Benefits of multidisciplinary teamwork in the management of breast cancer

Cath Taylor,1 Amanda Shewbridge,2 Jenny Harris,1 James S Green3,4 1Florence Nightingale School of Nursing and Midwifery, King’s College London, London UK; 2Breast Cancer Services, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; 3Department of Urology, Barts Healt...

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Autores principales:	Taylor C, Shewbridge A, Harris J, Green JS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/1b0bab05603549b48c65348dda63380b
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spelling	oai:doaj.org-article:1b0bab05603549b48c65348dda63380b2021-12-02T11:17:58ZBenefits of multidisciplinary teamwork in the management of breast cancer1179-1314https://doaj.org/article/1b0bab05603549b48c65348dda63380b2013-08-01T00:00:00Zhttp://www.dovepress.com/benefits-of-multidisciplinary-teamwork-in-the-management-of-breast-can-a14212https://doaj.org/toc/1179-1314Cath Taylor,1 Amanda Shewbridge,2 Jenny Harris,1 James S Green3,4 1Florence Nightingale School of Nursing and Midwifery, King’s College London, London UK; 2Breast Cancer Services, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; 3Department of Urology, Barts Health NHS Trust, London, UK; 4Department of Health and Social Care, London South Bank University, London, UK Abstract: The widespread introduction of multidisciplinary team (MDT)-work for breast cancer management has in part evolved due to the increasing complexity of diagnostic and treatment decision-making. An MDT approach aims to bring together the range of specialists required to discuss and agree treatment recommendations and ongoing management for individual patients. MDTs are resource-intensive yet we lack strong (randomized controlled trial) evidence of their effectiveness. Clinical consensus is generally favorable on the benefits of effective specialist MDT-work. Many studies have shown the benefits of receiving treatment from a specialist center, and evidence continues to accrue from comparative studies of clinical benefits of an MDT approach, including improved survival. Patients’ views of the MDT model of decision-making (and in particular its impact on involvement in decisions about their care) have been under-researched. Barriers to effective teamwork and poor decision-making include excessive caseload, low attendance at meetings, lack of leadership, poor communication, role ambiguity, and failure to consider patients’ holistic needs. Breast cancer nurses have a key role in relation to assessing holistic needs, and their specialist contribution has also been associated with improved patient experience and quality of life. This paper examines the evidence for the benefits of MDT-work, in particular for breast cancer. Evidence is considered within a context of growing cancer incidence at a time of increased financial restraint, and it may now be important to reevaluate the structure and models of MDT-work to ensure that MDTs are an efficient use of resources. Keywords: interdisciplinary teams, interprofessional interactions, multidisciplinary collaboration, teams, teamworkTaylor CShewbridge AHarris JGreen JSDove Medical PressarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol 2013, Iss default, Pp 79-85 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Taylor C Shewbridge A Harris J Green JS Benefits of multidisciplinary teamwork in the management of breast cancer
description	Cath Taylor,1 Amanda Shewbridge,2 Jenny Harris,1 James S Green3,4 1Florence Nightingale School of Nursing and Midwifery, King’s College London, London UK; 2Breast Cancer Services, Guy’s and St Thomas’ NHS Foundation Trust, London, UK; 3Department of Urology, Barts Health NHS Trust, London, UK; 4Department of Health and Social Care, London South Bank University, London, UK Abstract: The widespread introduction of multidisciplinary team (MDT)-work for breast cancer management has in part evolved due to the increasing complexity of diagnostic and treatment decision-making. An MDT approach aims to bring together the range of specialists required to discuss and agree treatment recommendations and ongoing management for individual patients. MDTs are resource-intensive yet we lack strong (randomized controlled trial) evidence of their effectiveness. Clinical consensus is generally favorable on the benefits of effective specialist MDT-work. Many studies have shown the benefits of receiving treatment from a specialist center, and evidence continues to accrue from comparative studies of clinical benefits of an MDT approach, including improved survival. Patients’ views of the MDT model of decision-making (and in particular its impact on involvement in decisions about their care) have been under-researched. Barriers to effective teamwork and poor decision-making include excessive caseload, low attendance at meetings, lack of leadership, poor communication, role ambiguity, and failure to consider patients’ holistic needs. Breast cancer nurses have a key role in relation to assessing holistic needs, and their specialist contribution has also been associated with improved patient experience and quality of life. This paper examines the evidence for the benefits of MDT-work, in particular for breast cancer. Evidence is considered within a context of growing cancer incidence at a time of increased financial restraint, and it may now be important to reevaluate the structure and models of MDT-work to ensure that MDTs are an efficient use of resources. Keywords: interdisciplinary teams, interprofessional interactions, multidisciplinary collaboration, teams, teamwork
format	article
author	Taylor C Shewbridge A Harris J Green JS
author_facet	Taylor C Shewbridge A Harris J Green JS
author_sort	Taylor C
title	Benefits of multidisciplinary teamwork in the management of breast cancer
title_short	Benefits of multidisciplinary teamwork in the management of breast cancer
title_full	Benefits of multidisciplinary teamwork in the management of breast cancer
title_fullStr	Benefits of multidisciplinary teamwork in the management of breast cancer
title_full_unstemmed	Benefits of multidisciplinary teamwork in the management of breast cancer
title_sort	benefits of multidisciplinary teamwork in the management of breast cancer
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/1b0bab05603549b48c65348dda63380b
work_keys_str_mv	AT taylorc benefitsofmultidisciplinaryteamworkinthemanagementofbreastcancer AT shewbridgea benefitsofmultidisciplinaryteamworkinthemanagementofbreastcancer AT harrisj benefitsofmultidisciplinaryteamworkinthemanagementofbreastcancer AT greenjs benefitsofmultidisciplinaryteamworkinthemanagementofbreastcancer
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Benefits of multidisciplinary teamwork in the management of breast cancer

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