Advertisement

Multidisciplinary Team Meetings - A Literature Based Process Analysis

  • Oliver KraussEmail author
  • Martina Angermaier
  • Emmanuel Helm
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9832)

Abstract

Multidisciplinary Team Meetings (MDTM) are conducted to discuss the treatment of one or more patients. This paper discusses MDTM with a focus on tumor treatment and shows workflows in different settings, identifies organizational and technical problems in the MDTM and solutions thereof. It aims to answer the following research questions: (RQ1) What is the current state of the art in MDTM?(RQ2) How are they conducted and what is the variation in different hospital settings? (RQ3) What technical problems and possible solutions thereof exist? This is done by conducting a literature review entailing a forward search of 837 papers and a backward search. The results show that a unified workflow model for MDTM can’t be found since they are highly dependent on institutional and tumor dependent specifics. The identified problems and solutions show a lack of research towards technical solutions and process interoperability. An outlook on extending research in these areas is given.

Keywords

Tumor board Multidisciplinary team meeting Workflow Process analysis 

References

  1. 1.
    Li, J., Robertson, T., Hansen, S., Mansfield, T., Kjeldskov, J.: Multidisciplinary medical team meetings: a field study of collaboration in health care. In: OZCHI 2008 Proceedings (2008)Google Scholar
  2. 2.
    Mohr, W.K.: A critical reappraisal of a social form in psychiatric care settings: the multidisciplinary team meeting as a paradigm case. Arch. Psychiatr. Nurs. IX(2), 85–91 (1995)Google Scholar
  3. 3.
    Wright, F.C., De Vito, C., Langer, B., Hunter, A.: The Expert Panel on Multidisciplinary Cancer Conference Standards, Multidisciplinary cancer conferences: a systematic review and development of practice standards. Eur. J. Cancer 43, 1002–1010 (2007)CrossRefGoogle Scholar
  4. 4.
    Mitglieder des Onkoligie-Beirates: Krebsrahmenprogramm Österreich. Bundesministerium für Gesundheit, Wien (2014)Google Scholar
  5. 5.
    Deneuve, S., Babin, E., Lacau-St-Guily, J., Baujat, B., Bensadoun, R.-J., Bozec, A., Chevalier, D., Choussy, O., Cuny, F., Fakhyr, N., Guigay, J., Makeieff, M., Merol, J.-C., Mouawad, F., Pavillet, J., Rebiere, C., Righini, C.-A., Sostras, M.-C., Tournaille, M., Vergez, S.: Guidelines(short version) of the French Otorhinolaryngology Head and Neck Surgery Society (SFORL) on patient pathway organization in ENT: the therapeutic decision-making process. Eur. Ann. Otorhinolaryngol. Head Neck Dis. 132, 213–215 (2015)CrossRefGoogle Scholar
  6. 6.
    IHE PCC Technical Committee, Cross Enterprise Tumor Board Workflow Definition (XTB-WD) Trial Implementation. IHE International (2014)Google Scholar
  7. 7.
    Robertson, T., Li, J., O’Hara, K., Hansen, S.: Collaboration within different settings: a study of co-located and distributed multidisciplinary medical team meetings. Comput. Support. Coop. Work 19, 483–513 (2010)CrossRefGoogle Scholar
  8. 8.
    Look Hong, N.J., Gagliardi, A.R., Bronskill, S.E., Paszat, L.F., Wright, F.C.: Multidisciplinary cancer conferences: exploring obstacles and facilitators to their implementation. J. Oncol. Pract. 6(2), 61–68 (2010)CrossRefGoogle Scholar
  9. 9.
    Tőkés, T., Torgyík, L., Szentmártoni, G., Somlai, K., Tóth, A., Kulka, J., Dank, M.: Primary systemic therapy for breast cancer: does the patient’s involvement in decision-making create a new future? Patient Educ. Couns. 98, 695–703 (2015)CrossRefGoogle Scholar
  10. 10.
    Huber, J., Ihrig, A., Winkler, E., Brechtel, A., Friederich, H.C., Herzog, W., Frank, M., Grüllich, C., Hallscheidt, P., Zeier, M., Pahernik, S., Hohenfellner, M.: Interdisciplinary counseling service for renal malignancies: a patient centered approach to raise guideline adherence. Urol. Oncol. Semin. Original Invest. 33, 23.e1–23.e7 (2015)Google Scholar
  11. 11.
    Choy, E.T., Chiu, A., Butow, P., Young, J., Spillane, A.: A pilot study to evaluate the impact of involving breast cancer patients in the multidisciplinary discussion of their disease and treatment plan. Breast 16, 178–189 (2007)CrossRefGoogle Scholar
  12. 12.
    Munro, A.J., Swartzman, S.: What is a virtual multidisciplinary team (vMDT)? Br. J. Cancer 108, 2433–2411 (2013)CrossRefGoogle Scholar
  13. 13.
