Multidisciplinary care in cancer: do the current research outputs help?
Corresponding Author
M. CAREY d. psych, senior research fellow
Centre for Behavioural Research in Cancer, The Cancer Council Victoria, Carlton, Vic., honorary research fellow, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Vic.
Mariko Carey, Senior Research Fellow, Centre for Behavioural Research in Cancer, The Cancer Council Victoria, 1 Rathdowne Street, Carlton, Vic. 3053, Australia (e-mail: [email protected]). Search for more papers by this authorR. SANSON-FISHER phd, laureate professor
School of Medicine and Population Health, University of Newcastle, Callaghan, NSW
Search for more papers by this authorK. LOTFI-JAM ba (soc sci), post grad dip (psych), phd candidate
School of Nursing, University of Melbourne, Melbourne, Vic., supportive care researcher , Department Nursing and Supportive Care Research, Melbourne, Vic.
Search for more papers by this authorP. SCHOFIELD phd, director (strategy and development)
Department Nursing and Supportive Care Research, Peter MacCallum Cancer Centre, Melbourne, Vic., honorary senior research fellow, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Vic.
Search for more papers by this authorS. ARANDA phd, head
School of Nursing and Social Work, University of Melbourne, Melbourne, Vic., director , Department Nursing and Supportive Care Research, Peter MacCallum Cancer Centre, Melbourne, Vic., Australia
Search for more papers by this authorCorresponding Author
M. CAREY d. psych, senior research fellow
Centre for Behavioural Research in Cancer, The Cancer Council Victoria, Carlton, Vic., honorary research fellow, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Vic.
Mariko Carey, Senior Research Fellow, Centre for Behavioural Research in Cancer, The Cancer Council Victoria, 1 Rathdowne Street, Carlton, Vic. 3053, Australia (e-mail: [email protected]). Search for more papers by this authorR. SANSON-FISHER phd, laureate professor
School of Medicine and Population Health, University of Newcastle, Callaghan, NSW
Search for more papers by this authorK. LOTFI-JAM ba (soc sci), post grad dip (psych), phd candidate
School of Nursing, University of Melbourne, Melbourne, Vic., supportive care researcher , Department Nursing and Supportive Care Research, Melbourne, Vic.
Search for more papers by this authorP. SCHOFIELD phd, director (strategy and development)
Department Nursing and Supportive Care Research, Peter MacCallum Cancer Centre, Melbourne, Vic., honorary senior research fellow, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Vic.
Search for more papers by this authorS. ARANDA phd, head
School of Nursing and Social Work, University of Melbourne, Melbourne, Vic., director , Department Nursing and Supportive Care Research, Peter MacCallum Cancer Centre, Melbourne, Vic., Australia
Search for more papers by this authorAbstract
CAREY M., SANSON-FISHER R., LOTFI-JAM K., SCHOFIELD P. & ARANDA S. (2010) European Journal of Cancer CareMultidisciplinary care in cancer: do the current research outputs help?
This review examined whether the increased attention on multidisciplinary care (MDC) in cancer over the last 10 years has been underpinned by an increase in methodologically vigorous intervention research in this field. Electronic search of Medline and CINAHL databases. This review examined whether the proportion of (1) data-based and (2) intervention research meeting Cochrane Effective Practice and Organisation of Care (EPOC) criteria increased between two time periods (1997–2001 and 2002–2006). Papers meeting the following inclusion criteria were identified: relevant to MDC for cancer patients; included the term ‘multidisciplinary’ in the abstract; published in English; published between 1997 and 2006. The proportion of data-based papers did not increase over time, nor did the proportion of intervention papers using EPOC-accepted designs. Only three intervention studies using EPOC-accepted designs were identified, all in the later time period. MDC is widely advocated in cancer care. This review indicates a pressing need to focus attention on the development of rigorous intervention research. Such research should answer important questions such as which models of MDC are most effective, for which outcomes and for which patients.
REFERENCES
- Agency for Health Care Policy and Research (1998) AHCPR Strategic Plan. Available at: http://www.ahrq.gov/about/stratpln.htm (accessed 16 June 2007).
- Bleyer A., Montello M., Budd T. & Saxman S. (2005) National survival trends of young adults with sarcoma: lack of progress is associated with lack of clinical trial participation. Cancer 103, 1891–1897.
-
Chang J.H.,
Vines E.,
Bertsch H.,
Fraker D.L.,
Czerniecki B.J.,
Rosato E.F.,
Lawton T.,
Conant E.F.,
Orel S.G.,
Schuchter L.,
Fox K.R.,
Zieber N.,
Glick J.H. &
Solin L.J. (2001) The impact of a multidisciplinary breast cancer centre on recommendations for patient management. The University of Pennsylvania Experience.
Cancer
91, 1231–1237.
10.1002/1097-0142(20010401)91:7<1231::AID-CNCR1123>3.0.CO;2-K CAS PubMed Web of Science® Google Scholar
- Cochrane Effective Practice and Organisation of Care Group (2007) Data Collection Checklist.. Available at: http://www.epoc.cochrane.org/Files/Reviewer%20Resources/Data%20Collection%20Checklist%20-%20EPOC%20-%202007-Feb-27.doc (accessed 24 August).
