Abstract
Background
Multidisciplinary team meetings (MDTM) and especially MDTMs in which expert centres
are involved (expert MDTMs) are a key element in adequate cancer care. However, variation
among hospitals in the proportion of patients presented during an expert MDTM has
been described. This study aims to investigate national practice variation in the
proportion of patients with oesophageal or gastric cancer being discussed during an
expert MDTM.
Methods
Patients diagnosed with oesophageal or gastric cancer in 2018–2019 were selected from
the Netherlands Cancer Registry (n = 6,921). Multilevel logistic regression analyses
were used to analyse the association between patient, and tumour characteristics,
and the probability to be discussed in an expert MDTM. Variation was analysed according
to the hospital and region of diagnosis for: all patients, patients with a potentially
curable (cT1-4A cTX, any cN, cM0) or incurable tumour stage (cT4b and/or cM1).
Results
In total, 79% of patients were discussed during an expert MDTM, of whom 84% (n = 3,424)
and 71% (n = 2,018) with potentially curable, or incurable oesophageal or gastric
cancer, respectively. The proportion of patients discussed during an expert MDTM ranged
from 54% to 98%, and 17% to 100% between hospitals for potentially curable and incurable
patients, respectively (all p < 0.0001). Adjusted analyses showed significant hospital
(all p < 0.0001), but no regional variation regarding the patients discussed during
an expert MDTM.
Conclusion
For patients with oesophageal or gastric cancer the probability of being discussed
during an expert MDTM varies considerably according to the hospital of diagnosis.
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Article info
Publication history
Accepted:
March 13,
2023
Received in revised form:
February 5,
2023
Received:
October 12,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Ltd.
