Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus N, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus N, Denmark.
Department of Pulmonology, Vestfold Hospital Trust, Norway.
Acta Oncol. 2024 Aug 11;63:678-684. doi: 10.2340/1651-226X.2024.40777.
Multi-disciplinary Team (MDT) meetings are widely regarded as the 'gold standard' of lung cancer care. MDTs improve adherence to clinical guidelines for lung cancer patients. In this study, we describe and compare lung cancer MDTs in Denmark and Norway by combining national surveys and the MDT-Metric for the Observation of Decision-making (MDT-MODe) instrument.
Identical surveys were sent out to all lung cancer MDT centers in Denmark and Norway by the Danish Lung Cancer Group and the Norwegian Lung Cancer Group. Six MDT centers, three in Denmark and three in Norway, were observed using the MDT-MODe instrument.
We found similar organization of MDT meetings in both countries, with the main difference being more local MDT meetings in Norway. All lung cancer MDTs were chaired by respiratory physicians and attended by a radiologist. Other members included oncologists, pathologists, thoracic surgeons, specialist nurses, nuclear medicine specialists and junior doctors. Overall, members reported that they had sufficient time for preparation and attending MDT meetings. With the MDT-MODe instrument it was found that the MDT chairs, surgeons, oncologists, radiologists all contributed positively to case discussion. Comorbidities were included in the discussion of most patients while the patient's view and psychosocial issues were less often discussed. A treatment decision was reached in 79.7% of cases discussed. In conclusion, we found similar settings and overall good quality concerning lung cancer MDT meetings in Denmark and Norway.
多学科团队（MDT）会议被广泛认为是肺癌治疗的“金标准”。MDT 可提高对肺癌患者临床指南的依从性。本研究通过结合全国性调查和决策观察多学科工具（MDT-MODe）仪器，描述和比较丹麦和挪威的肺癌 MDT。
丹麦肺癌组和挪威肺癌组向丹麦和挪威所有肺癌 MDT 中心发送了相同的调查问卷。使用 MDT-MODe 仪器观察了六个 MDT 中心，其中三个在丹麦，三个在挪威。
我们发现两国 MDT 会议的组织方式相似，主要区别在于挪威的本地 MDT 会议更多。所有肺癌 MDT 均由呼吸科医生主持，并由放射科医生参加。其他成员包括肿瘤学家、病理学家、胸外科医生、专科护士、核医学专家和初级医生。总体而言，成员们报告说他们有足够的时间准备和参加 MDT 会议。使用 MDT-MODe 仪器发现，MDT 主席、外科医生、肿瘤学家、放射科医生都对病例讨论做出了积极贡献。大多数患者的合并症都在讨论范围内，而患者的观点和心理社会问题讨论较少。讨论的 79.7%的病例做出了治疗决策。总之，我们发现丹麦和挪威的肺癌 MDT 会议在设置和总体质量方面相似。
