Improving breast cancer multidisciplinary meetings through streamlining with protocol-based management

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Objectives

Multidisciplinary meetings (MDMs) are part of standard of care for patients with cancer. Streamlining is essential for high-quality care and efficiency. This study evaluated the feasibility of implementing a protocol to remove patients with benign breast disease from discussion at the MDM.

Methods

A prospective review of 218 MDMs evaluated patients with benign breast disease over 22 months. This was followed by a protocol implementation phase over 54 MDMs (6.5 months). Patients meeting specific criteria were excluded from discussion.

Results

On average, each MDM consisted of 37 patients, 34.2% of whose conditions were benign and potentially could have been removed from discussion. The implementation phase showed 708/2248 patients (32.5%) were benign of which 631 cases (89%) met the eligibility criteria and were removed from the MDM list allowing more time for discussion of complex cases.

Conclusion

Implementing a protocol can safely exclude patients with benign disease from MDM discussion.

Sinha, A. P., Badawy, K., Shifa, B., Peterson, Z., Attia, M., Pinder, S., Purushotham, A.

Sinha, A. P., Badawy, K., Shifa, B., Peterson, Z., Attia, M., Pinder, S., Purushotham, A.

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