Practice Variation in Preoperative MDT Meetings

Preoperative Care Clinical Trial

Official title:

Preoperative Multidisciplinary Team Meetings for High Risk Noncardiac Surgical Patients: A Nationwide Survey on Practice Variation, Facilitators and Barriers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05797116
• Other study ID #: 2022-16058
• Status: Completed
• Start date: January 31, 2023
• Est. completion date: May 31, 2023

Study information

• Verified date: November 2023
• Source: Rijnstate Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

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 information / eligibility

• Status: Completed
• Enrollment: 54
• Est. completion date: May 31, 2023
• Est. primary completion date: March 31, 2023
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Currently working as anesthesiologist in a Dutch hospital

Exclusion Criteria:

• No informed consent

Related Conditions & MeSH terms

• Multidisciplinary Communication
• Patient Care Team
• Preoperative Care

Intervention

Other:
• Survey
29-item Dutch survey about the implementation and practice variation of preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients in the Netherlands.

Locations

Country	Name	City	State
Netherlands	Rijnstate Hospital	Nijmegen

Sponsors (1)

Lead Sponsor	Collaborator
Rijnstate Hospital

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percentage of anaesthesia departments who employ preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients in Dutch hospitals.	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.	Baseline
Secondary	Frequency of multidisciplinary team (MDT) meetings per month	An approximate frequency of preoperative multidisciplinary team (MDT) meetings for high risk noncardiac surgical patients per month	Baseline
Secondary	Number of patients discussed per multidisciplinary team (MDT) meeting	Number of patients discussed per multidisciplinary team (MDT) meeting (average)	Baseline
Secondary	Duration of multidisciplinary team (MDT) meeting in minutes	Duration of multidisciplinary team (MDT) meeting in minutes (average)	baseline