Department of Urology, Barts Health NHS Trust, Whipps Cross University Hospital, London, UK.
Centre for Implementation Science, Health Service and Population Research Department, King's College London, London, UK.
BJU Int. 2021 Sep;128(3):271-279. doi: 10.1111/bju.15495. Epub 2021 Jun 28.
Two decades since their inception, multidisciplinary teams (MDTs) are widely regarded as the 'gold standard' 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.
多学科团队（MDT）自成立以来已经有二十年了，它们被广泛认为是癌症治疗的“金标准”。MDT 工作的好处包括改善患者的治疗效果、提高对指南的遵循度，甚至还能带来经济效益。MDT 成员也能从中获益。越来越多的证据支持使用 MDT，并为最佳实践提供了指导。最近，癌症治疗中的 MDT 系统面临越来越大的压力，这是由于癌症发病率的增加、MDT 工作的普及以及财政压力造成的。这一压力导致国家机构提出建议，实施简化措施以减轻工作量和提高效率。在本次综述中，我们研究了 MDT 工作的历史证据，以及决定最佳实践的科学发展。我们还探讨了如何安全有效地进行简化。最后，我们讨论了 MDT 工作的未来，包括人工智能和决策支持系统的整合，并提出了一个新的模型，以改善以患者为中心的治疗。
