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BMJ Health Care Inform ; 31(1)2024 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-39317463

RESUMO

OBJECTIVES: Multidisciplinary meetings (MDMs) are part of standard of care for patients with cancer. Streamlining is essential for high-quality care and efficiency. This study evaluated the feasibility of implementing a protocol to remove patients with benign breast disease from discussion at the MDM. METHODS: A prospective review of 218 MDMs evaluated patients with benign breast disease over 22 months. This was followed by a protocol implementation phase over 54 MDMs (6.5 months). Patients meeting specific criteria were excluded from discussion. RESULTS: On average, each MDM consisted of 37 patients, 34.2% of whose conditions were benign and potentially could have been removed from discussion. The implementation phase showed 708/2248 patients (32.5%) were benign of which 631 cases (89%) met the eligibility criteria and were removed from the MDM list allowing more time for discussion of complex cases. CONCLUSION: Implementing a protocol can safely exclude patients with benign disease from MDM discussion.


Assuntos
Neoplasias da Mama , Equipe de Assistência ao Paciente , Humanos , Neoplasias da Mama/terapia , Feminino , Estudos Prospectivos , Equipe de Assistência ao Paciente/organização & administração , Comunicação Interdisciplinar , Protocolos Clínicos , Pessoa de Meia-Idade
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