What Are the Recommendations to Ensure a Successful Multidisciplinary Team in Rectal Cancer?
Multidisciplinary team-working aims to ensure all patients achieve prompt access to expert advice, up-to-date treatment and holistic care from relevant professionals with specialist knowledge and skills. This is particularly relevant in rectal cancer, where preoperative radiotherapy and chemoradiation are often delivered according to clinical findings and clinical staging (particularly in terms of the MRI). There are also many different surgical options available with varying levels of radicality and implications for future function and quality of life (QOL).
Multidisciplinary team-working has now been implemented in cancer care systems throughout much of Europe, the USA and Australia and forms a core component of guidelines in all cancer care services. There is almost universal approval for this strategy, despite the fact that there is little evidence for its effectiveness in improving outcomes.
In this chapter, we review the evidence for effective MDT team-working and its impact on outcomes and discuss how the characteristics and structure of the MDT, the team culture, leaders, organisation, setting and local environment influence optimal care for the patient.
KeywordsRectal Cancer Multidisciplinary Team Clinical Nurse Specialist Team Culture Patient Experience Survey
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