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Table 1 Summary of included articles and representation of themes involvedc

From: Factors influencing the quality and functioning of oncological multidisciplinary team meetings: results of a systematic review

Reference

Study design

Study characteristics

Themes and categories

   

MDTM characteristics and logisticsa

Team culture

Decision makingb

Education

Evaluation and data collection

Bate J. et al., 2019  [19]

Qualitative study

Type of MDTM: Ewing sarcoma (ES)

Data collection method: survey and focus group

N = 15 survey responders and 10 focus group participants of ES patients

Period: October 2016 – January 2017

Country: United Kingdom

  

*

I

  

Bohmeier B. et al., 2021 [20]

Qualitative study

Type of MDTM: breast cancer, gynaecological cancer

Data collection method: semi-structured interviews

N = 30 interviews to MDT-members (RR 28%)

Period: June 2017 – May 2020

Country: Germany

*

E

 

*

HI

  

Bolle S. et al., 2019 [21]

Prospective observational study

Type of MDTM: colorectal cancer

Data collection method: MDTM observation

N = 741 patient cases in 30 MDTMs observed

Period: -

Country: The Netherlands

  

*

HI

  

Butow P. et al., 2007 [22]

Qualitative study

Type of MDTM: breast cancer

Data collection method: survey

N = 640 surveys to surgeons, nurses, patient advocates (RR 78%)

Period: -

Country: Australia

*

E

    

Chaillou D. et al., 2019 [23]

Qualitative study

Type of MDTM: head and neck cancer

Data collection method: survey

N = 3 surveys in 54 patients (RR 63%)

Period: December 2016 – March 2017

Country: France

*

E

    

Choy E. et al., 2007 [24]

Qualitative study

Type of MDTM: breast cancer

Data collection method: survey and interviews

N = 30 patients participated at MDTM

N = 17 participating health professionals

Period: 2006

Australia

  

*

I

  

Davison A. et al., 2004 [25]

Retrospective observational study

Type of MDTM: lung cancer

Data collection method: analyse database

N = 28 telemedicine MDTMs

N = 62 patients

Period: November 2000 – November 2001

Country: United Kingdom

*

B

    

Delaney G. et al., 2004 [26]

Observational study

Type of MDTM: breast cancer

Data collection method:

N = 27 breast cancer specialists; survey before (RR 59%) and after (RR 62%) start videoconferencing

Period: February 2000 – June 2000

Country: Australia

*

B

*

   

Devitt B. et al., 2010 [27]

Qualitative study

Type of MDTM: not specified

Data collection method: focus groups

N = 4 focus groups, in total 23 MDT-members

Period: -

Country: Australia

*

E

*

*

H

*

 

Dew K. et al., 2015 [12]

Prospective observational study + qualitative study

Type of MDTM: breast cancer, lung cancer, upper-gastro-intestinal cancers, colorectal cancer

Data collection method: MDTM recording and content analysis

N = 10 MDTMs audio recorded, 106 patients discussed

Period: -

Country: New Zealand

  

*

H

  

Díez J. et al., 2019 [28]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 71 MDTM leaders

Period: February 2017 – February 2018

Country: Spain

   

*

 

Evans L. et al., 2019 [29]

Qualitative study

Type of MDTM: all

Data collection method: Survey and self-assessment

N = 180 surveys / 19 MDTs (1stcycle), 118 surveys / 12 MDTs (2nd cycle) completed a self-assessment matrix

Period: 2017 and 2018

Country: Australia

    

*

Evans L. et al., 2021 [30]

Qualitative study

Type of MDTM: all

Data collection method: Survey and self-assessment

N = 121 surveys (1stcycle, RR 52%), 118 surveys (2nd cycle, RR 52%), 146 surveys (3rd cycle, RR 65%) completed a self-assessment matrix

Period: 2017, 2018, 2019

Country: Australia

    

*

Fahim C. et al., 2020 [31]

