General Surgery Unit, Misericordia and Dolce Hospital, Ospedale Misericordia e Dolce Piazza dell'Ospedale 5, 59100, Prato, PO, Italy.
Updates Surg. 2012 Dec;64(4):273-8. doi: 10.1007/s13304-012-0181-0. Epub 2012 Sep 18.
This study aimed to assess the current effectiveness of Oncologic Multidisciplinary Groups (OMGs) meetings across central Tuscany through surgeons' reports and their individual perceived benefits on colorectal cancer management. One hundred and sixty-seven general surgeons received a questionnaire with 21 questions covering organizational characteristics of OMGs and the individual perceived benefits of OMGs. The responses were analyzed by hospital setting (teaching vs. community hospital). The reply rate was 62.8 %, and 82 respondent surgeons (49.1 %) were involved in the treatment of colorectal cancer patients. At community hospitals, there was a more frequent participation of medical oncologists, radiation oncologists and pathologists; a less selection of discussed cases was performed; and almost all decisions were inserted into official patient charts (p < 0.05). Community hospital surgeons perceived more of a benefit than academic surgeons: OMGs ensure that all treatment options are considered and improve timeliness of care, patient outcomes, patient satisfaction and communication with patients (p < 0.05). The surveyed surgeons reported that OMGs offer a modest degree of protection from malpractice but improve communications between colleagues and are an opportunity for personal professional development. Professionals regularly participating in well-conducted and well-organized OMGs for colorectal cancer felt that the multidisciplinary strategy may be advantageous to both patients and caregivers.
本研究旨在通过外科医生的报告及其对结直肠癌管理的个人感知益处,评估托斯卡纳中部肿瘤多学科小组 (Oncologic Multidisciplinary Groups, OMGs) 会议的当前效果。167 名普通外科医生收到了一份包含 21 个问题的问卷,涵盖了 OMGs 的组织特征及其对 OMGs 的个人感知益处。根据医院设置(教学医院与社区医院)对回复进行了分析。回复率为 62.8%,82 名应答外科医生(49.1%)参与了结直肠癌患者的治疗。在社区医院,肿瘤内科医生、放射肿瘤学家和病理学家的参与更为频繁;讨论的病例选择较少;几乎所有的决策都被纳入了官方的患者病历中(p<0.05)。社区医院的外科医生比学术外科医生感知到更多的益处:OMG 确保考虑了所有的治疗方案,并提高了护理的及时性、患者的预后、患者的满意度和与患者的沟通(p<0.05)。接受调查的外科医生报告说,OMG 提供了一定程度的医疗事故保护,但改善了同事之间的沟通,是个人职业发展的机会。定期参与精心组织的结直肠癌 OMG 的专业人员认为,多学科策略可能对患者和护理人员都有利。