A scoping review of the economics of multidisciplinary teams in oncology care

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dc.contributor.authorEdney, L.C.
dc.contributor.authorGray, J.
dc.contributor.authorKarnon, J.
dc.date.issued2020
dc.descriptionAvailable online 4 November 2020
dc.description.abstractBackground: Multidisciplinary Teams (MDTs) are widely used in oncology care, but their cost-effectiveness has not been established. Evidence suggests they are an expensive service to provide and that their effectiveness varies by attendee and patient mix, meeting format, cancer type, stage of disease and specific hospital setting. The aim of this scoping review is to summarise the current literature on resource use and costs of MDTs in oncology care. Methods: PubMed, Embase, Cochrane, and the NHS Economic Evaluation Database (NHS EED) were searched for papers reporting on MDT costs in the treatment of patients with cancer. Results: Database and manual searching identified 2 878 unique potential papers, 2 810 were excluded based on title and abstract screening, and a further 53 were excluded based on full-text review for a final 15 papers for inclusion. Reported costs and resource use required to support an MDT varied considerably across the included studies. No papers reported on the full costs of including MDT discussion as part of patient care and limited detail was provided on MDT configurations and the methodologies employed to calculate costs and resource use. Conclusions: Evidence suggests that specific MDT configurations may likely represent cost-effective care for specific patients in certain contexts, we therefore recommend future investigations into the costs and/or effects of MDTs consider comparisons between different MDT configurations and patient prioritisation processes rather than comparisons between MDT versus no MDT.
dc.description.statementofresponsibilityLaura Catherine Edney, Jodi Gray, Jonathan Karnon
dc.identifier.citationJournal of Cancer Policy, 2020; 26:100257-1-100257-11
dc.identifier.doi10.1016/j.jcpo.2020.100257
dc.identifier.issn2213-5383
dc.identifier.issn2213-5383
dc.identifier.orcidEdney, L.C. [0000-0002-2447-4118]
dc.identifier.orcidGray, J. [0000-0002-1119-7078]
dc.identifier.orcidKarnon, J. [0000-0003-3220-2099]
dc.identifier.urihttps://hdl.handle.net/2440/139967
dc.language.isoen
dc.publisherElsevier
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1135048
dc.rights© 2020 Elsevier Ltd. All rights reserved.
dc.source.urihttps://doi.org/10.1016/j.jcpo.2020.100257
dc.subjectMultidisciplinary teams; Resource use; Costs; Economic evaluation; Oncology
dc.titleA scoping review of the economics of multidisciplinary teams in oncology care
dc.typeJournal article
pubs.publication-statusPublished

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