Clinical trial NCT04000802: Evaluation of the Decision-making During Multidisciplinary Meetings for Digestive Cancers
Official title: Prospective Evaluation of the Decision-making During Multidisciplinary Meetings for Digestive Cancers
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Decision Making
Quality of Health Care
Neoplasms/Therapy
Patient Care Team
Lead sponsor: Moroccan Society of Surgery
Sponsor class: OTHER
First posted: 2019-06-27
Enrollment: 200
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Observations were carried out at digestive oncology multidisciplinary meetings at The National Institute of Oncology in Rabat, Morocco. The meetings are held once a week.

The study will be performed between the 23rd of May and the 4th of July 2019.

Brief summary: Nowadays, the recommended approach for decision-making for oncology patients is based on multidisciplinary meetings (MDT). However, the quality of decision-making during MDT depends on other factors such as the quality of presentation of clinical cases, the degree of participation of different specialists.

In this study, the investigators will evaluate the decision-making during digestive oncology MDT using the validated "Metric Of Decision-Making" tool (MDT-MODe), in the national institute of oncology (Rabat, Morocco).

Detailed description: Multidisciplinary cancer meetings are a multidisciplinary discussion and decision-making process for a patient with cancer. It allows a sharing of knowledge and decision-making, taking into account the opinion of all the specialists involved in the treatment of cancer, in order to propose the best possible decision for the patient. Nevertheless, the quality of decision-making during CPR depends on other factors such as the quality of presentation of clinical cases, the degree of participation of different specialists and the dynamics of meetings.

There are several validated tools for the quantitative assessment of the decision-making mode during CPRs. The best known is the Metric Of Decision-Making (MDT-MODe). MDT-MODe is a validated tool for the observational evaluation of teamwork and the quality of decision-making during cancer CPR.

MDT-MODe is designed to encourage teams to make holistic decisions tailored to each patient and allows an observer to assess, on a case-by-case basis, in a quantitative and objective way:

The quality of the clinical information (antecedents, radiological pathologies, pathological, comorbid, psychosocial problems and patients' points of view) Contribution to decision-making in teams of key professional groups (surgeons, physicians, oncologists, nurses, health professionals, radiologists, pathologists) Taken together, these notes provide an indication of the quality of team decision-making.

In this study, the investigators will evaluate the decision-making during digestive oncology MDT using the validated "Metric Of Decision-Making" tool (MDT-MODe), in the national institute of oncology (Rabat, Morocco).

Eligibility criteria: Inclusion Criteria:

* All consecutive cases presented during multidisciplinary cancer meeting for digestive cancer.

Exclusion Criteria:

* Cases not registered in the electronic health record system.

Primary outcomes:
measure: MODE-MDT scores
timeFrame: 60 days from the multidisciplinary team meeting
Secondary outcomes:
measure: Decision reached
timeFrame: 60 days from the multidisciplinary team meeting
measure: Decision factors
timeFrame: 60 days from the multidisciplinary team meeting
Other outcomes:
Locations:
city: Rabat
country: Morocco
facility: National Institut of oncology
Study officials:
References: