Bate Jessica, Wingrove Jane, Donkin Alexandra, Taylor Rachel, Whelan Jeremy
Department of Oncology, University College London Hospital NHS Trust, London, UK.
University Hospital Southampton, Southampton, UK.
Eur J Cancer Care (Engl). 2019 Mar;28(2):e12971. doi: 10.1111/ecc.12971. Epub 2018 Dec 3.
Multidisciplinary team meetings (MDTM) provide a regular forum for cancer teams to convene and discuss the diagnostic and treatment aspects of patient care. For some rare cancers, MDTMs may also occur at national level to pool expertise and to ensure more consistent decision-making. One such national MDTM exists in the UK for patients with a diagnosis of Ewing's sarcoma of the bone-the National Ewing's MDT (NEMDT). This study explored the patient perspective of this rare cancer national MDTM using focus group and survey methodology. Study participants used their experience to provide several recommendations: that their views should always inform the decision-making process, these views should be presented by someone who has met them such as a specialist nurse, MDT recommendations should be provided to them in plain English, and tools to improve patient choice and enhance communication should be implemented. These patient-centred recommendations will be used to improve the NEMDT but may be valid to inform quality improvement processes for other similar national panels.
多学科团队会议(MDTM)为癌症治疗团队提供了一个定期的平台,以便他们聚集在一起,讨论患者护理的诊断和治疗方面。对于一些罕见癌症,多学科团队会议也可能在国家层面举行,以汇集专业知识并确保决策更加一致。英国就有这样一个针对骨尤文肉瘤患者的国家多学科团队会议——国家尤文肉瘤多学科团队(NEMDT)。本研究采用焦点小组和调查方法,探讨了患者对这种罕见癌症国家多学科团队会议的看法。研究参与者根据自身经历提出了几条建议:他们的意见应始终为决策过程提供参考,这些意见应由见过他们的人(如专科护士)来陈述,多学科团队的建议应以通俗易懂的英语提供给他们,并且应实施一些工具来改善患者的选择并加强沟通。这些以患者为中心的建议将用于改进国家尤文肉瘤多学科团队,但可能对为其他类似的国家小组改进质量改进流程也有借鉴意义。