.citation: Eur Respir J. 2008 Mar;31(3):585-91
references.pmid: 18057059
references.citation: Thorax. 2008 Sep;63 Suppl 5:v1-58
references.pmid: 18757459
references.citation: Transplant Proc. 2009 Jan-Feb;41(1):289-91
references.pmid: 19249537
references.citation: Am J Respir Crit Care Med. 2011 Mar 15;183(6):788-824
references.pmid: 21471066
references.citation: Lancet. 2011 May 21;377(9779):1760-9
references.pmid: 21571362
references.citation: N Engl J Med. 2012 May 24;366(21):1968-77
references.pmid: 22607134
references.citation: Am J Respir Crit Care Med. 2012 Aug 15;186(4):314-24
references.pmid: 22679012
references.citation: Chest. 2013 Mar;143(3):814-24
references.pmid: 23460159
references.citation: Int J Technol Assess Health Care. 2013 Jul;29(3):343-50
references.pmid: 23769128
references.citation: Am J Respir Crit Care Med. 2013 Sep 15;188(6):733-48
references.pmid: 24032382
references.citation: N Engl J Med. 2014 May 29;370(22):2071-82
references.pmid: 24836310
references.citation: N Engl J Med. 2014 May 29;370(22):2083-92
references.pmid: 24836312
references.citation: Respir Med. 2014 Jul;108(7):1023-30
references.pmid: 24834811
references.citation: Nat Biotechnol. 2014 Nov;32(11):1069-70
references.pmid: 25380420
references.citation: Am J Respir Crit Care Med. 2001 Oct 1;164(7):1171-81
references.pmid: 11673205