Evaluation of multidisciplinary team meeting; the example of gynecological mammary cancers in a tertiary referral center in Morocco

• Published in: Bulletin du cancer Vol. 104; no. 7-8; p. 644
• Main Authors: Chaouki, Wahid, Mimouni, Mohsine, Boutayeb, Saber, Hachi, Hafid, Errihani, Hassan, Benjaafar, Noureddine
• Format: Journal Article
• Language: French
• Published: France 01.07.2017
• Subjects: Aged; Breast Neoplasms - therapy; Clinical Audit; Decision Making; Female; Genital Neoplasms, Female - therapy; Humans; Interdisciplinary Communication; Medical Oncology - statistics & numerical data; Morocco; Patient Care Team - organization & administration; Patient Care Team - statistics & numerical data; Radiation Oncology - statistics & numerical data; Retrospective Studies; Surgical Oncology - statistics & numerical data; Tertiary Care Centers; Uterine Cervical Neoplasms - therapy; Multidisciplinary team meeting; Evaluation; Réunion de concertation pluridisciplinaire; Évaluation; Completeness; Quality; Qualité; Exhaustivité; Cancer
• ISSN: 1769-6917
• DOI: 10.1016/j.bulcan.2017.04.004

The multidisciplinary team meeting has become a standard medical practice in oncology. However, no evaluation of this activity was carried out in Morocco. The aim of this study was to evaluate the multidisciplinary team meeting of gynecological mammary cancers in a National Tertiary Referral Center. The study was carried out by retrospective analysis of 207 cases of patients randomly selected among the 1190 cases recruited during the year 2015. Completeness and quality criteria were evaluated. The global completeness rate of passage in multidisciplinary team meeting is 38%. According to the therapeutic specialities, the completeness of passage in multidisciplinary team meeting is 68% of surgery, 35% of medical oncology and 19% of radiotherapy. As far as localizations are concerned, the completeness of passage in multidisciplinary team meeting is 43% for the breast and only 19% for the cervix. A quorum was met 100% of the cases. In 96% of cases the treatment performed is in accordance with the decision of the multidisciplinary team meeting. Eighty-four percent of cases performed multidisciplinary team meeting within less than one month. This analysis shows that the completeness of the transition to multidisciplinary team meeting has not reached the 100% planned by our institution. However, the requirements for conducting the multidisciplinary team meeting were generally met. This study shows an organizational evolution of our structure based on collective and multidisciplinary medical decision. The national obligation measure of multidisciplinary team meeting is necessary.