Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management

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...

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Main Authors: Mohamed Attia, Sarah Pinder, Arnie Purushotham, Aaditya Prakash Sinha, Katie Badawy, Belul Shifa, Zhane Peterson
Format: Article
Language:English
Published: BMJ Publishing Group 2024-09-01
Series:BMJ Health & Care Informatics
Online Access:https://informatics.bmj.com/content/31/1/e100949.full
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author Mohamed Attia
Sarah Pinder
Arnie Purushotham
Aaditya Prakash Sinha
Katie Badawy
Belul Shifa
Zhane Peterson
author_facet Mohamed Attia
Sarah Pinder
Arnie Purushotham
Aaditya Prakash Sinha
Katie Badawy
Belul Shifa
Zhane Peterson
author_sort Mohamed Attia
collection DOAJ
description 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.
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spelling doaj-art-e432efb0a6c441aaaaac0f7a3db4f1252025-08-20T02:14:15ZengBMJ Publishing GroupBMJ Health & Care Informatics2632-10092024-09-0131110.1136/bmjhci-2023-100949Improving breast cancer multidisciplinary meetings through streamlining with protocol-based managementMohamed Attia0Sarah Pinder1Arnie Purushotham2Aaditya Prakash Sinha3Katie Badawy4Belul Shifa5Zhane Peterson6Breast Surgery, Guy`s and St Thomas` Hospitals NHS Trust, London, UKSchool of Cancer and Pharmaceutical Sciences, King’s College London, London, England, UKBreast Surgery, Guy`s and St Thomas` Hospitals NHS Trust, London, UKSchool of Cancer and Pharmaceutical Sciences, King`s College London, London, UKKing`s College London, London, UKBreast Surgery, Guy`s and St Thomas` Hospitals NHS Trust, London, UKBreast Surgery, Guy`s and St Thomas` Hospitals NHS Trust, London, UKObjectives 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.https://informatics.bmj.com/content/31/1/e100949.full
spellingShingle Mohamed Attia
Sarah Pinder
Arnie Purushotham
Aaditya Prakash Sinha
Katie Badawy
Belul Shifa
Zhane Peterson
Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management
BMJ Health & Care Informatics
title Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management
title_full Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management
title_fullStr Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management
title_full_unstemmed Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management
title_short Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management
title_sort improving breast cancer multidisciplinary meetings through streamlining with protocol based management
url https://informatics.bmj.com/content/31/1/e100949.full
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