[Decision process in a multidisciplinary cancer team with limited evidence].
Identifieur interne : 000191 ( PubMed/Corpus ); précédent : 000190; suivant : 000192[Decision process in a multidisciplinary cancer team with limited evidence].
Auteurs : R. Lassalle ; J. Marold ; M. Schöbel ; D. Manzey ; S. Bohn ; A. Dietz ; A. BoehmSource :
- Laryngo- rhino- otologie ; 2014.
English descriptors
- KwdEn :
- Clinical Competence, Consensus, Cooperative Behavior, Decision Support Techniques, Evidence-Based Medicine, Humans, Interdisciplinary Communication, Otorhinolaryngologic Neoplasms (diagnosis), Otorhinolaryngologic Neoplasms (therapy), Patient Safety, Surveys and Questionnaires, Uncertainty, Video Recording.
- MESH :
- diagnosis : Otorhinolaryngologic Neoplasms.
- therapy : Otorhinolaryngologic Neoplasms.
- Clinical Competence, Consensus, Cooperative Behavior, Decision Support Techniques, Evidence-Based Medicine, Humans, Interdisciplinary Communication, Patient Safety, Surveys and Questionnaires, Uncertainty, Video Recording.
Abstract
The Head and Neck Cancer Tumor Board is a multispeciality comprehensive conference that brings together experts with different backgrounds to make group decisions about the appropriate treatment. Due to the complexity of the patient cases and the collaboration of different medical disciplines most of these decisions have to be made under uncertainty, i. e., with-out knowing all relevant factors and without being quite sure about the outcome.
DOI: 10.1055/s-0033-1353199
PubMed: 24327352
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pubmed:24327352Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Decision process in a multidisciplinary cancer team with limited evidence].</title><author><name sortKey="Lassalle, R" sort="Lassalle, R" uniqKey="Lassalle R" first="R" last="Lassalle">R. Lassalle</name><affiliation><nlm:affiliation>Arbeits-, Ingenieur- und Organisationspsychologie, Institut für Psychologie und Arbeitswissenschaft, Technische Universität Berlin, Berlin.</nlm:affiliation></affiliation></author><author><name sortKey="Marold, J" sort="Marold, J" uniqKey="Marold J" first="J" last="Marold">J. Marold</name><affiliation><nlm:affiliation>Arbeits-, Ingenieur- und Organisationspsychologie, Institut für Psychologie und Arbeitswissenschaft, Technische Universität Berlin, Berlin.</nlm:affiliation></affiliation></author><author><name sortKey="Schobel, M" sort="Schobel, M" uniqKey="Schobel M" first="M" last="Schöbel">M. Schöbel</name><affiliation><nlm:affiliation>Fakultät für Psychologie, Universität Basel, Basel, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Manzey, D" sort="Manzey, D" uniqKey="Manzey D" first="D" last="Manzey">D. Manzey</name><affiliation><nlm:affiliation>Lehrstuhl Arbeits- und Organisationspsychologie, Psychologie und Ergonomie, Berlin.</nlm:affiliation></affiliation></author><author><name sortKey="Bohn, S" sort="Bohn, S" uniqKey="Bohn S" first="S" last="Bohn">S. Bohn</name><affiliation><nlm:affiliation>Innovation Center Computer Assisted Surgery (ICCAS), Leipzig.</nlm:affiliation></affiliation></author><author><name sortKey="Dietz, A" sort="Dietz, A" uniqKey="Dietz A" first="A" last="Dietz">A. Dietz</name><affiliation><nlm:affiliation>Innovation Center Computer Assisted Surgery (ICCAS), Leipzig.</nlm:affiliation></affiliation></author><author><name sortKey="Boehm, A" sort="Boehm, A" uniqKey="Boehm A" first="A" last="Boehm">A. Boehm</name><affiliation><nlm:affiliation>Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Plastische Opera-tionen, Universität Leipzig, Leipzig.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="doi">10.1055/s-0033-1353199</idno><idno type="RBID">pubmed:24327352</idno><idno type="pmid">24327352</idno><idno type="wicri:Area/PubMed/Corpus">000191</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Decision process in a multidisciplinary cancer team with limited evidence].</title><author><name sortKey="Lassalle, R" sort="Lassalle, R" uniqKey="Lassalle R" first="R" last="Lassalle">R. Lassalle</name><affiliation><nlm:affiliation>Arbeits-, Ingenieur- und Organisationspsychologie, Institut für Psychologie und Arbeitswissenschaft, Technische Universität Berlin, Berlin.</nlm:affiliation></affiliation></author><author><name sortKey="Marold, J" sort="Marold, J" uniqKey="Marold J" first="J" last="Marold">J. Marold</name><affiliation><nlm:affiliation>Arbeits-, Ingenieur- und Organisationspsychologie, Institut für Psychologie und Arbeitswissenschaft, Technische Universität Berlin, Berlin.</nlm:affiliation></affiliation></author><author><name sortKey="Schobel, M" sort="Schobel, M" uniqKey="Schobel M" first="M" last="Schöbel">M. Schöbel</name><affiliation><nlm:affiliation>Fakultät für Psychologie, Universität Basel, Basel, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Manzey, D" sort="Manzey, D" uniqKey="Manzey D" first="D" last="Manzey">D. Manzey</name><affiliation><nlm:affiliation>Lehrstuhl Arbeits- und Organisationspsychologie, Psychologie und Ergonomie, Berlin.</nlm:affiliation></affiliation></author><author><name sortKey="Bohn, S" sort="Bohn, S" uniqKey="Bohn S" first="S" last="Bohn">S. Bohn</name><affiliation><nlm:affiliation>Innovation Center Computer Assisted Surgery (ICCAS), Leipzig.</nlm:affiliation></affiliation></author><author><name sortKey="Dietz, A" sort="Dietz, A" uniqKey="Dietz A" first="A" last="Dietz">A. Dietz</name><affiliation><nlm:affiliation>Innovation Center Computer Assisted Surgery (ICCAS), Leipzig.</nlm:affiliation></affiliation></author><author><name sortKey="Boehm, A" sort="Boehm, A" uniqKey="Boehm A" first="A" last="Boehm">A. Boehm</name><affiliation><nlm:affiliation>Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Plastische Opera-tionen, Universität Leipzig, Leipzig.