Table 2 Reported barriers to joint recommendations from MDT meetings in relation to health profession, discipline and hospital type
From: Benefits, barriers and opinions on multidisciplinary team meetings: a survey in Swedish cancer care
| Â | Frequency of all responses | Nurses/ coordinators | Physicians | P-value | University hospital | County hospital | P-value | Pathology | Radiology | Medicine | Surgery | P-value | Breast cancer | Lung cancer | GI cancer | Uro/ Gyn cancer | Other tumors | P-value |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Need for supplementary investigations | 87% | 94% | 84% | 0.069 | 87% | 86% | 0.841 | 93% | 86% | 88% | 85% | 0.812 | 85% | 87% | 90% | 84% | 85% | 0.921 |
Insufficient pathology | 65% | 72% | 63% | 0.247 | 56% | 73% | 0.015 | 36% | 62% | 72% | 66% | 0.083 | 79% | 72% | 56% | 58% | 62% | 0.102 |
No professional present has seen the patient | 25% | 13% | 29% | 0.024 | 18% | 31% | 0.024 | 14% | 31% | 25% | 25% | 0.699 | 6% | 23% | 29% | 42% | 27% | 0.002* |
Complex cases | 24% | 22% | 25% | 0.854 | 33% | 17% | 0.005* | 29% | 14% | 37% | 20% | 0.049 | 23% | 28% | 19% | 23% | 35% | 0.585 |
Insufficient radiology | 20% | 20% | 20% | 1 | 16% | 23% | 0.172 | 21% | 21% | 22% | 18% | 0.95 | 17% | 10% | 19% | 30% | 19% | 0.232 |
Insufficient information on comorbidity | 17% | 11% | 19% | 0.21 | 15% | 19% | 0.485 | 14% | 10% | 13% | 22% | 0.354 | 19% | 26% | 20% | 9% | 8% | 0.193 |
Absence of key professionals | 12% | 17% | 10% | 0.218 | 17% | 7% | 0.040 | 14% | 17% | 5% | 14% | 0.256 | 15% | 10% | 12% | 9% | 12% | 0.94 |
Patient has other preferences | 2% | 4% | 1% | 0.576 | 4% | 0% | 0.055 | 0% | 0% | 2% | 3% | 0.864 | 2% | 3% | 0% | 5% | 0% | 0.486 |
Insufficient information on patient preferences | 8% | 6% | 9% | 0.585 | 9% | 8% | 0.835 | 14% | 10% | 5% | 9% | 0.627 | 4% | 8% | 8% | 12% | 12% | 0.742 |
Disagreement | 1% | 2% | 1% | 1 | 1% | 2% | 1 | 0% | 0% | 2% | 2% | 1 | 0% | 0% | 0% | 7% | 0% | 0.015 |
Insufficient teamwork | 1% | 2% | 1% | 1 | 2% | 1% | 0.616 | 7% | 0% | 0% | 2% | 0.209 | 2% | 0% | 2% | 2% | 0% | 1 |
Insufficient leadership | 1% | 2% | 1% | 1 | 1% | 2% | 1 | 0% | 0% | 3% | 1% | 0.576 | 0% | 3% | 0% | 2% | 4% | 0.568 |
Insufficient preparations | 1% | 2% | 0% | 0.253 | 1% | 0% | 0.478 | 0% | 0% | 0% | 1% | 1 | 0% | 0% | 2% | 0% | 0% | 1 |
Interruption or distraction | 0.% | 0% | 0% | Â | 0% | 0% | Â | 0% | 0% | 0% | 0% | Â | 0% | 0% | 0% | 0% | 0% | Â |
Lack of time | 0.% | 0% | 0% | Â | 0% | 0% | Â | 0% | 0% | 0% | 0% | Â | 0% | 0% | 0% | 0% | 0% | Â |