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Proposed standard for MDM of breast cancer. Canadian
proposal (2009) reviewed in 2015 by Turkish group
Wright FC et al: Expert Panel on Multidisciplinary Cancer Conference Standards.
Multidisciplinary cancer conferences: a systematic review and development of practice
standards. Eur J Cancer
2007; 43: 1002-1010
. Multidisciplinary breast cancer teams
and proposed standards - Review. Ulusal Cer Derg 2015; 31: 39-41 2015
1. MDMs for breast cancer should gather
at least once every two weeks (with specified
date and time)
and should not last for less than one hour.
2. It is required to have a
written protocol for a MDM
.
3. The
list of participants should be recorded at every meeting.
4. Every MDM should include
one chairman
(and one coordinator) in charge of the
management and organization of the meeting.
5. It is more appropriate if
the physician managing the discussed patient participates
at
the MDM of breast cancer.
6. The patient information should be presented in an efficient and concise manner
; the
presentation may be
oral, or supported by projection
. The person who makes the
presentation needs to have full knowledge of the case.
7. The fact that the patient (present) talks to different specialists at the same time
prevents the potential bias during the communication of the decision.
8. One representative from the departments of medical oncology, radiation oncology,
surgery/surgical oncology must be present at MDM
;
9. Pathology, radiology and nursing should be present at the MDM
to make sure that
the opinions of all specialists are heard
10. The data obtained
from the MDM for breast cancer
should be stored interactively in
the computerized environment.