Clinical trial NCT05797116: Practice Variation in Preoperative MDT Meetings
Official title: Preoperative Multidisciplinary Team Meetings for High Risk Noncardiac Surgical Patients: A Nationwide Survey on Practice Variation, Facilitators and Barriers
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Multidisciplinary Communication
Preoperative Care
Patient Care Team
Keywords: multidisciplinary team meeting
high risk surgical patients
preoperative
Lead sponsor: Rijnstate Hospital
Sponsor class: OTHER
First posted: 2023-04-04
Enrollment: 54
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The participants in this study are anesthesiologists in the Netherlands, preferably those in charge of preoperative screening. One anesthesiologist per anesthesiology department may be included.

Brief summary: The goal of this observational survey study is to evaluate the current practice variations of preoperative multidisciplinary team meetings (MDT meetings) for high risk noncardiac surgical patients. The main questions it aims to answer are:

* What is the current variation in Dutch hospitals in the practice of preoperative MDT meetings for high risk noncardiac surgical patients?
* Which facilitators and barriers influence the implementation process of preoperative MDT meetings? Participants are anesthesiologists in Dutch hospitals who will be asked to fill in a one-time survey. One anesthesiologist per anesthesiology department will be asked to fill in the survey. The survey will take approximately 5 to 10 minutes to complete.

Detailed description: The number of patients with multiple comorbidities is significantly growing. Medical advances have made it possible to perform challenging surgical interventions to increase life expectancy. Yet, it is this group of patients that has a high risk of complications after a surgical intervention leading to a reduction in their quality of life and self-sustainability. Current European and Dutch guidelines recommend the implementation of preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients. However, the evidence underlying the guideline recommendations is scarce. Furthermore, the implementation process of a well-functioning MDT meeting can be a challenge and may sometimes lead to no MDT meeting at all. And finally, the guidelines do not specify conditions by who or how the MDT meeting should be done, for example required attending specialties or specific subjects to be discussed. A broad practice variation in preoperative MDT meetings might thus be present and could be a complicating factor in the equal treatment of patients compliant to 'best practice'. The current survey will evaluate practice variation of preoperative MDT meetings for high risk noncardiac surgical patients in the Netherlands and assess possible facilitators and barriers in the implementation process.

Eligibility criteria: Inclusion Criteria:

* Currently working as anesthesiologist in a Dutch hospital

Exclusion Criteria:

* No informed consent

Primary outcomes:
measure: Percentage of anaesthesia departments who employ preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients in Dutch hospitals.
timeFrame: Baseline
Secondary outcomes:
measure: Frequency of multidisciplinary team (MDT) meetings per month
timeFrame: Baseline
measure: Number of patients discussed per multidisciplinary team (MDT) meeting
timeFrame: Baseline
measure: Duration of multidisciplinary team (MDT) meeting in minutes
timeFrame: baseline
Other outcomes:
Locations:
city: Nijmegen
country: Netherlands
facility: Rijnstate Hospital
Study officials:
affiliation: Rijnstate Hospital
name: Carine JM Doggen, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
name: Benedikt Preckel, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: