A systematic scoping review of determinants of multidisciplinary cancer team access and decision-making in the management of older patients diagnosed with colorectal cancer

Holden, Carol A; Poprawski, Dagmara; Singhal, Nimit; Buckley, Elizabeth; Caruso, Joanna; Wichmann, Matthias W.; Price, Timothy

doi:10.1016/j.jgo.2019.11.002

Cited by 4 publications

(3 citation statements)

References 47 publications

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“…Some multidisciplinary oncology clinics not only focus on a specific cancer subtype, but also on the effect of increasing age on cancer biology and response to and tolerability of treatment. Disappointingly, a scoping review of multidisciplinary care for patients with colorectal cancer demonstrated that older age negatively influenced access to multidisciplinary care with older patients less likely to be discussed by a multidisciplinary team [32]. Fortunately, oncogeriatric-specific multidisciplinary teams are increasingly utilized in evaluation of older adults with cancer.…”

Section: Supporting Evidence For the Role Of Multidisciplinary Care I...mentioning

confidence: 99%

Multidisciplinary Approach to Older Adults with Hematologic Malignancies—a Paradigm Shift

Wall

Stevens²,

Vaughn

et al. 2022

Curr Hematol Malig Rep

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Hematologic malignancies are most likely to present in the seventh and eighth decades of life. Continued population growth will lead to increasing numbers of older adults with hematologic malignancies. Oncology care for older adults is complex and must account for the effect of aging on disease biology and treatment tolerance. Multidisciplinary oncology care has been utilized in solid tumor oncology for decades, initially driven by the need for multi-modality treatment. In this review, we make the case for multidisciplinary oncogeriatric care for older adults with hematologic malignancies in order to best navigate the intersection of aging and blood cancer.

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Section: Supporting Evidence For the Role Of Multidisciplinary Care I...mentioning

confidence: 99%

Multidisciplinary Approach to Older Adults with Hematologic Malignancies—a Paradigm Shift

Wall

Stevens²,

Vaughn

et al. 2022

Curr Hematol Malig Rep

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show abstract

“…Incorporating patient specific information into multidisciplinary decision-making has been shown to have an impact on treatment decisions, with alteration of treatment in about a quarter of cases [15e17]. It can also complicate the decision-making, leading to longer discussion time and fewer decisions made [18,19]. Not including this information, however, leads to lower implementation of the MDT recommendations [20].…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary decision-making in older patients with cancer, does it differ from younger patients?

Festen

Nijmeijer

Leeuwen

et al. 2021

European Journal of Surgical Oncology

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Background: In order to tailor treatment to the individual patient, it is important to take the patients context and preferences into account, especially for older patients. We assessed the quality of information used in the decision-making process in different oncological MDTs and compared this for older (70 years) and younger patients. Patients and methods: Cross-sectional observations of oncological MDTs were performed, using an observation tool in a University Hospital. Primary outcome measures were quality of input of information into the discussion for older and younger patients. Secondary outcomes were the contribution of different team members, discussion time for each case and whether or not a treatment decision was formulated. Results: Five-hundred and three cases were observed. The median patient age was 63 year, 32% were 70. In both age groups quality of patient-centered information (psychosocial information and patient's view) was poor. There was no difference in quality of information between older and younger patients, only for comorbidities the quality of information for older patients was better. There was no significant difference in the contributions by team members, discussion time (median 3.54 min) or number of decision reached (87.5%). Conclusion: For both age groups, we observed a lack of patient-centered information. The only difference between the age groups was for information on comorbidities. There were also no differences in contributions by different team members, case discussion time or number of decisions. Decision-making in the observed oncological MDTs was mostly based on medical technical information.

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“…(10) When patients are diagnosed with colorectal cancer, they think that it has a low survival rate. Thus, they tend to seek cross-disciplinary medical treatments, (11)(12)(13) complete affiliated medical care, (14) medical care services, (15) patient-centered medical care centers, (16) and renowned physicians through various channels. This results in a delay in the appropriate diagnosis and treatment by physicians.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Intensified Colorectal Cancer Treatment Using Model Based on Delphi Method, Fuzzy Logic, and Analytical Hierarchy Process (DFAHP)

Wu¹,

Ke²,

Meen³

2021

Sensors and Materials

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Colorectal cancer is one of the major fatal diseases in Taiwan, and the age of patients is decreasing yearly. As the early symptoms of malignant intestinal swelling are not obvious, most patients are not diagnosed with colorectal cancer until they are in a serious condition, and early diagnosis of colorectal cancer is a major challenge. In addition to genetic factors, colorectal cancer is caused by stress and poor dietary habits. To improve the effectiveness of treatment, we propose a model for multi-attribute decision-making based on medical data by combining the Delphi method, fuzzy logic theory, and the analytical hierarchy process. In the hierarchical structure, key risk factors and their values are proposed using fuzzy logic theory. The model suggests the importance of the medical team, medical equipment, post-operative care, and other factors for treating colorectal cancer effectively. Treatment and appropriate care must be integrated in the overall medical process to improve the effectiveness of colorectal cancer treatment.

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A systematic scoping review of determinants of multidisciplinary cancer team access and decision-making in the management of older patients diagnosed with colorectal cancer

Cited by 4 publications

References 47 publications

Multidisciplinary Approach to Older Adults with Hematologic Malignancies—a Paradigm Shift

Multidisciplinary Approach to Older Adults with Hematologic Malignancies—a Paradigm Shift

Multidisciplinary decision-making in older patients with cancer, does it differ from younger patients?

Evaluation of Intensified Colorectal Cancer Treatment Using Model Based on Delphi Method, Fuzzy Logic, and Analytical Hierarchy Process (DFAHP)

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