Introduction: In 2012, an international multidisciplinary consultation formulated a determinant based classification of acute pancreatitis severity to rival or replace the 2012 updated Atlanta classification, based on the actual local and systemic determinants of severity.
Developing such clinical practice guidelines is a highly-structured, labor intensive process, involving a rigorous review and critical appraisal of the literature, multidisciplinary consultation, and grading of the resulting recommendations based on the quality of available evidence [ 20].
In this cluster randomised trial (Trial registration: Dutch Trial Registry: NTR-3367) midwifery practices in participating municipalities ('clusters') were randomly assigned to either the use of a score card ('R4U') based antenatal risk assessment, care pathways and multidisciplinary consultation (intervention group) or conventional risk assessment (control group).
A senior nurse consultant, member of the multidisciplinary consultation team, is assigned to be the network coordinator, supported by the medical oncologist of the team.
Based on consensus, we distinguished three intervention strategies: (1) risk factor management, (2) multidisciplinary consultation and (3) shared decision making.
Surgical selection was based on aneurysm morphology, patient's neurological condition, and treatment-relative risk following multidisciplinary consultation.
One study of a multidisciplinary consultation in Israel reported creating a multidisciplinary clinic in the community for frequent attenders.
11 The second strategy, multidisciplinary consultation, was assessed in 11 studies (61%).
Treatment options were discussed in a multidisciplinary consultation between radiologists and vascular surgeons.
Families in the intervention group will participate in the new style multidisciplinary consultation.