- Davies S. (2007) Research & development. In: The ‘Better Metrics Project’. Version 8. (ed. P. Whitty), pp. 152–157. Healthcare Commission, November 2007. Available at: http://www.cqc.org.uk/_db/_documents/Better_Metrics_full_report.pdf (accessed 20 August 2009).
- Du Bois A., Rochon J., Lamparter C. & Pfister J. (2005) Patterns of care and impact of participation in clinical studies on the outcome in ovarian cancer. International Journal Gynecological Cancer 15, 183–191.
- Fleissig A., Jenkins V., Catt S. & Fallowfield L. (2006) Multidisciplinary teams in cancer care: are they effective in the UK? Lancet Oncology 7, 935–943.
- Freemantle N., Grilli R., Grimshaw J.M. & Oxman A. (1995) Implementing findings of medical research: the Cochrane Collaboration of Effective Practice. Quality in Health Care 4, 45–47.
-
Gillies C. (2006) An integrated clinic model for the multidisciplinary management of bone metastases.
Canadian Journal of Medical Radiation Technology
37, 8–15.
10.1016/S0820-5930(09)60111-0 Google Scholar
- Gillis C.R. & Hole D.J. (1996) Survival outcome of care by specialist surgeons in breast cancer: study of 3786 patients in the west of Scotland. British Medical Journal 312, 145–148.
- Hanks G.W., Robbins M., Sharp D., Forbes K., Peter T.J., Morgan H., Sykes J., Baxter K., Corfe F. & Bidgood C. (2002) The impact study: a randomised controlled trial to evaluate a hospital palliative care team. British Journal of Cancer 87, 733–739.
- Hawkins N.G., Sanson-Fisher R.W., Shakeshaft A., D'Este C. & Green L.W. (2007) The role of multiple baseline designs in population-based research. American Journal of Preventive Medicine 33, 162–163.
- Jacobsen P.B. & Jim H.S. (2008) Psychosocial interventions for anxiety and depression in adult cancer patients: achievements and challenges. CA: A Cancer Journal for Clinicians 58, 214–230.
- Junor E.J., Hole D.J. & Gillis C.R. (1994) Management of ovarian cancer: referral to a multidisciplinary team matters. British Journal of Cancer 70, 363–370.
- Kim R. & Toge T. (2004) Multidiscplinary approach to cancer treatment: a model for breast cancer treatment at the MD Anderson Cancer Centre. International Journal of Clinical Oncology 9, 356–363.
- Knobf M.T., Musanti R. & Dorward J. (2007) Exercise and quality of life outcomes in patients with cancer. Seminars in Oncology Nursing 23, 285–296.
- Koinberg I., Langius-Eklof A., Holmberg L. & Fridlund B. (2006) The usefulness of a multidisciplinary educational programme after breast cancer surgery: a prospective and comparative study. European Journal of Oncology Nursing 10, 273–283.
- Mercer S.L., DeVinney B.J., Fine L.J., Green L.W. & Dougherty D. (2007) Study designs for effectiveness and translation research. Identifying trade-offs. American Journal of Preventive Medicine 33, 139–154.
- National Breast Cancer Centre (NBCC) (2004) Clinical Practice Guidelines for the Management and Support of Younger Women with Breast Cancer. National Breast Cancer Centre, Camperdown, NSW, Australia.
- Rummans T.A., Clark M.M., Sloan J.A., Frost M.H., Bostwick J.M., Atherton P.J., Johnson M.E., Gamble G., Richardson J., Brown P., Martensen J., Miller J., Piderman K., Huschka M., Girardi J. & Hanson J. (2006) Impacting quality of life for patients with advanced cancer with a structured multidisciplinary intervention: a randomized controlled trial. Journal of Clinical Oncology 24, 635–642.
- Sainsbury R., Haward B., Rider L., Johnston C. & Round C. (1995) Influence of clinician workload and patterns of treatment on survival from breast cancer. Lancet 345, 1265–1270.
- Sanson-Fisher R.W., Campbell E.M., Perkins J.J., Blunden S.V. & Davis B.D. (2006) Indigenous health research: a critical review of outputs over time. Medical Journal of Australia 184, 502–505.
- Sanson-Fisher R.W., Bonevski B., Green L.W. & D'Este C. (2007) Limitations of the randomised controlled trial in evaluating population-based health interventions. American Journal of Preventive Medicine 33, 155–161.
- Stewart B.W. & Kleihues P., eds (2003) World Cancer Report. Lyon IARC Press, Lyon, France.
- The Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales (1995) A policy framework for commissioning cancer services: a report by The Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales, 1995. Available at: http://site320.theclubuk.com/en/Publicationsandstatistics/PublicationsPolicyAndGuidance/DH_4071083 (accessed 26 August 2007).
- Weir H.K., Thun M.J., Hankey B.F., Ries L.A., Howe H.L., Wingo P.A., Jemal A., Ward E., Anderson R.N. & Edwards B.K. (2003) Annual report to the nation on the status of cancer, 1975–2000, featuring the uses of surveillance data for cancer prevention and control. Journal of the National Cancer Institute 95, 1276–1299.
- Zorbas H., Barraclough B., Rainbird K., Luxford K. & Redman S. (2003) Multidisciplinary care for women with early breast cancer in the Australian context: what does it mean? Medical Journal of Australia 179, 528–531.