Qualitative study

Type of MDTM: all

Data collection method: Interviews and focus groups

N = 21 interviews with MDT-members

N = 18 focus group participants (MDT-members)

Period: April 2016 – July 2017

Country: Canada

*

ABCDG

*

*

H

*

 

Fahim C. et al., 2020 [32]

Prospective observational study

Type of MDTM: all

Implementation of ‘Knowledge Training strategy’

Data collection method: MDTM observation

N = 143 cases / 23 MDTMs (before phase) and 260 cases / 35 MDTMs (after phase)

Period: -

Country: Canada

  

*

H

 

*

Farrugia D. et al., 2015 [33]

Retrospective observational study

Type of MDTM: breast cancer

Data collection method: analyse database

RQRS = Rapid quality reporting system = web-based standardized documentation template based on national guidelines

N = 140 patients in cohort of 10 weeks before start RQRS

N = 142 patients in cohort 10 weeks after start RQRS

Period: July – October 2013

Country: United States of America

*

G

    

Field K. et al., 2010 [34]

Qualitative study

Type of MDTM: neuro-oncology

Data collection method: survey

N = 16 MDT-members (RR 100%)

Period: July 2009

Country: Australia

*

FG

    

Gandamihardja T. et al., 2019 [35]

Prospective observational study

Type of MDTM: breast cancer

Data collection method: MDTM observation

N = 346 cases

Period:-

Country: United Kingdom

*

F

*

  

*

Gatcliffe T. et al., 2008 [36]

Prospective observational study

Type of MDTM: gynaecological

Data collection method: MDTM recording

N = 52 MDTMs

Period: May 2002 – August 2003

Country: United States of America

   

*

 

Hahlweg P. et al., 2015 [37]

Prospective observational study and qualitative study

Type of MDTM: all

Data collection method: MDTM observation and content analysis and descriptive statistics

N = 15 MDTMs observed

Period: November – December 2013

Country: Germany

*

G

 

*

HI

*

 

Hahlweg P. et al., 2017 [38]

Cross-sectional observational study

Type of MDTM: all

Data collection method: MDTM observation

N = 249 cases, 29 MDTMs

Period: -

Country: Germany

  

*

I

  

Hamilton D. et al., 2016 [39]

Prospective observational study + qualitative study

Type of MDTM: head and neck cancers

Data collection method: MDTM observation and ethnographic analyses

N = 35 MDTMs and 37 MDT clinics observed; audio recorded and transcribed verbatim

N = semi structured interviews with 20 patients and 9 MDTM staff members

Period: -

Country: United Kingdom

  

*

I

  

Harris J. et al., 2014 [40]

Prospective observational study + qualitative study

Type of MDTM: all

Data collection method: MDTM observation and interviews

N = 20 MDTMs observed

N = 64 team members, 19 peer observers interviews

Period: -

Country: United Kingdom

    

*

Harris J. et al., 2016 [41]

Prospective observational study

Type of MDTM: all

Data collection method: MDTM observation

N = 10 MDTMs, 13 health service staff observers, 1 clinical and 1 non-clinical observer

Period: -

Country: United Kingdom

    

*

Hoinvile L. et al., 2019 [42]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 1220 MDT-members

Period: March – May 2017

Country: United Kingdom

*

F

    

Huizen van S., et al. 2019 [43]

Prospective observational study + qualitative study

Type of MDTM: head and neck cancer

Data collection method: MDTM observation and semi-structured interviews

N = 6 interviews to MDT-members,

N = 336 cases observed

Period: -

Country: The Netherlands

*

F

    

Jalil R. et al., 2012 [44]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 265 MDT-coordinators

Period: -

Country: United Kingdom

*

G

    

Jalil R. et al., 2013 [45]

Qualitative study

Type of MDTM: urology and gastroenterology

Data collection method: interviews

N = 22 MDTM members

Period: -

Country: United Kingdom

*

BCE

*

*

HI

  

