CR11*THE MULTIDISCIPLINARY MEETING IN COLORECTAL CANCER SERVICE – ATTITUDES OF CLINICIANS AND THE IMPACT UPON PATIENT MANAGEMENT
Identifieur interne : 001172 ( Istex/Corpus ); précédent : 001171; suivant : 001173CR11*THE MULTIDISCIPLINARY MEETING IN COLORECTAL CANCER SERVICE – ATTITUDES OF CLINICIANS AND THE IMPACT UPON PATIENT MANAGEMENT
Auteurs : Z. Y. Chow ; S. Shedda ; M. Steele ; P. Gibbs ; S. Mclaughlin ; I. JonesSource :
- ANZ Journal of Surgery [ 1445-1433 ] ; 2009-05.
Abstract
Purpose: The multidisciplinary meeting (MDM) has been widely adopted as standard of care for patients with colorectal cancer (CRC). However, there is little evidence to support the MDM, and individual clinician attitudes have not been studied. Methods: Clinicians involved in patients with CRC patients completed a questionnaire. The study was conducted in 2008 at 5 institutions, including MDM naïve (NG) and experienced groups (EG), with repetition in 6 months. The impact of the MDM was prospectively studied at a hospital from 7/7/08 to 22/12/08. The initial plan and the final consensus were recorded. Results: 22 clinicians completed the survey. The clinicians in the NG stated that there was an influence of MDM on routine patient management in 40% of patients. After 6 months, in both the EG and the NG, the MDM was felt to have an impact on the patients’ management in >70% of cases (p = 0.16). 115 cases (91 patients) were discussed at the MDM. The median age was 65 years (range 26 to 101) with 48% males. The locations were colonic 53 (46%), rectum 40 (35%), anus 6 (5%) and other 16 (14%). 80 (69%) were discussed at the time of initial diagnosis. In 79 (69%) the main issue was chemotherapy and/or radiation administration. In 17 (52%) patients it was decided that further investigations were required. There was an impact on the management in 33 (29%) patients. A change in treatment intent occurred, either curative or palliative, in 5 (15%) patients. Conclusion: Clinicians involved in an MDM believe that this influences management in majority of patients with impact on management of almost a third of patients discussed. The multidisciplinary meeting is valuable in the treatment of colorectal cancer patients.
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DOI: 10.1111/j.1445-2197.2009.04915_11.x
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ISTEX:0601C23898BA2B465BDC8734F7D7EDFA870958CBLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">CR11*THE MULTIDISCIPLINARY MEETING IN COLORECTAL CANCER SERVICE – ATTITUDES OF CLINICIANS AND THE IMPACT UPON PATIENT MANAGEMENT</title><author><name sortKey="Chow, Z Y" sort="Chow, Z Y" uniqKey="Chow Z" first="Z. Y." last="Chow">Z. Y. Chow</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Shedda, S" sort="Shedda, S" uniqKey="Shedda S" first="S." last="Shedda">S. Shedda</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Steele, M" sort="Steele, M" uniqKey="Steele M" first="M." last="Steele">M. Steele</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Gibbs, P" sort="Gibbs, P" uniqKey="Gibbs P" first="P." last="Gibbs">P. Gibbs</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Mclaughlin, S" sort="Mclaughlin, S" uniqKey="Mclaughlin S" first="S." last="Mclaughlin">S. Mclaughlin</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Jones, I" sort="Jones, I" uniqKey="Jones I" first="I." last="Jones">I. Jones</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:0601C23898BA2B465BDC8734F7D7EDFA870958CB</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1111/j.1445-2197.2009.04915_11.x</idno><idno type="url">https://api.istex.fr/document/0601C23898BA2B465BDC8734F7D7EDFA870958CB/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001172</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">CR11*THE MULTIDISCIPLINARY MEETING IN COLORECTAL CANCER SERVICE – ATTITUDES OF CLINICIANS AND THE IMPACT UPON PATIENT MANAGEMENT</title><author><name sortKey="Chow, Z Y" sort="Chow, Z Y" uniqKey="Chow Z" first="Z. Y." last="Chow">Z. Y. Chow</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Shedda, S" sort="Shedda, S" uniqKey="Shedda S" first="S." last="Shedda">S. Shedda</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Steele, M" sort="Steele, M" uniqKey="Steele M" first="M." last="Steele">M. Steele</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Gibbs, P" sort="Gibbs, P" uniqKey="Gibbs