Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer
BackgroundMultidisciplinary team (MDT) meetings are the gold standard of cancer treatment. However, the limited participation of multiple medical experts and the low frequency of MDT meetings reduce the efficiency and coverage rate of MDTs. Herein, we retrospectively report the results of an asynchr...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1301781/full |
| _version_ | 1797354576536403968 |
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| author | Yu Zhang Jie Li Min Liao Yalan Yang Gang He Zuhong Zhou Gang Feng Feng Gao Lihua Liu Xiaojing Xue Zhongli Liu Xiaoyan Wang Qiuling Shi Xaiobo Du |
| author_facet | Yu Zhang Jie Li Min Liao Yalan Yang Gang He Zuhong Zhou Gang Feng Feng Gao Lihua Liu Xiaojing Xue Zhongli Liu Xiaoyan Wang Qiuling Shi Xaiobo Du |
| author_sort | Yu Zhang |
| collection | DOAJ |
| description | BackgroundMultidisciplinary team (MDT) meetings are the gold standard of cancer treatment. However, the limited participation of multiple medical experts and the low frequency of MDT meetings reduce the efficiency and coverage rate of MDTs. Herein, we retrospectively report the results of an asynchronous MDT based on a cloud platform (cMDT) to improve the efficiency and coverage rate of MDT meetings for digestive tract cancer.MethodsThe participants and cMDT processes associated with digestive tract cancer were discussed using a cloud platform. Software programming and cMDT test runs were subsequently conducted to further improve the software and processing. cMDT for digestive tract cancer was officially launched in June 2019. The doctor response duration, cMDT time, MDT coverage rate, National Comprehensive Cancer Network guidelines compliance rate for patients with stage III rectal cancer, and uniformity rate of medical experts’ opinions were collected.ResultsThe final cMDT software and processes used were determined. Among the 7462 digestive tract cancer patients, 3143 (control group) were diagnosed between March 2016 and February 2019, and 4319 (cMDT group) were diagnosed between June 2019 and May 2022. The average number of doctors participating in each cMDT was 3.26 ± 0.88. The average doctor response time was 27.21 ± 20.40 hours, and the average duration of cMDT was 7.68 ± 1.47 min. The coverage rates were 47.85% (1504/3143) and 79.99% (3455/4319) in the control and cMDT groups, respectively. The National Comprehensive Cancer Network guidelines compliance rates for stage III rectal cancer patients were 68.42% and 90.55% in the control and cMDT groups, respectively. The uniformity rate of medical experts’ opinions was 89.75% (3101/3455), and 8.97% (310/3455) of patients needed online discussion through WeChat; only 1.28% (44/3455) of patients needed face-to-face discussion with the cMDT group members.ConclusionA cMDT can increase the coverage rate of MDTs and the compliance rate with National Comprehensive Cancer Network guidelines for stage III rectal cancer. The uniformity rate of the medical experts’ opinions was high in the cMDT group, and it reduced contact between medical experts during the COVID-19 pandemic. |
| first_indexed | 2024-03-08T13:52:25Z |
| format | Article |
| id | doaj.art-922f53a8b786449487a30a87fb7a182f |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-08T13:52:25Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-922f53a8b786449487a30a87fb7a182f2024-01-15T23:18:37ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-01-011310.3389/fonc.2023.13017811301781Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancerYu Zhang0Jie Li1Min Liao2Yalan Yang3Gang He4Zuhong Zhou5Gang Feng6Feng Gao7Lihua Liu8Xiaojing Xue9Zhongli Liu10Xiaoyan Wang11Qiuling Shi12Xaiobo Du13Department of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaInformation Center, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaInformation Center, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaInformation Center, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, School of Public Health, Chongqing Medical University, Chongqing, ChinaDepartment of Oncology, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology, Mianyang, ChinaBackgroundMultidisciplinary team (MDT) meetings are the gold standard of cancer treatment. However, the limited participation of multiple medical experts and the low frequency of MDT meetings reduce the efficiency and coverage rate of MDTs. Herein, we retrospectively report the results of an asynchronous MDT based on a cloud platform (cMDT) to improve the efficiency and coverage rate of MDT meetings for digestive tract cancer.MethodsThe participants and cMDT processes associated with digestive tract cancer were discussed using a cloud platform. Software programming and cMDT test runs were subsequently conducted to further improve the software and processing. cMDT for digestive tract cancer was officially launched in June 2019. The doctor response duration, cMDT time, MDT coverage rate, National Comprehensive Cancer Network guidelines compliance rate for patients with stage III rectal cancer, and uniformity rate of medical experts’ opinions were collected.ResultsThe final cMDT software and processes used were determined. Among the 7462 digestive tract cancer patients, 3143 (control group) were diagnosed between March 2016 and February 2019, and 4319 (cMDT group) were diagnosed between June 2019 and May 2022. The average number of doctors participating in each cMDT was 3.26 ± 0.88. The average doctor response time was 27.21 ± 20.40 hours, and the average duration of cMDT was 7.68 ± 1.47 min. The coverage rates were 47.85% (1504/3143) and 79.99% (3455/4319) in the control and cMDT groups, respectively. The National Comprehensive Cancer Network guidelines compliance rates for stage III rectal cancer patients were 68.42% and 90.55% in the control and cMDT groups, respectively. The uniformity rate of medical experts’ opinions was 89.75% (3101/3455), and 8.97% (310/3455) of patients needed online discussion through WeChat; only 1.28% (44/3455) of patients needed face-to-face discussion with the cMDT group members.ConclusionA cMDT can increase the coverage rate of MDTs and the compliance rate with National Comprehensive Cancer Network guidelines for stage III rectal cancer. The uniformity rate of the medical experts’ opinions was high in the cMDT group, and it reduced contact between medical experts during the COVID-19 pandemic.https://www.frontiersin.org/articles/10.3389/fonc.2023.1301781/fullmultidisciplinary team meetingcloud platformtreatment planningcancer treatmentdigestive tract cancer |
| spellingShingle | Yu Zhang Jie Li Min Liao Yalan Yang Gang He Zuhong Zhou Gang Feng Feng Gao Lihua Liu Xiaojing Xue Zhongli Liu Xiaoyan Wang Qiuling Shi Xaiobo Du Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer Frontiers in Oncology multidisciplinary team meeting cloud platform treatment planning cancer treatment digestive tract cancer |
| title | Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer |
| title_full | Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer |
| title_fullStr | Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer |
| title_full_unstemmed | Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer |
| title_short | Cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer |
| title_sort | cloud platform to improve efficiency and coverage of asynchronous multidisciplinary team meetings for patients with digestive tract cancer |
| topic | multidisciplinary team meeting cloud platform treatment planning cancer treatment digestive tract cancer |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1301781/full |
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