Department of Urology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
School of Allied Health, Anglia Ruskin University, Cambridge, UK.
Ann Surg Oncol. 2021 Nov;28(12):7577-7588. doi: 10.1245/s10434-021-09989-7. Epub 2021 May 11.
Evidence-based tools are necessary for scientifically improving the way MTBs work. Such tools are available but can be difficult to use. This study aimed to develop a robust observational assessment tool for use on cancer multidisciplinary tumor boards (MTBs) by health care professionals in everyday practice.
A retrospective cross-sectional observational study was conducted in the United Kingdom from September 2015 to July 2016. Three tumor boards from three teaching hospitals were recruited, with 44 members overall. Six weekly meetings involving 146 consecutive cases were video-recorded and scored using the validated MODe tool. Data were subjected to reliability and validity analysis in the current study to develop a shorter version of the MODe.
Phase 1, a reduction of the original items in the MODe, was achieved through two focus group meetings with expert assessors based on previous research. The 12 original items were reduced to 6 domains, receiving full agreement by the assessors. In phase 2, the six domains were subjected to item reliability, convergent validation, and internal consistency testing against the MODe-Lite global score, the MODe global score, and the items of the MODe. Significant positive correlations were evident across all domains (p < 0.01), indicating good reliability and validity. In phase 3, feasibility and high inter-assessor reliability were achieved by two clinical assessors. Six domains measuring clinical input, holistic input, clinical collaboration, pathology, radiology, and management plan were integrated into MODe-Lite.
As an evidence-based tool for health care professionals in everyday practice, MODe-Lite gives cancer MTBs insight into the way they work and facilitates improvements in practice.
循证工具对于科学地改进 MTB 的工作方式是必要的。这类工具是可用的，但可能难以使用。本研究旨在为医疗保健专业人员在日常实践中开发一种用于癌症多学科肿瘤委员会（MTB）的强大观察评估工具。
本研究为 2015 年 9 月至 2016 年 7 月在英国进行的回顾性横断面观察研究。从三家教学医院招募了三个肿瘤委员会，共有 44 名成员。每周六次会议，共涉及 146 例连续病例，使用经过验证的 MODe 工具进行视频评分。在本研究中，对数据进行了可靠性和有效性分析，以开发 MODe 的简短版本。
第 1 阶段，通过对基于先前研究的专家评估者进行两次焦点小组会议，实现了 MODe 原始项目的减少。最初的 12 个项目减少到 6 个领域，评估者完全同意。在第 2 阶段，对六个领域进行了项目可靠性、收敛验证和内部一致性测试，以评估与 MODe-Lite 整体评分、MODe 整体评分和 MODe 项目的一致性。所有领域都显示出显著的正相关（p<0.01），表明具有良好的可靠性和有效性。在第 3 阶段，两名临床评估者实现了可行性和高评估者间可靠性。6 个领域，包括临床输入、整体输入、临床协作、病理学、影像学和管理计划，被整合到 MODe-Lite 中。
作为一种循证工具，MODe-Lite 为医疗保健专业人员在日常实践中提供了对其工作方式的深入了解，并促进了实践的改进。