P" first="P." last="Gibbs">P. Gibbs</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Mclaughlin, S" sort="Mclaughlin, S" uniqKey="Mclaughlin S" first="S." last="Mclaughlin">S. Mclaughlin</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author><author><name sortKey="Jones, I" sort="Jones, I" uniqKey="Jones I" first="I." last="Jones">I. Jones</name><affiliation><mods:affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">ANZ Journal of Surgery</title><idno type="ISSN">1445-1433</idno><idno type="eISSN">1445-2197</idno><imprint><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2009-05">2009-05</date><biblScope unit="volume">79</biblScope><biblScope unit="supplement">s1</biblScope><biblScope unit="page" from="A11">A11</biblScope><biblScope unit="page" to="A11">A11</biblScope></imprint><idno type="ISSN">1445-1433</idno></series><idno type="istex">0601C23898BA2B465BDC8734F7D7EDFA870958CB</idno><idno type="DOI">10.1111/j.1445-2197.2009.04915_11.x</idno><idno type="ArticleID">ANS4915_11</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1445-1433</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: The multidisciplinary meeting (MDM) has been widely adopted as standard of care for patients with colorectal cancer (CRC). However, there is little evidence to support the MDM, and individual clinician attitudes have not been studied. Methods: Clinicians involved in patients with CRC patients completed a questionnaire. The study was conducted in 2008 at 5 institutions, including MDM naïve (NG) and experienced groups (EG), with repetition in 6 months. The impact of the MDM was prospectively studied at a hospital from 7/7/08 to 22/12/08. The initial plan and the final consensus were recorded. Results: 22 clinicians completed the survey. The clinicians in the NG stated that there was an influence of MDM on routine patient management in 40% of patients. After 6 months, in both the EG and the NG, the MDM was felt to have an impact on the patients’ management in >70% of cases (p = 0.16). 115 cases (91 patients) were discussed at the MDM. The median age was 65 years (range 26 to 101) with 48% males. The locations were colonic 53 (46%), rectum 40 (35%), anus 6 (5%) and other 16 (14%). 80 (69%) were discussed at the time of initial diagnosis. In 79 (69%) the main issue was chemotherapy and/or radiation administration. In 17 (52%) patients it was decided that further investigations were required. There was an impact on the management in 33 (29%) patients. A change in treatment intent occurred, either curative or palliative, in 5 (15%) patients. Conclusion: Clinicians involved in an MDM believe that this influences management in majority of patients with impact on management of almost a third of patients discussed. The multidisciplinary meeting is valuable in the treatment of colorectal cancer patients.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Z. Y. Chow</name><affiliations><json:string>The Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>S. Shedda</name><affiliations><json:string>The Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>M. Steele</name><affiliations><json:string>The Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>P. Gibbs</name><affiliations><json:string>The Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>S. Mclaughlin</name><affiliations><json:string>The Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item><json:item><name>I. Jones</name><affiliations><json:string>The Royal Melbourne Hospital, Melbourne, Victoria</json:string></affiliations></json:item></author><articleId><json:string>ANS4915_11</json:string></articleId><language><json:string>eng</json:string></language><abstract>Purpose: The multidisciplinary meeting (MDM) has been widely adopted as standard of care for patients with colorectal cancer (CRC). However, there is little evidence to support the MDM, and individual clinician attitudes have not been studied. Methods: Clinicians involved in patients with CRC patients completed a questionnaire. The study was conducted in 2008 at 5 institutions, including MDM naïve (NG) and experienced groups (EG), with repetition in 6 months. The impact of the MDM was prospectively studied at a hospital from 7/7/08 to 22/12/08. The initial plan and the final consensus were recorded. Results: 22 clinicians completed the survey. The clinicians in the NG stated that there was an influence of MDM on routine patient management in 40% of patients. After 6 months, in both the EG and the NG, the MDM was felt to have an impact on the patients’ management in >70% of cases (p = 0.16). 