TY - JOUR
T1 - Physician-led in-hospital multidisciplinary team conferences with multiple medical specialities present - A scoping review
AU - Henriksen, Daniel Pilsgaard
AU - Ennis, Zandra Nymand
AU - Panou, Vasiliki
AU - Hangaard, Jørgen
AU - Jensen, Per Bruno
AU - Johansson, Sofie Lock
AU - Nagarajah, Subagini
AU - Poulsen, Marianne Kjær
AU - Rothmann, Mette Juel
AU - Schousboe, Karoline
AU - Bugge, Stine Jorstad
AU - Jessen, Louise Brügmann
AU - Schneider, Ida Ransby
AU - Olsen Zwisler, Ann Dorthe
AU - Højlund, Kurt
AU - Damkier, Per
N1 - © The Author(s) 2022.
PY - 2022
Y1 - 2022
N2 - INTRODUCTION: Multidisciplinary Team Conferences (MDTs) are complex interventions in the modern healthcare system and they promote a model of coordinated patient care and management. However, MDTs within chronic diseases are poorly defined. Therefore, the aim of this scoping review was to summarise the current literature on physician-led in-hospital MDTs in chronic non-malignant diseases.METHOD: Following the PRISMA-ScR guideline for scoping reviews, a search on MDT interventions in adult patients, with three or more medical specialties represented, was performed.RESULTS: We identified 2790 studies, from which 8 studies were included. The majority of studies were non-randomised and focused on a single disease entity such as infective endocarditis, atrial fibrillation, IgG4-related disease, or arterial and venous thrombosis. The main reason for referral was confirmation or establishment of a diagnosis, and the MDT members were primarily from medical specialties gathered especially for the MDT. Outcomes of the included studies were grouped into process indicators and outcome indicators. Process indicators included changes in diagnostic confirmation as well as therapeutic strategy and management. All studies reporting process indicators demonstrated significant changes before and after the MDT.CONCLUSION: MDTs within chronic diseases appeared highly heterogeneous with respect to structure, reasons for referral, and choice of outcomes. While process indicators, such as change in diagnosis, and treatment management/plan seem improved, such have not been demonstrated through outcome indicators.
AB - INTRODUCTION: Multidisciplinary Team Conferences (MDTs) are complex interventions in the modern healthcare system and they promote a model of coordinated patient care and management. However, MDTs within chronic diseases are poorly defined. Therefore, the aim of this scoping review was to summarise the current literature on physician-led in-hospital MDTs in chronic non-malignant diseases.METHOD: Following the PRISMA-ScR guideline for scoping reviews, a search on MDT interventions in adult patients, with three or more medical specialties represented, was performed.RESULTS: We identified 2790 studies, from which 8 studies were included. The majority of studies were non-randomised and focused on a single disease entity such as infective endocarditis, atrial fibrillation, IgG4-related disease, or arterial and venous thrombosis. The main reason for referral was confirmation or establishment of a diagnosis, and the MDT members were primarily from medical specialties gathered especially for the MDT. Outcomes of the included studies were grouped into process indicators and outcome indicators. Process indicators included changes in diagnostic confirmation as well as therapeutic strategy and management. All studies reporting process indicators demonstrated significant changes before and after the MDT.CONCLUSION: MDTs within chronic diseases appeared highly heterogeneous with respect to structure, reasons for referral, and choice of outcomes. While process indicators, such as change in diagnosis, and treatment management/plan seem improved, such have not been demonstrated through outcome indicators.
U2 - 10.1177/26335565221141745
DO - 10.1177/26335565221141745
M3 - Journal article
C2 - 36518524
SN - 2633-5565
VL - 12
JO - Journal of Multimorbidity and Comorbidity
JF - Journal of Multimorbidity and Comorbidity
M1 - 26335565221141745
ER -