Impact of multidisciplinary team meetings on the management of venous thromboembolism. A clinical study of 142 cases - 20/07/20
, I. Gouin c, d, P. Guéret c, F. Nedelec Gac c, A. Baillerie e, C. Lefeuvre f, B. Boutruche g, S. Bayard c, h, V. Jaquinandi b, P. Jégo i, G. Mahé b, j, ⁎ Summary |
Objective |
Numerous guidelines have been published on the management of venous thromboembolism (VTE). However, therapeutic decision-making may prove challenging in routine clinical practice. With this in mind, multidisciplinary team (MDT) meetings have been set up in Rennes University Hospital, France. This study sought to describe the situations discussed during MDT meetings and to assess whether the meetings bring about changes in the management of these patients.
Materials and methods |
A retrospective single-center study conducted at the Rennes University Hospital included cases presented from the beginning of the MDT meetings (February 2015) up to May 2017.
Results |
In total, 142 cases were presented in 15 MDT meetings, corresponding to a mean of 10±4 cases per meeting. Of these, 129 related to VTE patients: 33 provoked VTEs, 22 unprovoked VTEs, 49 cancer-related VTEs, and 25 unspecified VTEs. MDT meetings led to significant changes in the anticoagulation type (therapeutic, prophylactic, or discontinuation) and duration, but not in the anticoagulant choice (direct oral anticoagulants, vitamin K antagonists, heparins, etc.).
Conclusion |
Requests for MDT meetings are made for all VTE types, and these meetings have an impact on VTE management.
Le texte complet de cet article est disponible en PDF.Keywords : Venous thromboembolism disease, Multidisciplinary Evaluation Consortium, Anticoagulation, Cancer
Plan
Vol 45 - N° 4
P. 192-197 - juillet 2020 Retour au numéro
Article précédent
- Educational diagnosis of patients under oral anticoagulant therapy: Development of a 4-category patient profiling score based on a retrospective study and prospective analysis
- C. Ostrowka, L. Journeau, L. Plaisance, G. Poenou, S.E. Mecherour, H. Helfer, I. Mahé
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