Exact(4)
This equates to an average of five MDT decisions per patient made over two MDT meetings.
Two MDT meetings lasting one-and-a-half hours were held each week and each was led by one of two Consultants.
On average, there are two MDT meetings per week with three radiologists, three oncologists, two breast surgeons, one pathologist, two specialist nurses, two breast care nurses, one trial nurse, one database manager and one MDT coordinator present.
The majority of patients are discussed at two MDT meetings: (i) an initial diagnostic MDT where the histological diagnosis is confirmed, neoadjuvant and surgical decisions are made, (ii) a second postoperative MDT where adjuvant treatment decisions are considered.
Similar(56)
Twelve MDT members were interviewed including the MDT lead and two CNS' from each team together with other medical MDT members (oncologists and surgeons, Table 3).>> Findings indicated that patients had limited opportunities to input to or influence the decision-making process in MDT meetings.
Twenty-two MDthroughoutout Wales participated in the larger communication study.
Of the six discordant MDT decisions relating to breast surgery, two patients were upgraded from WLE to mastectomy at surgical review.
Five complete MDT meetings were also observed (over 8 h in total) each at a different hospital site.
Of the remaining seven discordant MDT decisions relating to axillary surgery, one patient planned for ALND was considered suitable for SLNB by the surgical team.
In MDT, two different methods have been considered to perform speech or speaker recognition with incomplete data: marginalization [13] [15] and reconstruction [16],[16].
Two RCTs evaluated MDT care amongst patients with terminal conditions; the results were mixed.
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