Drayton, D, Howard, S, Hammond, C et al. (3 more authors) (Cover date: 2022) Multidisciplinary Team Decisions in the Management of Abdominal Aortic Aneurysm: A Service and Quality Evaluation. EJVES Vascular Forum, 54. pp. 49-53. ISSN 2666-688X
Abstract
Objective
To investigate whether decisions made by the multidisciplinary team (MDT) were implemented and review the MDT process to identify areas for improvement.
Methods
This was a retrospective service evaluation project. Consecutive cases of abdominal aortic aneurysm (AAA) from vascular surgery MDT meetings were reviewed. MDT outputs were extracted and compared with implemented clinical management obtained from the electronic health record (EHR) to determine concordance. Cases were re-reviewed to understand reasons why planned management was not implemented.
Results
From 42 MDT meetings, 106 patients were identified. Twenty four patients were discussed at two MDTs and four patients were discussed three times. Of the 106 patients, 91 (85.8%) were treated as planned, seven (6.6%) declined planned management and opted for conservative management, four (3.8%) patients died before treatment, and four (3.8%) had alternative management for individual reasons. Of the patients discussed multiple times, 15 (53.6%) needed review by a consultant anaesthetist or additional investigations.
Conclusion
This service evaluation found a similar proportion of cases as in existing oncology literature where the MDT decision was not implemented. However, the natural history of AAA brings nuance to this finding. Facilitating patient preference is an important problem that will require future study. This evaluation resulted in local improvements to the MDT process for AAA.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2022 The Authors. Published by Elsevier Ltd on behalf of European Society for Vascular Surgery.This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Aortic aneurysm; Abdominal; Clinical decision making; Multidisciplinary team; Vascular surgical procedures |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Psychiatry and Behavioural Sciences (Leeds) |
Funding Information: | Funder Grant number National Institute Academic Anaesthesia Not Known |
Depositing User: | Symplectic Publications |
Date Deposited: | 07 Jan 2022 12:59 |
Last Modified: | 05 Sep 2023 15:01 |
Published Version: | https://www.sciencedirect.com/science/article/pii/... |
Status: | Published |
Publisher: | European Journal of Vascular and Endovascular Surgery |
Identification Number: | 10.1016/j.ejvsvf.2022.01.005 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:182061 |
Download
Licence: CC-BY-NC-ND 4.0