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Practice patterns of multidisciplinary team meetings in Korean cancer care and patient satisfaction with this approach

Korean Journal of Internal Medicine 2020년 35권 1호 p.205 ~ 214
맹치훈 ( Maeng Chi-Hoon ) - Kyung Hee University Hospital Department of Medical Oncology and Hematology

안희경 ( Ahn Hee-Kyung ) - Gachon University Gil Medical Center Department of Internal Medicine
오성용 ( Oh Sung-Yong ) - Dong-A University College of Medicine Department of Internal Medicine
임승택 ( Lim Seung-Taek ) - Wonju Severance Christian Hospital Department of Internal Medicine
김봉석 ( Kim Bong-Seog ) - Veterans Health Service Medical Center Department of Internal Medicine
김도연 ( Kim Do-Yeun ) - Dongguk University Ilsan Hospital Department of Internal Medicine

Abstract


Background/Aims: The multidisciplinary team (MDT) approach is a cornerstone of clinical oncology. This study investigated the current state of MDT care, including patient satisfaction, in Korea.

Methods: We obtained the annual number of cancer patients who have received MDT care since 2014 from the registry of the Health Insurance Review and Assessment Service (HIRA). In addition, patients who received MDT care from August 2014 to May 2017 at four university hospitals were further characterized, and patient satisfaction was measured prospectively using a patient-reported questionnaire.

Results: The total number of patients who received MDT care increased from 2014 to 2016 (2,113 to 9,998 patients, respectively) in the HIRA Cohort. The type of cancer that most often required MDT was breast cancer (23.8%), followed by colorectal cancer (19.1%). In the Representative Cohort (n = 1,032), MDT was requested by the surgeon more than half the time (55.7%). The main focus of MDT was decision making for further treatment planning (99.0%). The number of doctors participating in the MDT was usually five (70.0%). After initiating an MDT approach, the treatment plan changed for 17.4% of patients. Among these patients, 359 completed a prospective satisfaction survey regarding their MDT care. The overall satisfaction with the MDT approach was very high, with an average score of 9.6 out of 10 points.

Conclusions: The application of MDT care is a rapidly growing trend in clinical oncology, and shows high patient satisfaction. Further research is needed to determine which types of cancer patients could benefit most from MDT, and to enable MDT care to operate more efficiently so that it may expand successfully throughout Korea.

키워드

Multidisciplinary team ; Patient satisfaction ; Treatment outcome ; Medical oncology
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