Multidisciplinary approach in breast cancer
Main Author: | |
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Publication Date: | 2013 |
Other Authors: | , , , , , , , , , , , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositório Institucional da UFMG |
Download full: | http://hdl.handle.net/1843/57274 |
Summary: | Background: A multidisciplinary team (MDT) approach to breast cancer management is the gold standard. The aim is to evaluate MDT decision making in a modern breast unit.Methods: All referrals to the breast MDT where breast cancer was diagnosed from 1 July 2009 to 30 June 2011 were included.Multidisciplinary team decisions were compared with subsequent patient management and classified as concordant or discordant.Results: Over the study period, there were 3230 MDT decisions relating to 705 patients. Overall, 91.5% (2956 out of 3230) of decisions were concordant, 4.5% (146 out of 3230), were discordant and 4% (128 out of 3230) had no MDT decision. Of 146 discordant decisions, 26 (17.8%) were considered ‘unjustifiable’ as there was no additional information available after the MDT to account for the change in management. The remaining 120 discordant MDT decisions were considered ‘justifiable’, as management was altered due to patient choice (n ¼ 61), additional information available after MDT (n ¼ 54) or MDT error (n ¼ 5). Conclusion: The vast majority of MDT decisions are implemented. Management alteration was most often due to patient choice or additional information available after the MDT. A minority of management alterations were ‘unjustifiable’ and the authors recommend that any patient whose treatment is subsequently changed should have MDT rediscussion prior to treatment. |
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2023-07-31T21:30:59Z2023-07-31T21:30:59Z2013-06-04108124422447doi: 10.1038/bjc.2013.26725741241http://hdl.handle.net/1843/57274Background: A multidisciplinary team (MDT) approach to breast cancer management is the gold standard. The aim is to evaluate MDT decision making in a modern breast unit.Methods: All referrals to the breast MDT where breast cancer was diagnosed from 1 July 2009 to 30 June 2011 were included.Multidisciplinary team decisions were compared with subsequent patient management and classified as concordant or discordant.Results: Over the study period, there were 3230 MDT decisions relating to 705 patients. Overall, 91.5% (2956 out of 3230) of decisions were concordant, 4.5% (146 out of 3230), were discordant and 4% (128 out of 3230) had no MDT decision. Of 146 discordant decisions, 26 (17.8%) were considered ‘unjustifiable’ as there was no additional information available after the MDT to account for the change in management. The remaining 120 discordant MDT decisions were considered ‘justifiable’, as management was altered due to patient choice (n ¼ 61), additional information available after MDT (n ¼ 54) or MDT error (n ¼ 5). Conclusion: The vast majority of MDT decisions are implemented. Management alteration was most often due to patient choice or additional information available after the MDT. A minority of management alterations were ‘unjustifiable’ and the authors recommend that any patient whose treatment is subsequently changed should have MDT rediscussion prior to treatment.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIABritish Journal of CancerNeoplasias Inflamatórias MamáriasEquipe de Assistência ao PacienteBreast cancerMultidisciplinary teamMultidisciplinary approach in breast cancerinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.nature.com/articles/bjc2013267Ana Maria de Araújo MartinsAna Cristina Dias de PaivaDebora BalabramGilvane Naves Marcondes GoulartLarissa Oliveira de AquinoMayne Cardoso CaniThais Vilela de Pinho AndradeCarolina Patricia Mendes RutkowskLeandro Goncalves Alves RamosJuliana Silva BarraEliza Maria de Freitas RangeKelly Cristina ReisAna Silvia Diniz MaklufSoraia Martins de AraujoCarolina de Oliveira BarraPriscilla Duraes BicalhoAloma de Fatima Campos MoriciAnnamaria Massahud Rodrigues Dos Santosapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/57274/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALMultidisciplinary decisions in breast cancer pdfa.pdfMultidisciplinary decisions in breast cancer pdfa.pdfapplication/pdf104185https://repositorio.ufmg.br/bitstream/1843/57274/2/Multidisciplinary%20decisions%20in%20breast%20cancer%20pdfa.pdf3f7382d82eb3894515075256f341e42aMD521843/572742023-07-31 18:34:35.039oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-07-31T21:34:35Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Multidisciplinary approach in breast cancer |
title |
Multidisciplinary approach in breast cancer |
spellingShingle |
Multidisciplinary approach in breast cancer Ana Maria de Araújo Martins Breast cancer Multidisciplinary team Neoplasias Inflamatórias Mamárias Equipe de Assistência ao Paciente |