    Mangesius, P., Fischer, B., Schabetsberger, T.: An approach for software-driven and standard-based support of cross enterprise tumor boards. In: eHealth - Health Informatics Meets eHealth Proceedings (2015)Google Scholar
  14. 14.
    Sallnäs, E.L., Moll, J., Frykholm, O., Groth, K., Forsslund, J.: Pointing in multi-disciplinary medical meetings. In: International Symposium on Computer Based Medical Systems 24 (2011)Google Scholar
  15. 15.
    Jalil, R., Ahmed, M., Green, J.S.A., Sevdalis, N.: Factors that can make an impact on decision-making and decision implementation in cancer multidisciplinary teams: An interview study of the provider perspective. Int. J. Surg. 11, 389–394 (2013)CrossRefGoogle Scholar
  16. 16.
    Jazieh, A.R.: Tumor boards: beyond the patient care conference. J. Cancer Educ. 26, 405–408 (2011)CrossRefGoogle Scholar
  17. 17.
    Frykholm, O., Nilsson, M., Groth, K., Yngling, A.: Interaction design in a complex context: medical multidisciplinary team meetings. In: NordiCHI (2012)Google Scholar
  18. 18.
    Ashton, M.A.: The multidisciplinary team meeting: how to be an effective participant. Diagn. Histopathol. 14(10), 519–523 (2008)CrossRefGoogle Scholar
  19. 19.
    Stevenson, M.M., Irwin, T., Lowry, T., Ahmed, M.Z., Walden, T.L., Watson, M., Sutton, L.: Development of a virtual multidisciplinary lung cancer tumor board in a community setting. J. Oncol. Pract. 9(3), e77–e80 (2013)CrossRefGoogle Scholar
  20. 20.
    Chekerov, R., Denkert, C., Boehmer, D., Suesse, A., Widing, A., Ruhmland, B., Giese, A., Mustea, A., Lichtenegger, W., Sehouli, J.: Online tumor conference in the clinical management of gynecological cancer: experience from a pilot study in Germany. Int. J. Gynecol. Cancer 18(1), 1–7 (2008)CrossRefGoogle Scholar
  21. 21.
    Parker, B.A., Schwaederlé, M., Scur, M.D., Boles, S.G., Helsten, T., Subramanian, R., Schwab, R.B., Kurzrock, R.: Breast cancer experience of the molecular tumor board at the University of California, San Diego Moores Cancer Center. J. Oncol. Pract. 11, 442–449 (2015)CrossRefGoogle Scholar
  22. 22.
    El Saghir, N.S., Keating, N.L., Carlson, R.W., Khoury, K.E., Fallowfield, L.: Tumor boards: optimizing the structure and improving efficiency of multidisciplinary management of patients with cancer worldwide. Am. Soc. Clin. Oncol., e461-6 (2014)Google Scholar
  23. 23.
    Patkar, V., Acosta, D., Davidson, T., Jones, A., Fox, J., Keshtgar, M.: Cancer multidisciplinary team meetings: evidence, challenges, and the role of clinical decision support technology. Int. J. Breast Cancer (2011)Google Scholar
  24. 24.
    Lamb, B.W., Sevdalis, N., Benn, J., Vincent, C., Green, J.S.A.: Multidisciplinary cancer team meeting structure and treatment decisions: a prospective correlational study. Ann. Surg. Oncol. 20(3), 715–722 (2013)CrossRefGoogle Scholar
  25. 25.
    Lamb, B.W., Brown, K.F., Nagpal, K., Vincent, C., Green, J.S.A., Sevdalis, N.: Quality of care management decisions by multidisciplinary cancer teams: a systematic review. Ann. Surg. Oncol. 18(8), 2116–2125 (2011)CrossRefGoogle Scholar
  26. 26.
    Kane, B.T., Toussaint, P.J., Luz, S.: Shared decision making needs a communication record. In: Proceedings of the 2013 Conference on Computer Supported Cooperative Work, pp. 79–90. ACM (2013)Google Scholar
  27. 27.
    Kane, B., Luz, S.: On record keeping at multidisciplinary team meetings. In: 2011 24th International Symposium on Computer-Based Medical Systems (CBMS), pp. 1–6. IEEE (2011)Google Scholar
  28. 28.
    Avila-Garcia, M.S., Trefethen, A.E., Brady, M., Gleeson, F.: Using interactive and multi-touch technology to support decision making in multidisciplinary team meetings. In: 2010 IEEE 23rd International Symposium on Computer-Based Medical Systems (CBMS), pp. 98–103. IEEE (2010)Google Scholar
  29. 29.
    Kane, B., O’Byrne, K., Luz, S.: Assessing support requirements for multidisciplinary team meetings. In: 2010 IEEE 23rd International Symposium on Computer-Based Medical Systems (CBMS), pp. 110–115. IEEE (2010)Google Scholar
  30. 30.
    Lenz, R., Reichert, M.: IT support for healthcare processes. In: Aalst, W.M.P., Benatallah, B., Casati, F., Curbera, F. (eds.) BPM 2005. LNCS, vol. 3649, pp. 354–363. Springer, Heidelberg (2005)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Oliver Krauss
    • 1
    Email author
  • Martina Angermaier
    • 1
  • Emmanuel Helm
    • 1
  1. 1.University of Applied Sciences Upper AustriaHagenbergAustria

Personalised recommendations