@article{3c3fd572d28441ba9126232e30ba6266,
title = "The cancer multidisciplinary team meeting: in need of change? History, challenges and future perspectives",
abstract = "Two decades since their inception, multidisciplinary teams (MDTs) are widely regarded as the {\textquoteleft}gold standard{\textquoteright} of cancer care delivery. Benefits of MDT working include improved patient outcomes, adherence to guidelines, and even economic benefits. Benefits to MDT members have also been demonstrated. An increasing body of evidence supports the use of MDTs and provides guidance on best practise. The system of MDTs in cancer care has come under increasing pressure of late, due to the increasing incidence of cancer, the popularity of MDT working, and financial pressures. This pressure has resulted in recommendations by national bodies to implement streamlining to reduce workload and improve efficiency. In the present review we examine the historical evidence for MDT working, and the scientific developments that dictate best practise. We also explore how streamlining can be safely and effectively undertaken. Finally, we discuss the future of MDT working including the integration of artificial intelligence and decision support systems and propose a new model for improving patient centredness.",
keywords = "assessment, complexity, decision-making, multidisciplinary teams, observation, optimisation, quality improvement, streamlining",
author = "Winters, {David A.} and Tayana Soukup and Nick Sevdalis and Green, {James S.A.} and Lamb, {Benjamin W.}",
note = "Funding Information: Nick Sevdalis research is funded by the National Institute for Health Research (NIHR) via the ?Applied Research Collaboration: South London? at King?s College Hospital NHS Foundation Trust, London, UK. Nick Sevdalis is also a member of King?s Improvement Science, which offers co-funding to the NIHR ARC South London and is funded by King?s Health Partners (Guy?s and St Thomas? NHS Foundation Trust, King?s College Hospital NHS Foundation Trust, King?s College London and South London, and Maudsley NHS Foundation Trust), and the Guy?s and St Thomas? Charity. The funding agreement ensured the authors? independence in designing the study, interpreting the data, writing, and publishing the review. The views expressed are those of the authors and not necessarily those of the NHS, NIHR, or the Department of Health and Social Care. Tayana Soukup is supported by the Welcome Trust and Diabetes UK. David A. Winters, Benjamin W. Lamb, and James S.A. Green received no funding for this work. Funding Information: Nick Sevdalis research is funded by the National Institute for Health Research (NIHR) via the {\textquoteleft}Applied Research Collaboration: South London{\textquoteright} at King{\textquoteright}s College Hospital NHS Foundation Trust, London, UK. Nick Sevdalis is also a member of King{\textquoteright}s Improvement Science, which offers co‐funding to the NIHR ARC South London and is funded by King{\textquoteright}s Health Partners (Guy{\textquoteright}s and St Thomas{\textquoteright} NHS Foundation Trust, King{\textquoteright}s College Hospital NHS Foundation Trust, King{\textquoteright}s College London and South London, and Maudsley NHS Foundation Trust), and the Guy{\textquoteright}s and St Thomas{\textquoteright} Charity. The funding agreement ensured the authors{\textquoteright} independence in designing the study, interpreting the data, writing, and publishing the review. The views expressed are those of the authors and not necessarily those of the NHS, NIHR, or the Department of Health and Social Care. Tayana Soukup is supported by the Welcome Trust and Diabetes UK. David A. Winters, Benjamin W. Lamb, and James S.A. Green received no funding for this work. Funding Information: Benjamin W. Lamb and Tayana Soukup have previously received funding from Health Education England and Cancer Alliances for training cancer MDTs in assessment and quality improvement methods in the UK. Tayana Soukup also received fees from Roche Diagnostics for research services in relation to innovations for cancer MDTs in the USA. Nick Sevdalis is the Director of London Safety and Training Solutions Ltd, which provides team working, patient safety and improvement skills training and advice on a consultancy basis to hospitals, training programmes and pharmaceutical companies in the UK and internationally. James S.A. Green is a Director of Green Cross Medical Ltd that developed MDT FIT for use by National Health Service Cancer Teams in the UK. David A. Winters has no competing interests to declare. Publisher Copyright: {\textcopyright} 2021 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU International Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = sep,
doi = "10.1111/bju.15495",
language = "English",
volume = "128",
pages = "271--279",
journal = "BJU International",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "3",
}
