Multidisciplinary approach in breast cancer

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dc.creatorAna Maria de Araújo Martins
dc.creatorAna Cristina Dias de Paiva
dc.creatorDebora Balabram
dc.creatorGilvane Naves Marcondes Goulart
dc.creatorLarissa Oliveira de Aquino
dc.creatorMayne Cardoso Cani
dc.creatorThais Vilela de Pinho Andrade
dc.creatorCarolina Patricia Mendes Rutkowsk
dc.creatorLeandro Goncalves Alves Ramos
dc.creatorJuliana Silva Barra
dc.creatorEliza Maria de Freitas Range
dc.creatorKelly Cristina Reis
dc.creatorAna Silvia Diniz Makluf
dc.creatorSoraia Martins de Araujo
dc.creatorCarolina de Oliveira Barra
dc.creatorPriscilla Duraes Bicalho
dc.creatorAloma de Fatima Campos Morici
dc.creatorAnnamaria Massahud Rodrigues Dos Santos
dc.date.accessioned2023-07-31T21:30:59Z
dc.date.accessioned2025-09-09T00:06:54Z
dc.date.available2023-07-31T21:30:59Z
dc.date.issued2013-06-04
dc.format.mimetypepdf
dc.identifier.doidoi: 10.1038/bjc.2013.267
dc.identifier.issn25741241
dc.identifier.urihttps://hdl.handle.net/1843/57274
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBritish Journal of Cancer
dc.rightsAcesso Aberto
dc.subjectNeoplasias Inflamatórias Mamárias
dc.subjectEquipe de Assistência ao Paciente
dc.subject.otherBreast cancer
dc.subject.otherMultidisciplinary team
dc.titleMultidisciplinary approach in breast cancer
dc.typeArtigo de periódico
local.citation.epage2447
local.citation.issue1
local.citation.spage2442
local.citation.volume108
local.description.resumoBackground: 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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://www.nature.com/articles/bjc2013267

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