115 cases (91 patients) were discussed at the MDM. The median age was 65 years (range 26 to 101) with 48% males. The locations were colonic 53 (46%), rectum 40 (35%), anus 6 (5%) and other 16 (14%). 80 (69%) were discussed at the time of initial diagnosis. In 79 (69%) the main issue was chemotherapy and/or radiation administration. In 17 (52%) patients it was decided that further investigations were required. There was an impact on the management in 33 (29%) patients. A change in treatment intent occurred, either curative or palliative, in 5 (15%) patients. Conclusion: Clinicians involved in an MDM believe that this influences management in majority of patients with impact on management of almost a third of patients discussed. 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Y.</forename><surname>Chow</surname></persName><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">S.</forename><surname>Shedda</surname></persName><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">M.</forename><surname>Steele</surname></persName><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">P.</forename><surname>Gibbs</surname></persName><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">S.</forename><surname>Mclaughlin</surname></persName><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author><author><persName><forename type="first">I.</forename><surname>Jones</surname></persName><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation></author></analytic><monogr><title level="j">ANZ Journal of Surgery</title><idno type="pISSN">1445-1433</idno><idno type="eISSN">1445-2197</idno><idno type="DOI">10.1111/(ISSN)1445-2197</idno><imprint><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2009-05"></date><biblScope unit="volume">79</biblScope><biblScope unit="supplement">s1</biblScope><biblScope unit="page" from="A11">A11</biblScope><biblScope unit="page" to="A11">A11</biblScope></imprint></monogr><idno type="istex">0601C23898BA2B465BDC8734F7D7EDFA870958CB</idno><idno type="DOI">10.1111/j.1445-2197.2009.04915_11.x</idno><idno type="ArticleID">ANS4915_11</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2009</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Purpose: The multidisciplinary meeting (MDM) has been widely adopted as standard of care for patients with colorectal cancer (CRC). However, there is little evidence to support the MDM, and individual clinician attitudes have not been studied. Methods: Clinicians involved in patients with CRC patients completed a questionnaire. The study was conducted in 2008 at 5 institutions, including MDM naïve (NG) and experienced groups (EG), with repetition in 6 months. The impact of the MDM was prospectively studied at a hospital from 7/7/08 to 22/12/08. The initial plan and the final consensus were recorded. Results: 22 clinicians completed the survey. The clinicians in the NG stated that there was an influence of MDM on routine patient management in 40% of patients. After 6 months, in both the EG and the NG, the MDM was felt to have an impact on the patients’ management in >70% of cases (p = 0.16). 115 cases (91 patients) were discussed at the MDM. The median age was 65 years (range 26 to 101) with 48% males. The locations were colonic 53 (46%), rectum 40 (35%), anus 6 (5%) and other 16 (14%). 80 (69%) were discussed at the time of initial diagnosis. In 79 (69%) the main issue was chemotherapy and/or radiation administration. In 17 (52%) patients it was decided that further investigations were required. There was an impact on the management in 33 (29%) patients. A change in treatment intent occurred, either curative or palliative, in 5 (15%) patients. Conclusion: Clinicians involved in an MDM believe that this influences management in majority of patients with impact on management of almost a third of patients discussed. The multidisciplinary meeting is valuable in the treatment of colorectal cancer patients.</p></abstract></profileDesc><revisionDesc><change when="2009-05">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/0601C23898BA2B465BDC8734F7D7EDFA870958CB/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Asia</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1445-2197</doi><issn type="print">1445-1433</issn><issn type="electronic">1445-2197</issn><idGroup><id type="product" value="ANS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ANZ JOURNAL SURGERY">ANZ Journal of Surgery</title></titleGroup></publicationMeta><publicationMeta level="part" position="05000"><doi origin="wiley">10.1111/ans.2009.79.issue-s1</doi><titleGroup><title type="specialIssueTitle">Abstracts of the Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia</title></titleGroup><numberingGroup><numbering type="journalVolume" number="79">79</numbering><numbering type="supplement">s1</numbering></numberingGroup><coverDate startDate="2009-05">May 2009</coverDate></publicationMeta><publicationMeta level="unit" type="abstract" position="042" status="forIssue"><doi origin="wiley">10.1111/j.1445-2197.2009.04915_11.x</doi><idGroup><id type="unit" value="ANS4915_11"></id></idGroup><countGroup><count type="pageTotal" number="1"></count></countGroup><titleGroup><title type="tocHeading1">Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia. Conference Abstracts
Colorectal Surgery Program Abstracts</title></titleGroup><copyright>Journal compilation © 2009 The Royal Australasian College of Surgeons</copyright><eventGroup><event type="firstOnline" date="2009-04-27"></event><event type="publishedOnlineFinalForm" date="2009-04-27"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:Header result:Header" date="2010-03-13"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-04"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-14"></event></eventGroup><numberingGroup><numbering type="pageFirst">A11</numbering><numbering type="pageLast">A11</numbering></numberingGroup><linkGroup><link type="toTypesetVersion" href="file:ANS.ANS4915_11.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="0"></count><count type="wordTotal" number="5149"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">CR11
*THE MULTIDISCIPLINARY MEETING IN COLORECTAL CANCER SERVICE – ATTITUDES OF CLINICIANS AND THE IMPACT UPON PATIENT MANAGEMENT</title><title type="shortAuthors"><i>RACS Annual Scientific Congress</i>, 2009</title><title type="short"><i>ANZ J. Surg.</i> 2009; 79 (Suppl. 1)</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>Z. Y.</givenNames><familyName>Chow</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>S.</givenNames><familyName>Shedda</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>M.</givenNames><familyName>Steele</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#aff-1-1"><personName><givenNames>P.</givenNames><familyName>Gibbs</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#aff-1-1"><personName><givenNames>S.</givenNames><familyName>Mclaughlin</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#aff-1-1"><personName><givenNames>I.</givenNames><familyName>Jones</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1"><unparsedAffiliation>The Royal Melbourne Hospital, Melbourne, Victoria</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Purpose: </b> The multidisciplinary meeting (MDM) has been widely adopted as standard of care for patients with colorectal cancer (CRC). However, there is little evidence to support the MDM, and individual clinician attitudes have not been studied.</p><p><b>Methods: </b> Clinicians involved in patients with CRC patients completed a questionnaire. The study was conducted in 2008 at 5 institutions, including MDM naïve (NG) and experienced groups (EG), with repetition in 6 months. The impact of the MDM was prospectively studied at a hospital from 7/7/08 to 22/12/08. The initial plan and the final consensus were recorded.</p><p><b>Results: </b> 22 clinicians completed the survey. The clinicians in the NG stated that there was an influence of MDM on routine patient management in 40% of patients. After 6 months, in both the EG and the NG, the MDM was felt to have an impact on the patients’ management in >70% of cases (p = 0.16). 115 cases (91 patients) were discussed at the MDM. The median age was 65 years (range 26 to 101) with 48% males. The locations were colonic 53 (46%), rectum 40 (35%), anus 6 (5%) and other 16 (14%). 80 (69%) were discussed at the time of initial diagnosis. In 79 (69%) the main issue was chemotherapy and/or radiation administration. In 17 (52%) patients it was decided that further investigations were required. There was an impact on the management in 33 (29%) patients. A change in treatment intent occurred, either curative or palliative, in 5 (15%) patients.</p><p><b>Conclusion: </b> Clinicians involved in an MDM believe that this influences management in majority of patients with impact on management of almost a third of patients discussed. The multidisciplinary meeting is valuable in the treatment of colorectal cancer patients.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>CR11*THE MULTIDISCIPLINARY MEETING IN COLORECTAL CANCER SERVICE – ATTITUDES OF CLINICIANS AND THE IMPACT UPON PATIENT MANAGEMENT</title></titleInfo><titleInfo type="abbreviated"><title>ANZ J. Surg. 2009; 79 (Suppl. 1)</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>CR11