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Laryngo- rhino- otologie</title><idno type="e-ISSN">1438-8685</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical Competence</term><term>Consensus</term><term>Cooperative Behavior</term><term>Decision Support Techniques</term><term>Evidence-Based Medicine</term><term>Humans</term><term>Interdisciplinary Communication</term><term>Otorhinolaryngologic Neoplasms (diagnosis)</term><term>Otorhinolaryngologic Neoplasms (therapy)</term><term>Patient Safety</term><term>Surveys and Questionnaires</term><term>Uncertainty</term><term>Video Recording</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Otorhinolaryngologic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Otorhinolaryngologic Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Clinical Competence</term><term>Consensus</term><term>Cooperative Behavior</term><term>Decision Support Techniques</term><term>Evidence-Based Medicine</term><term>Humans</term><term>Interdisciplinary Communication</term><term>Patient Safety</term><term>Surveys and Questionnaires</term><term>Uncertainty</term><term>Video Recording</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Head and Neck Cancer Tumor Board is a multispeciality comprehensive conference that brings together experts with different backgrounds to make group decisions about the appropriate treatment. Due to the complexity of the patient cases and the collaboration of different medical disciplines most of these decisions have to be made under uncertainty, i. e., with-out knowing all relevant factors and without being quite sure about the outcome.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24327352</PMID><DateCreated><Year>2014</Year><Month>03</Month><Day>31</Day></DateCreated><DateCompleted><Year>2014</Year><Month>12</Month><Day>04</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1438-8685</ISSN><JournalIssue CitedMedium="Internet"><Volume>93</Volume><Issue>4</Issue><PubDate><Year>2014</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Laryngo- rhino- otologie</Title><ISOAbbreviation>Laryngorhinootologie</ISOAbbreviation></Journal><ArticleTitle>[Decision process in a multidisciplinary cancer team with limited evidence].</ArticleTitle><Pagination><MedlinePgn>237-43</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0033-1353199</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The Head and Neck Cancer Tumor Board is a multispeciality comprehensive conference that brings together experts with different backgrounds to make group decisions about the appropriate treatment. Due to the complexity of the patient cases and the collaboration of different medical disciplines most of these decisions have to be made under uncertainty, i. e., with-out knowing all relevant factors and without being quite sure about the outcome.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">To develop effective team decision making under uncertainty, it is necessary to understand how medical experts perceive and handle uncertainties. The aim of this field study was to develop a knowledge base by exploring additionally the factors that influence group decision making processes. A structured nonparticipant observational study was employed to address the research goal. Video data were analyzed by 2 independent observers using an observation checklist. A total of 20 videotaped case discussions were studied. Observations were complemented by a questionnaire gathering subjective evaluations of board members about the process and quality of their decisions (N=15).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The results show that uncertainty is recognized by board members. Reasons for uncertainty may stem from the complexity of the cases (e. g. therapy options) or the assessment from different disciplines coming together at the board.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">With respect to handling uncertainty and guaranteeing an optimal decision making process potential for improvement could be defined. This pertains to the handling of different levels of competence, the promotion of a positive discussion culture as well as structuring of the decision making process.</AbstractText><CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lassalle</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Arbeits-, Ingenieur- und Organisationspsychologie, Institut für Psychologie und Arbeitswissenschaft, Technische Universität Berlin, Berlin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marold</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Arbeits-, Ingenieur- und Organisationspsychologie, Institut für Psychologie und Arbeitswissenschaft, Technische Universität Berlin, Berlin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schöbel</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Fakultät für Psychologie, Universität Basel, Basel, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Manzey</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Lehrstuhl Arbeits- und Organisationspsychologie, Psychologie und Ergonomie, Berlin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bohn</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Innovation Center Computer Assisted Surgery (ICCAS), Leipzig.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dietz</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Innovation Center Computer Assisted Surgery (ICCAS), Leipzig.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boehm</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Plastische Opera-tionen, Universität Leipzig, Leipzig.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Entscheidungsprozesse im Tumorboard bei eingeschränkter Evidenzlage.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Laryngorhinootologie</MedlineTA><NlmUniqueID>8912371</NlmUniqueID><ISSNLinking>0935-8943</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D032921">Consensus</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003299">Cooperative Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003661">Decision Support Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D019317">Evidence-Based Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D033183">Interdisciplinary Communication</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010039">Otorhinolaryngologic Neoplasms</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D061214">Patient Safety</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011795">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D035501">Uncertainty</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014741">Video Recording</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="epublish"><Year>2013</Year><Month>12</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2013</Year><Month>12</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>12</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>12</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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