Key result
Clinicians adjust vascular MDT recommendations in ~20% of outpatient visits.
Cohort (n=112)
No
Vascular MDT meetings focus heavily on procedural and diagnostic aspects, leading to frequent deviations from recommendations due to unaddressed patient factors like frailty and preferences.
May warrant more specialists and time for complex cases in vascular MDT meetings; extends holistic evidence but requires prospective validation.
OBJECTIVES: To describe the structure and content of vascular multidisciplinary team (MDT) meetings and to assess the implementation of MDT meeting (MDTM) recommendations in clinical practice, including the frequency and reasons for deviations. METHODS: This prospective observational cohort study evaluated MDT meetings at a tertiary vascular center. The MDT-Metric for the Observation of Decision-making (MDT-MODe) tool was adapted for vascular surgery, and used to score health care professional contributions and the quality of information of topics discussed during MDTMs. After 1 year, medical records were reviewed to assess adherence to MDTM recommendations. RESULTS: Twelve MDTMs were evaluated, of which 6 MDTMs including 112 patients were used in the final analysis. Discussion lasted a median of 3 min and 38 s per patient. Imaging was reviewed in 97.1 % of cases, and comorbidities, psychosocial factors, and patient perspectives were discussed in 29.4 %, 11 %, and 8 %, respectively. At the outpatient clinic, MDTM recommendations were adjusted in 20 % of cases, rising to 43 % when interventions were advised. Treatment deviations were often due to frailty, patient preference, or changes in the patient's clinical condition. CONCLUSION: This study found that vascular MDTMs focused primarily on procedural and diagnostic aspects, including imaging, whereas patient comorbidities, psychosocial factors, and preferences were discussed in the minority of cases. This approach may contribute to discrepancies between MDTM recommendations and their adherence. Further research is needed to confirm the impact of this strategy on decision-making and clinical outcomes. PRACTICE IMPLICATIONS: The findings underscore the need to enhance vascular MDTMs by adopting a more holistic approach. Strategies such as including additional specialists, and allocating more time for complex cases, couldn better align MDTM recommendations with patient-specific needs. These improvements may enhance adherence to MDTM advice.
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Kooijman et al. (2026) conducted a cohort in Vascular surgery (n=112). Vascular multidisciplinary team (MDT) meetings was evaluated on Adjustment of MDTM recommendations at the outpatient clinic. Vascular multidisciplinary team meeting recommendations were adjusted in 20% of cases at the outpatient clinic, rising to 43% when interventions were advised.
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