Abstract P4-20-08: Evaluation of a multidisciplinary cancer team quality in a breast cancer unit (BCU) in México
Authors: S Campos-Gomez, KA Campos-Gomez, M García-Garces, J Hernández-Alvarez, R Serrano-Ortiz, M Machado-Reyes, E Fernández-Perez, G Morelos-Gomez, A Acuña-Arellano, JM Medina-Castro, P Gutierrez Balderas, NA Cabañas Chavez, D Luna Mendoza, P Ramirez Martinez
Journal: Cancer Research (2017)

Abstract Background: The optimal management of patients with breast cancer (BC) requires the expertise of specialists from different disciplines. This has led to the evolution of multidisciplinary teams (MDTs), allowing all key professionals to jointly discuss individual patients and to contribute independently to clinical decisions. Data regarding BC MDTs in Latin-American countries are limited. The purpose is to assess the MDT performance in a Breast Cancer Unit in México. Methods: We conducted a prospective longitudinal study to evaluate the participation of MDT for breast cancer patients in Breast Cancer Unit at Centro Oncologico Estatal ISSEMYM. An assessor use a validated observational tool to rate quality and team decision-making for every patient discussed. Data were collected from a prospective observation of 150 breast cancer cases review during 3 months study period, in the Breast Cancer Unit meeting by a MDT. BCMDT (Breast Cancer Multidisciplinary Team) was integrated by medical, surgical and radiation oncologists, radiologist, pathologist, geriatrician and pharmacist. The information presented (patient case, radiological, pathological, comorbidities) and team member contribution and decision of further investigation or treatment as appropriate as well as MDT coordinators leadership role were analyzed. These tasks usually occur in a weekly meeting. Results: There were 150 breast cancer patients studied. The majority of the time for each case was taken up with information presentation, and often discussion occurred concurrently with presentation of information. The most common barriers to reaching clinical decisions were inadequate radiologic information (2 %) inadequate pathologic information (7%), and additional complementary studies needed (5%). The MDT had the ability to reach clinical decision in the 86% of cases. All members were present in the 98 % of sessions. The mean of participant was 12 in each meeting and the average time taken per patient was 3 minutes. Conclusion: This is an effort to collect information regarding BC MDTs from a Latin-American country and provides objective information of frequency, composition, function, and working mechanism of a BC MDT. The intervention of a MDT in the Breast Cancer Unit is efficacious and can improve decision making. Citation Format: Campos-Gomez S, Campos-Gomez KA, García-Garces M, Hernández-Alvarez J, Serrano-Ortiz R, Machado-Reyes M, Fernández-Perez E, Morelos-Gomez G, Acuña-Arellano A, Medina-Castro JM, Gutierrez Balderas P, Cabañas Chavez NA, Luna Mendoza D, Ramirez Martinez P. Evaluation of a multidisciplinary cancer team quality in a breast cancer unit (BCU) in México [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P4-20-08.