Abstract
MDT working in cancer care was introduced 20 years ago and evidence of its benefits to patients and healthcare professionals is slowly emerging. Much of the work investigating MDT processes came from pelvic oncology, especially in urology. Studies have shown that a ‘systems approach’ to MDT working can reliably assess its quality, allowing for interventions that can lead to improvements in multidisciplinary teamworking and delivery of cancer care. This in turn can lead to better outcomes for patients with cancer.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Griffith C, Turner J. United Kingdom National Health Service, Cancer Services Collaborative “Improvement Partnership”, Redesign of Cancer Services: a National Approach. Eur J Surg Oncol. 2004;30 Suppl 1:1–86.
Kesson EM, Allardice GM, George WD, Burns HJ, Morrison DS. Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women. BMJ. 2012;344:e2718.
Junior E, Hole D, Gillis C. Management of ovarian cancer: referral to a multidisciplinary team matters. Br J Cancer. 1994;70(2):363–70.
Gillis CR, Hole DJ. Survival outcome of care by specialist surgeons in breast cancer: a study of 3786 patients in the west of Scotland. BMJ. 1996;312(7024):145–8.
Calman D, K. H. A policy framework for commissioning cancer services: a report by the Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales. Accessed online from http://webarchive.nationalarchives.gov.uk/20080814090336/dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4071083
Undre S, Arora S, Sevdalis N. Surgical performance, human error and patient safety in urological surgery. Br J Med Surg Urol. 2009;2(1):2–10.
Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. Observational teamwork assessment for surgery (OTAS): refinement and application in urological surgery. World J Surg. 2007;31(7):1373–81.
Lamb B, Green JS, Vincent C, Sevdalis N. Decision making in surgical oncology. Surg Oncol. 2011;20(3):163–8.
Lamb BW, Wong HW, Vincent C, Green JS, Sevdalis N. Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. BMJ Qual Saf. 2011;20(10):849–56.
Lamb BW, Sevdalis N, Mostafid H, Vincent C, Green JS. Quality improvement in multidisciplinary cancer teams: an investigation of teamwork and clinical decision-making and cross-validation of assessments. Ann Surg Oncol. 2011;18(13):3535–43.
Lamb BW, Sevdalis N, Benn J, Vincent C, Green JS. Multidisciplinary cancer team meeting structure and treatment decisions: a prospective correlational study. Ann Surg Oncol. 2012;20(3);715–22.
Lamb BW, Green JS, Benn J, Brown KF, Vincent CA, Sevdalis N. Improving decision making in multidisciplinary tumor boards: prospective longitudinal evaluation of a multicomponent intervention for 1,421 patients. J Am Coll Surg. 2013;217(3):412–20.
Taylor C, Brown K, Sevdalis N, Lamb B, Green JSA. Developing and testing TEAM (Team Evaluation and Assessment Measure) a tool for team self-assessment of cancer MDT performance. Ann Surg Oncol. 2012;19(13):4019–27.
Sarkar S, Arora S, Soukup T, Lamb BW, Shah S, Green JSA, et al. A multi-centre study evaluating performance of multidisciplinary teams: urology vs the top cancer killers. Eur Urol Suppl. 2014;13(1):e878–ea.
Blazeby JM, Wilson L, Metcalfe C, Nicklin J, English R, Donovan JL. Analysis of clinical decision-making in multi-disciplinary cancer teams. Ann Oncol. 2006;17(3):457–60.
Sarkar S, Arora S, Lamb BW, Green JS, Sevdalis N, Darzi A. Case review in urology multidisciplinary team meetings: what members think of its functioning. J Clin Urol. 2014 [Epub ahead of print].
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag London
About this chapter
Cite this chapter
Sarkar, S. et al. (2015). Improving Multidisciplinary Team Working in Pelvic Oncology. In: Patel, H., Mould, T., Joseph, J., Delaney, C. (eds) Pelvic Cancer Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4258-4_1
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4258-4_1
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4257-7
Online ISBN: 978-1-4471-4258-4
eBook Packages: MedicineMedicine (R0)