The Effects of Multidisciplinary Team Meetings on Clinical Practice for Colorectal, Lung, Prostate and Breast Cancer: A Systematic Review

Objective: The aim of our systematic review is to identify the effects of multidisciplinary team meetings (MDTM) for lung, breast, colorectal and prostate cancer. Methods: Our systematic review, performed following PRISMA guidelines, included studies examining the impact of MDTMs on treatment decisi...

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Bibliographic Details
Published in:Cancers 2021-08, Vol.13 (16), p.4159
Main Authors: Kočo, Lejla, Weekenstroo, Harm H. A., Lambregts, Doenja M. J., Sedelaar, J. P. Michiel, Prokop, Mathias, Fütterer, Jurgen J., Mann, Ritse M.
Format: Article
Language:English
Subjects:
Bias
Breast cancer
Cancer therapies
Clinical outcomes
Clinical trials
Colorectal cancer
Computed tomography
Costs
Data collection
Lung cancer
Magnetic resonance imaging
Medical diagnosis
Meetings
Multidisciplinary teams
Patients
Prostate cancer
Surgery
Systematic Review
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Summary:Objective: The aim of our systematic review is to identify the effects of multidisciplinary team meetings (MDTM) for lung, breast, colorectal and prostate cancer. Methods: Our systematic review, performed following PRISMA guidelines, included studies examining the impact of MDTMs on treatment decisions, patient and process outcomes. Electronic databases PUBMED, EMBASE, Cochrane Library and Web of Science were searched for articles published between 2000 and 2020. Risk of bias and level of evidence were assessed using the ROBINS-I tool and GRADE scale. Results: 41 of 13,246 articles were selected, evaluating colorectal (21), lung (10), prostate (6) and breast (4) cancer. Results showed that management plans were changed in 1.6–58% of cases after MDTMs. Studies reported a significant impact of MDTMs on surgery type, and a reduction of overall performed surgery after MDTM. Results also suggest that CT and MRI imaging significantly increased after MDTM implementation. Survival rate increased significantly with MDTM discussions according to twelve studies, yet three studies did not show significant differences. Conclusions: Despite heterogeneous data, MDTMs showed a significant impact on management plans, process outcomes and patient outcomes. To further explore the impact of MDTMs on the quality of healthcare, high-quality research is needed.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers13164159