In World neurosurgery ; h5-index 47.0
OBJECTIVE : The integration of multidisciplinary team meetings (MDTMs) for neurosurgical care has been accepted worldwide. Our objective was to review the literature for the limiting factors to MDTMs that may introduce bias to patient care.
METHODS : The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used to perform a literature review of MDTMs for neuro-oncology, pituitary oncology, cerebrovascular surgery, and spine surgery and spine oncology. Limiting factors to productive MDTMs and factors that introduce bias were identified as well as determining whether MDTMs led to improved patient outcomes.
RESULTS : 1264 manuscripts were identified from a Pubmed and Ovid Medline search of which 27 of 500 neuro-oncology, 4 of 279 pituitary, and 11 of 260 spine surgery articles met our inclusion criteria above. Of 224 cerebrovascular manuscripts, none met criteria. Factors for productive MDTMs included quaternary/tertiary referral centers, non-hierarchical environment, regularly scheduled meetings, concise inclusion of non-medical factors at the same level of importance as patient clinical information, inclusion of nonclinical participants, and use of clinical guidelines and institutional protocols to provide recommendations. Our review did not identify literature that described the use of artificial intelligence to reduce bias and guide clinical care.
CONCLUSIONS : The continued implementation of MDTMs in neurosurgery should be recommended but cautioned by limiting bias.
Anokwute Miracle C, Preda Veronica, Di Ieva Antonio
2023-Feb-06
decision-making, multidisciplinary team, multidisciplinary team meetings
