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Modern Multidisciplinary Patient Management an Electronic MDT Tool

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Presentation on theme: "Modern Multidisciplinary Patient Management an Electronic MDT Tool"— Presentation transcript:

1

2 Modern Multidisciplinary Patient Management an Electronic MDT Tool
Fouad KHOURY MD Uro-Oncology Saint George Hospital UMC, Lebanon OLV Hospital, Belgium

3 Disclosures None

4 Background Multidisciplinary Team (MDT) approach
Bringing together a range of specialists Discuss and agree on treatment recommendations Collaborative development Individual treatment Plan Resource intensive Taylor et al. BMC Health Serv Res. 2014 Oct

5 Barriers of MDT Time pressure Excessive caseload
Low attendance at MDT meetings Geographic barriers Poor teamwork and lack of leadership Poor data collection prior to MDT Lack of important medical info Lack of consideration of holistic information about the patient Comorbidities etc. Lamb et al. Ann Surg Oncol. 2013 May Stairmand et al. Ann Oncol. 2015 Jul

6 Barriers of MDT Resistance to change
Communication with colleagues has been cited as a major source of stress in MDTs Poor communication within the team and role ambiguity poor definition / understanding of roles within the team can lead to dysfunctional teamwork Taylor et al. Breast Cancer (Dove Med Press). 2013 Aug Lamb et al. Ann Surg Oncol. 2013 May

7 Solution? Programmed and encoded Web-Based Software Guidelines
Major Trials Related to a certain case Web-Based Software Build-in cases All Data essential for MDT discussion is set No more lacking medical info / Time efficient Accessible from different locations Cases can be discussed in the absence of attending physician

8 Solution? Depending on the specific input (i.e. patient profile)
Taking into consideration the entire electronic medical records of the patient inclluding Comorbidities Cardiovascular / Renal / Hepatic status Medications etc. Interpretation is provided

9 Interpretation Clear and Unique Decision Plan
Straightforward cases / Consensus based on guidelines Multiple Decision Plans / Options Software may provide highlights in favor or against a certain decision Guidance in the MDT discussion Inability of the software to provide highlights MDT discussion and decision

10 Other Clinical Values All items are encoded Monitor treatment outcomes
Used for Data Mining and Research purposes No data gathering and retrieval from patient files Data and Graphs are few clicks away Monitor treatment outcomes Concordance / Discordant with MDT decision

11 Flowchart - EAU guidelines 2016
EAU guidelines 2016 – uroweb.org

12 LIVE DEMO Case Presentations

13 Second line Therapies for mCRPC
Next Step Second line Therapies for mCRPC

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