Practice Variation in Preoperative MDT Meetings
- Conditions
- Patient Care TeamPreoperative CareMultidisciplinary Communication
- Interventions
- Other: Survey
- Registration Number
- NCT05797116
- Lead Sponsor
- Rijnstate Hospital
- Brief Summary
The goal of this observational survey study is to evaluate the current practice variations of preoperative multidisciplinary team meetings (MDT meetings) for high risk noncardiac surgical patients. The main questions it aims to answer are:
* What is the current variation in Dutch hospitals in the practice of preoperative MDT meetings for high risk noncardiac surgical patients?
* Which facilitators and barriers influence the implementation process of preoperative MDT meetings? Participants are anesthesiologists in Dutch hospitals who will be asked to fill in a one-time survey. One anesthesiologist per anesthesiology department will be asked to fill in the survey. The survey will take approximately 5 to 10 minutes to complete.
- Detailed Description
The number of patients with multiple comorbidities is significantly growing. Medical advances have made it possible to perform challenging surgical interventions to increase life expectancy. Yet, it is this group of patients that has a high risk of complications after a surgical intervention leading to a reduction in their quality of life and self-sustainability. Current European and Dutch guidelines recommend the implementation of preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients. However, the evidence underlying the guideline recommendations is scarce. Furthermore, the implementation process of a well-functioning MDT meeting can be a challenge and may sometimes lead to no MDT meeting at all. And finally, the guidelines do not specify conditions by who or how the MDT meeting should be done, for example required attending specialties or specific subjects to be discussed. A broad practice variation in preoperative MDT meetings might thus be present and could be a complicating factor in the equal treatment of patients compliant to 'best practice'. The current survey will evaluate practice variation of preoperative MDT meetings for high risk noncardiac surgical patients in the Netherlands and assess possible facilitators and barriers in the implementation process.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 54
- Currently working as anesthesiologist in a Dutch hospital
- No informed consent
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Anaesthesiologists in the Netherlands Survey The participants in this study are anesthesiologists in the Netherlands, preferably those in charge of preoperative screening. One anesthesiologist per anesthesiology department may be included.
- Primary Outcome Measures
Name Time Method Percentage of anaesthesia departments who employ preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients in Dutch hospitals. Baseline Percentage of anaesthesia departments who employ preoperative multidisciplinary team (MDT) meetings in which an anaesthesiologist is present, for high risk noncardiac surgical patients in Dutch hospitals.
- Secondary Outcome Measures
Name Time Method Frequency of multidisciplinary team (MDT) meetings per month Baseline An approximate frequency of preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients per month
Number of patients discussed per multidisciplinary team (MDT) meeting Baseline Number of patients discussed per multidisciplinary team (MDT) meeting (average)
Duration of multidisciplinary team (MDT) meeting in minutes baseline Duration of multidisciplinary team (MDT) meeting in minutes (average)
Trial Locations
- Locations (1)
Rijnstate Hospital
🇳🇱Nijmegen, Netherlands