Jalil R. et al., 2014 [46]

Prospective observational study

Type of MDTM: urology

Data collection method: MDTM observation

N = 683 case discussions, 127 video recorded case discussions

Period: -

Country: United Kingdom

    

*

Janssen A. et al., 2018 [47]

Prospective observational study + qualitative study

Type of MDTM: all

Data collection method: MDTM observation and semi-structured interviews

N = 7 teams, 43 MDTMS

N = 15 interviews

Period: -

Country: Australia

*

BCG

 

*

H

*

*

Jenkins V. et al., 2001 [48]

Qualitative study

Type of MDTM: breast cancer

Data collection method: survey

N = 64 MDT-members (RR 91%)

Period: -

Country: United Kingdom

 

*

*

H

  

Johnson C. et al., 2017 [49]

Qualitative study

Type of MDTM: All

Data collection method: survey

N = 3 MDTMs

Period: -

Country: Australia

    

*

Kunkler I. et al., 2006 [50]

Qualitative study

Type of MDTM: breast cancer

Data collection method: survey

N = 68 participants to Group behavior Inventory (GBI) survey: face-to-face GBI (RR 65%), post telemedicine GBI (RR 51%)

Period: -

Country: United Kingdom

 

*

*H

  

Lamb B. et al., 2011 [51]

Qualitative study

Type of MDTM: all

Data collection method: Semi-structured interviews

N = 19 interviews with clinicians

Period: October 2009 – April 2010

Country: United Kingdom

*ABCD

*

   

Lamb B. et al., 2011 [52]

Prospective observational study + qualitative study

Type of MDTM: all

Data collection method: MDTM observation and survey

N = 164 cases observed, 67 surveys to MDT-members (RR 70%)

Period: September – November 2009

Country: United Kingdom

  

*

H

 

*

Lamb B. et al., 2012 [53]

Qualitative study

Type of MDTM: All

Data collection method: Survey

N = 175 MDTM members

Period: October 2010 – April 2011

Country: United Kingdom

*

B

 

*

H

  

Lamb B. et al., 2013 [54]

Longitudinal observational study

Type of MDTM: urology

Data collection method:

N = 36 MDTMs, 1421 patients Multicomponent intervention: MDTM checklists before start, team training and written guidance

Period: December 2009 – April 2011

Country: United Kingdom

*

BC

 

*

H

  

Lamb B. et al., 2013 [55]

Prospective observational study

Type of MDTM: urology

Data collection method: MDTM observation

N = 7 MDTMs, assessing 298 cases

Period: December 2009 – January 2010

Country: United Kingdom

*

CDF

 

*

H

  

Lamb B. et al., 2013 [56]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 1636 surveys to MDT-members (RR 80%)

Period: 2009

Country: United Kingdom

*

AC

 

*

I

  

Lee Y. et al., 2017 [57]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 1000 MDT-members (RR 18%)

Period:-

Country: Korea

*

D

 

*

HI

  

Lumenta D. et al., 2019 [58]

Observational Prospective observational study

Type of MDTM: all

Data collection method: MDTM observation

N = 27 MDTMs, 244 patients discussed

Period: -

Country: United Kingdom

    

*

Makaskill E. et al., 2006 [59]

Qualitative study

Type of MDTM: breast cancer

Data collection method: survey

N = 250 surveys to surgeons (RR 61%)

Period: -

Country: United Kingdom

*

ACDFG

  

*

 

Massoubre J. et al., 2018 [60]

Prospective observational study

Type of MDTM: head and neck cancer

Data collection method: MDTM observation

N = 119 patients

Period: May – November 2014

Country: France

*

E

    

Mullan B. et al., 2014 [61]

Prospective observational Study

Type of MDTM: head and neck cancer

Data collection method: MDTM observation

N = 10 MDTMs, N = 105 patients

Period: January – September 2011

Country: United Kingdom

*

F

    