title_short |
Multidisciplinary approach in breast cancer |
title_full |
Multidisciplinary approach in breast cancer |
title_fullStr |
Multidisciplinary approach in breast cancer |
title_full_unstemmed |
Multidisciplinary approach in breast cancer |
title_sort |
Multidisciplinary approach in breast cancer |
author |
Ana Maria de Araújo Martins |
author_facet |
Ana Maria de Araújo Martins Ana Cristina Dias de Paiva Debora Balabram Gilvane Naves Marcondes Goulart Larissa Oliveira de Aquino Mayne Cardoso Cani Thais Vilela de Pinho Andrade Carolina Patricia Mendes Rutkowsk Leandro Goncalves Alves Ramos Juliana Silva Barra Eliza Maria de Freitas Range Kelly Cristina Reis Ana Silvia Diniz Makluf Soraia Martins de Araujo Carolina de Oliveira Barra Priscilla Duraes Bicalho Aloma de Fatima Campos Morici Annamaria Massahud Rodrigues Dos Santos |
author_role |
author |
author2 |
Ana Cristina Dias de Paiva Debora Balabram Gilvane Naves Marcondes Goulart Larissa Oliveira de Aquino Mayne Cardoso Cani Thais Vilela de Pinho Andrade Carolina Patricia Mendes Rutkowsk Leandro Goncalves Alves Ramos Juliana Silva Barra Eliza Maria de Freitas Range Kelly Cristina Reis Ana Silvia Diniz Makluf Soraia Martins de Araujo Carolina de Oliveira Barra Priscilla Duraes Bicalho Aloma de Fatima Campos Morici Annamaria Massahud Rodrigues Dos Santos |
author2_role |
author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Ana Maria de Araújo Martins Ana Cristina Dias de Paiva Debora Balabram Gilvane Naves Marcondes Goulart Larissa Oliveira de Aquino Mayne Cardoso Cani Thais Vilela de Pinho Andrade Carolina Patricia Mendes Rutkowsk Leandro Goncalves Alves Ramos Juliana Silva Barra Eliza Maria de Freitas Range Kelly Cristina Reis Ana Silvia Diniz Makluf Soraia Martins de Araujo Carolina de Oliveira Barra Priscilla Duraes Bicalho Aloma de Fatima Campos Morici Annamaria Massahud Rodrigues Dos Santos |
dc.subject.por.fl_str_mv |
Breast cancer Multidisciplinary team |
topic |
Breast cancer Multidisciplinary team Neoplasias Inflamatórias Mamárias Equipe de Assistência ao Paciente |
dc.subject.other.pt_BR.fl_str_mv |
Neoplasias Inflamatórias Mamárias Equipe de Assistência ao Paciente |
description |
Background: A multidisciplinary team (MDT) approach to breast cancer management is the gold standard. The aim is to evaluate MDT decision making in a modern breast unit.Methods: All referrals to the breast MDT where breast cancer was diagnosed from 1 July 2009 to 30 June 2011 were included.Multidisciplinary team decisions were compared with subsequent patient management and classified as concordant or discordant.Results: Over the study period, there were 3230 MDT decisions relating to 705 patients. Overall, 91.5% (2956 out of 3230) of decisions were concordant, 4.5% (146 out of 3230), were discordant and 4% (128 out of 3230) had no MDT decision. Of 146 discordant decisions, 26 (17.8%) were considered ‘unjustifiable’ as there was no additional information available after the MDT to account for the change in management. The remaining 120 discordant MDT decisions were considered ‘justifiable’, as management was altered due to patient choice (n ¼ 61), additional information available after MDT (n ¼ 54) or MDT error (n ¼ 5). Conclusion: The vast majority of MDT decisions are implemented. Management alteration was most often due to patient choice or additional information available after the MDT. A minority of management alterations were ‘unjustifiable’ and the authors recommend that any patient whose treatment is subsequently changed should have MDT rediscussion prior to treatment. |
publishDate |
2013 |
dc.date.issued.fl_str_mv |
2013-06-04 |
dc.date.accessioned.fl_str_mv |
2023-07-31T21:30:59Z |
dc.date.available.fl_str_mv |
2023-07-31T21:30:59Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/57274 |
dc.identifier.doi.pt_BR.fl_str_mv |
doi: 10.1038/bjc.2013.267 |
dc.identifier.issn.pt_BR.fl_str_mv |
25741241 |
identifier_str_mv |
doi: 10.1038/bjc.2013.267 25741241 |
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http://hdl.handle.net/1843/57274 |
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eng |
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eng |
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British Journal of Cancer |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
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Brasil |
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MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA |
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Universidade Federal de Minas Gerais |
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reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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