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The only characteristic associated with missingness was MDT disease type.
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Among 36 (39.1%) of the MB patients on WHO-MDT, the disease was observed to have been cured; 17.4% continued with active disease but without deformity.
Our aim was to identify key characteristics of chronic disease MDT meetings associated with decision implementation.
To achieve this, we addressed the following objectives: (1) to examine chronic disease MDT meetings to quantitatively identify factors influencing their effectiveness in terms of decision implementation and (2) to explore the reasons for any factors identified through semistructured interviews and non-participant observation of meetings.
Moreover, there is substantial diversity in their perceived purpose and their organisation, both between mental health teams and across other chronic disease MDTs [ 6– 9].
High implementing MDTs, regardless of disease type, had clear goals and more frequently referred to diagnostic or treatment protocols and national guidelines.
17 Given the widespread presence of MDTs, the opportunity costs for the NHS of unwarranted variations in team membership and processes and the consequences for patients of inequitable care, we undertook a prospective mixed-methods study of a range of chronic disease MDTs to investigate determinants of effectiveness.
Patients in the MDT arm who had disease of a high clinical spectrum such as BL/LL/neuritic leprosy were observed to have a significantly greater incidence of disability (χ=19.6, p<0.001).
We undertook a prospective cohort study of MDT meetings in 12 chronic disease adult MDTs across London and North Thames between December 2010 and December 2012.
Apart from two small retrospective cohort studies from the UK (one study which assessed outcomes of women with cardiac disease who received MDT care in pregnancy [ 29]; and a second study which assessed if management guidelines were followed for women with cardiac disease [ 27]), no other primary research papers were identified.
The previous study evaluating the implementation of MDT decisions in patients with breast disease excluded patients where the MDT decision was not recorded (English et al, 2012).
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