Neri E. et al., 2021 [62]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 292 radiologists

Period: 2018

Country: Germany

*

C

    

Oeser A. et al., 2018 [63]

Qualitative study

Type of MDTM: head and neck cancer

Data collection method: survey

N = 8 clinical experts

Period: -

Country: Germany

*

C

 

*

H

  

Ottevanger N. et al., 2013 [64]

Prospective observational study + qualitative study

Type of MDTM: all Data collection method: MDTM observation ans interviews

N = 18 MDTMs, 15 chairs interviewed

Period: January 2010 – April 2011

Country: The Netherlands

*

ABCDG

    

Patkar V. et al., 2012 [65]

Qualitative study

Type of MDTM: breast cancer

Data collection method: survey

N = 1295 cases, 48 surveys (RR 89%)

Period: -

Country: United Kingdom

  

*

H

 

*

Pype P. et al., 2017 [66]

Qualitative study

Type of MDTM: all

Data collection method: Semi-structured interviews

N = 16 interviews with general practitioners

Period: May–June 2014

Country: Belgium

*

D

 

*

H

  

Rajasekaran R. et al., 2021 [67]

Qualitative study

Type of MDTM: sarcoma

Data collection method: survey

N = 39 MDT-members (RR 92%)

Period: May 2020

Country: United Kingdom

*

B

    

Rankin N. et al., 2017 [68]

Qualitative study

Type of MDTM: lung cancer

Data collection method: survey

N = 41 participants for documentation template development and implementation

N = 492 surveys to general practitioners (RR 12%)

*

G

    

Rankin N. et al., 2018 [69]

Qualitative study

Type of MDTM: lung cancer

Data collection method: structured interviews and survey

N = 492 surveys (RR 12%), 35 interviews with general practitioners

Period: May 2014- May 2015

Country: Australia

*

D

    

Robinson T. et al., 2017 [70]

Prospective observational study + qualitative study

Type of MDTM: all

Data collection method: MDTM observation and semi-structured interviews

N = 43 MDTMs observed, 18 interviews

Period: 2013

Country: Australia

*

CG

 

*

H

 

*

Rosell L. et al., 2018 [71]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = participants of 50 MDTMs, 362 surveys (RR 67%)

Period: -

Country: Sweden

*

C

 

*

HI

  

Salami A. et al., 2015 [72]

Retrospective cohort study

Type of MDTM: hepatocellular carcinoma

Data collection method: analyse database

N = 116 patients in total. N = 48 patients discussed through virtual MDTM

*

B

    

Salloch S. et al., 2014 [73]

Prospective observational study + qualitative study

Type of MDTM: all

Data collection method: MDTM observation

N = 14 MDTMs, 136 cases

Period: -

Country: Germany

  

*

I

  

Sarkar S. et al., 2014 [74]

Qualitative study

Type of MDTM: urological cancers

Data collection method: Semi-structured interview

N = 20 MDT-members

Period: -

Country: United Kingdom

*

BC

 

*

HI

  

Scot R. et a, 2020 [75]

Cross-sectional observational study

Type of MDTM: gynaecological cancers

Data collection method: MDTM observation

N = 41 MDT case discussions

Period: 6th – 29th March 2019

Country: United Kingdom

  

*

I

*

*

Shah S. et al., 2014 [76]

Prospective observational study

Type of MDTM: colorectal cancer

Data collection method:

N = 267 cases

Period: -

Country: United Kingdom

    

*

Snyder J. et al., 2017 [77]

Qualitative study

Type of MDTM: neuro-oncology

Data collection method: survey

N = 85 surveys to MDTM-chairs (RR 54%)

Period: November 2015 – February 2016

Country: United States of America

*

BD

 

*

H

*

 

Soukup T. et al., 2016 [78]

