Consensus minimum data set for lung cancer multidisciplinary teams: Results of a Delphi process. Issue 10 (11th April 2018)

• Record Type: Journal Article
• Authors: Stone, Emily; Rankin, Nicole; Phillips, Jane; Fong, Kwun; Currow, David C.; Miller, Alistair; Largey, Geraldine; Zielinski, Robert; Flynn, Peter; Shaw, Tim
• Is Part Of: Respirology. Volume 23:Issue 10(2018)
• Page Start: 927
• Page End: 934
• Publication Date: 2018-04-11
• Subjects: clinical decision‐making -- lung cancer -- multidisciplinary team -- outcomes -- treatment; Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Periodicals; 612.2
• DOI: 10.1111/resp.13307
• Languages: English
• ISSNs: 1323-7799

Abstract

Abstract: Background and objective: While multidisciplinary team (MDT) care in lung cancer is widely practiced, there are few guidelines for MDT on best data collection strategies. MDT meetings need ready access to information for the provision of optimal treatment recommendations (the primary purpose of the meeting), audit of team performance and benchmarking. This study aimed to develop a practical data set designed for these goals through a recognized consensus process with health professionals who participate in formal MDT settings. Methods: A modified Delphi process with three iterations (two surveys and one consensus conference) was carried out involving over 100 Australian lung cancer MDT health professionals. Results: In total, 122 lung cancer MDT health professionals responded to the Round 1 survey from over 350 invitees. Of the 122, 98 were available for invitation to Round 2. Of 98, 52 (53%) invitees responded to the Round 2 survey. After two rounds, 51 data elements across 8 domains (patient demographics, risk factors, biopsy data, staging, timeliness, treatment, follow‐up and patient selection) achieved consensus, defined as 80% agreement. For Round 3, 33 MDT lead clinicians were invited to participate in a consensus conference. Of 33, 14 (42%) invitees distilled the 47 data elements into 23 elements across 8 domains to address the study objectives. Conclusion: A practical data set for lung cancer MDT to use for optimal treatment recommendations and to evaluate team performance was developed through recognized consensus methodology. Access to streamlined, relevant and feasible data collection strategies may improve MDT decision‐making, audit of team performance and facilitate benchmarking. Abstract : This study uses the Delphi process for consultation with lung cancer multidisciplinary team (MDT) health professionals to develop an optimized data set for MDT teams. This data set results from a practical approach to identify clinically useful data elements that facilitate standardization of MDT data collection, internal MDT review and future outcomes research.