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5.5 QI 5 - Treatment planned and reviewed at a multidisciplinary team meeting
5.5.1 Description of the QI
TYPE Process indicator.
DESCRIPTION The decision for any major therapeutic intervention has been taken by a
multidisciplinary team MDT including at least a surgical specialist as defined above
QI 2 and QI 3, a radiologist, a pathologist if a biopsy is available, and a physician
certified to deliver chemotherapy a gynecologic oncologist in countries where the
subspecialty is structured and/or a medical oncologist with special interest in
gynecologic oncology.
SPECIFICATIONS Numerator: number of patients with advanced ovarian cancer for whom the decision for
therapeutic interventions has been taken by a MDT.
Denominator: all patients with advanced ovarian cancer undergoing therapeutic
interventions.
TARGETS ≥ 95%
SCORING RULE 3 if the target is met.
5.5.2 Rationale
Multidisciplinary care is recognized as best practice in treatment planning and care for patients internationally.
In several cancer types, there is evidence that decisions made by a MDT are more likely to be in accord with
evidence-based guidelines than those made by individual clinicians and the role of multidisciplinary approach in
the quality of care is recognized220,228,251-257.
Three previous initiatives26,46,53 published a QI for this topic. Furthermore, the only guideline120 identified for
this topic recommends that treatment should be individualized to the patient after full discussion at MDT.
5.5.3 Summary of available scientific evidence
No directly applicable clinical studies have been identified.
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