Cross-sectional observational study

Type of MDTM: breast cancer, lung cancer, colorectal cancer, urological cancers

Data collection method: MDTM observation

N = 1045 cases

Period: 2010–2014

Country: United Kingdom

*

C

    

Soukup T. et al., 2016 [79]

Prospective observational study

Type of MDTM: breast cancer, lung cancer, colorectal cancer, urological cancers

Data collection method: MDTM observation

N = 1045 cases

Period: 2010–2014

Country: United Kingdom

  

*

HI

  

Soukup T. et al., 2019 [80]

Longitudinal observational study

Type of MDTM: breast cancer

Data collection method: MDTM observation

N = 1355 cases reviewed

Period: 2013 – 2015

Country: United Kingdom

  

*

H

  

Soukup T. et al., 2020 [81]

Cross-sectional observational study

Type of MDTM: breast cancer, gynaecological cancers, colorectal cancer

Data collection method: MDTM observation

N = 30 MDTMs, 822 cases discussions, 44 MDT-members

Period: September 2015 – July 2016

Country: United Kingdom

  

*

H

  

Stone E. et al., 2018 [82]

Qualitative study

Type of MDTM: lung cancer

Data collection method: survey + consensus conference (Delphi process)

N = 350 survey’s round 1 (RR 35%), 98 surveys round 2 (RR 53%), 14 participants for consensus conference on MDTM dataset

Period: -

Country: Australia

*

B

 

*

H

  

Stone E. et al., 2020 [83]

Qualitative study

Type of MDTM: lung cancer

Data collection method: survey and interviews

N = survey 1; 18 MDT-members, survey 2; 25 MDT-members, 6 semi-structured interviews

Period: -

Country: Australia

    

*

Taylor C. et al., 2012 [84]

Prospective observational study

Type of MDTM: colon cancer

Data collection method: MDTM observation

N = 10 MDTMs

Period:-

Country: United Kingdom

    

*

Taylor C. et al., 2012 [85]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 637 MDT-members (RR 52%)

Period: -

Country: United Kingdom

    

*

Taylor C. et al., 2021 [86]

Qualitative study

Type of MDTM: breast cancer

Data collection method: interviews

N = 36 interviews, 10 MDTMs

Period: 2014

Country: United Kingdom

    

*

Vetto J. et al., 1996 [87]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 22 MDT-members (RR 100%)

Period: 1990 – 1991 and 1992–1993

Country: United States of America

*

F

    

Wallace I. et al., 2019 [88]

Prospective observational study + Qualitative study

Type of MDTM: gynaecological cancers, hematological cancers, skin cancers

Data collection method: MDTM observation and thematic analysis of cases

N = 122 MDTMs, 58 cases

Period: -

Country: United Kingdom

  

*

H

  

Wihl J. et al., 2021 [89]

Prospective observational study

Type of MDTM: sarcoma, hepato-biliary cancer, neuro-oncology cancers

Data collection method: MDTM observation

N = 336 cases, 3 MDTMs

Period: April 2019 – October 2019

Country: Sweden

*

C

 

*

I

  

Wright F. et al., 2009 [90]

Qualitative study

Type of MDTM: all

Data collection method: survey

N = 385 MDT-members (RR 44%)

Period: March 2007 – May 2007

Country: Canada

*

D

    

Yuan Y. et al., 2018 [91]

Retrospective observational study

Type of MDTM: gastro intestinal cancers

Data collection method: analyse database

N = 3674 patients discussed in MDTMs

Period: January 2015 – December 2016

Country: China

*

BF

 

*

H

  
  1. aThe theme of MDTM characteristics and logistics was divided into 7 categories: A = Schedule, B = Meeting discipline and circumstances, C = Preparation, D = Attendance, E = Patients attending MDTMs, F = Cases and streamlining, G = administrative support
  2. bThe Theme of decision making was divided into 2 categories: H = Decision making process and I = patient advocacy
  3. cAbbreviations: MDTM multidisciplinary team meeting, RR response rate