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多学科肿瘤管理团队的障碍和挑战:范围综述方案。

Barriers And Challenges Of Multidisciplinary Teams In Oncology Management: A Scoping Review Protocol.

机构信息

Department of Radiotherapy, Oncology and Palliative Care, Sarawak General Hospital, Ministry of Health Malaysia, Jalan Hospital, 93586, Kuching, Sarawak, Malaysia

Clinical Research Centre, Sarawak General Hospital, Ministry of Health Malaysia, Jalan Hospital, 93586, Kuching, Sarawak, Malaysia.

出版信息

BMJ Open. 2024 Feb 10;14(2):e079559. doi: 10.1136/bmjopen-2023-079559.

Abstract

INTRODUCTION

Multidisciplinary teams (MDTs) are integral to oncology management, involving specialised healthcare professionals who collaborate to develop individualised treatment plans for patients. However, as cancer care grows more complex, MDTs must continually adapt to better address patient needs. This scoping review will explore barriers and challenges MDTs have encountered in the past decade; and propose strategies for optimising their utilisation to overcome these obstacles and improve patient care.

METHODS AND ANALYSIS

The scoping review will follow Arksey and O'Malley's framework and begin with a literature search using keywords in electronic databases such as PubMed/MEDLINE, Scopus and PsychINFO, covering the period from January 2013 to December 2022 and limited to English language publications. Four independent reviewers will screen titles and abstracts based on predefined inclusion criteria, followed by full-text review of selected titles. Relevant references cited in the publications will also be examined. A Preferred Reporting Items for Systematic reviews and Meta-Analyses flow diagram will be utilised to illustrate the methodology. Data from selected publications will be extracted, analysed, and categorised for further analysis.

ETHICS AND DISSEMINATION

The results of the scoping review will provide a comprehensive overview of the barriers and challenges encountered by oncology MDTs over the past decade. These findings will contribute to the existing literature and provide insights into areas that require improvement in the functioning of MDTs in oncology management. The results will be disseminated through publication in a scientific journal, which will help to share the findings with the wider healthcare community and facilitate further research and discussion in this field.

TRIAL REGISTRATION DETAILS

The protocol for this scoping review is registered with Open Science Framework, available at DOI 10.17605/OSF.IO/R3Y8U.

摘要

简介

多学科团队(MDT)是肿瘤学管理的重要组成部分,涉及专门的医疗保健专业人员,他们合作制定针对患者的个体化治疗计划。然而,随着癌症治疗变得更加复杂,MDT 必须不断适应,以更好地满足患者的需求。本范围综述将探讨 MDT 在过去十年中遇到的障碍和挑战;并提出优化其利用的策略,以克服这些障碍,改善患者护理。

方法和分析

范围综述将遵循阿斯基和奥马利的框架,首先使用电子数据库(如 PubMed/MEDLINE、Scopus 和 PsychINFO)中的关键词进行文献搜索,涵盖 2013 年 1 月至 2022 年 12 月期间的文献,并限于英语出版物。四名独立评审员将根据预先确定的纳入标准筛选标题和摘要,然后对选定标题进行全文审查。还将检查出版物中引用的相关参考文献。将使用系统评价和荟萃分析的首选报告项目流程图来说明方法。将从选定出版物中提取、分析和分类数据,以进行进一步分析。

伦理和传播

范围综述的结果将提供 MDT 在过去十年中遇到的障碍和挑战的全面概述。这些发现将为现有文献做出贡献,并深入了解需要改进的领域,以提高 MDT 在肿瘤学管理中的作用。结果将通过在科学期刊上发表来传播,这将有助于将发现与更广泛的医疗保健界分享,并促进该领域的进一步研究和讨论。

试验注册详情

本范围综述的方案在开放科学框架中注册,可在 DOI 10.17605/OSF.IO/R3Y8U 获得。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/067c/10862282/9fd99b576735/bmjopen-2023-079559f01.jpg

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