*THE MULTIDISCIPLINARY MEETING IN COLORECTAL CANCER SERVICE – ATTITUDES OF CLINICIANS AND THE IMPACT UPON PATIENT MANAGEMENT</title></titleInfo><name type="personal"><namePart type="given">Z. Y.</namePart><namePart type="family">Chow</namePart><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Shedda</namePart><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Steele</namePart><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Gibbs</namePart><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Mclaughlin</namePart><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I.</namePart><namePart type="family">Jones</namePart><affiliation>The Royal Melbourne Hospital, Melbourne, Victoria</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2009-05</dateIssued><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="words">5149</extent></physicalDescription><abstract lang="en">Purpose: The multidisciplinary meeting (MDM) has been widely adopted as standard of care for patients with colorectal cancer (CRC). However, there is little evidence to support the MDM, and individual clinician attitudes have not been studied. Methods: Clinicians involved in patients with CRC patients completed a questionnaire. The study was conducted in 2008 at 5 institutions, including MDM naïve (NG) and experienced groups (EG), with repetition in 6 months. The impact of the MDM was prospectively studied at a hospital from 7/7/08 to 22/12/08. The initial plan and the final consensus were recorded. Results: 22 clinicians completed the survey. The clinicians in the NG stated that there was an influence of MDM on routine patient management in 40% of patients. After 6 months, in both the EG and the NG, the MDM was felt to have an impact on the patients’ management in >70% of cases (p = 0.16). 115 cases (91 patients) were discussed at the MDM. The median age was 65 years (range 26 to 101) with 48% males. The locations were colonic 53 (46%), rectum 40 (35%), anus 6 (5%) and other 16 (14%). 80 (69%) were discussed at the time of initial diagnosis. In 79 (69%) the main issue was chemotherapy and/or radiation administration. In 17 (52%) patients it was decided that further investigations were required. There was an impact on the management in 33 (29%) patients. A change in treatment intent occurred, either curative or palliative, in 5 (15%) patients. Conclusion: Clinicians involved in an MDM believe that this influences management in majority of patients with impact on management of almost a third of patients discussed. The multidisciplinary meeting is valuable in the treatment of colorectal cancer patients.</abstract><relatedItem type="host"><titleInfo><title>ANZ Journal of Surgery</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1445-1433</identifier><identifier type="eISSN">1445-2197</identifier><identifier type="DOI">10.1111/(ISSN)1445-2197</identifier><identifier type="PublisherID">ANS</identifier><part><date>2009</date><detail type="title"><title>Abstracts of the Royal Australasian College of Surgeons Annual Scientific Congress, 6–9 May 2009, Brisbane, Queensland, Australia</title></detail><detail type="volume"><caption>vol.</caption><number>79</number></detail><detail type="supplement"><caption>Suppl. no.</caption><number>s1</number></detail><extent unit="pages"><start>A11</start><end>A11</end><total>1</total></extent></part></relatedItem><identifier type="istex">0601C23898BA2B465BDC8734F7D7EDFA870958CB</identifier><identifier type="DOI">10.1111/j.1445-2197.2009.04915_11.x</identifier><identifier type="ArticleID">ANS4915_11</identifier><accessCondition type="use and reproduction" contentType="copyright">Journal compilation © 2009 The Royal Australasian College of Surgeons</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Asia</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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