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Assessing quality of documentation of radiology input at Hepatobiliary Multi-disciplinary team meetings (MDTM) for cases of hepatocellular carcinoma (HCC).
EP34401
Poster Title: Assessing quality of documentation of radiology input at Hepatobiliary Multi-disciplinary team meetings (MDTM) for cases of hepatocellular carcinoma (HCC).
Submitted on 30 Oct 2020
Author(s): Essam Lakha1, Saigeet Eleti1, Natasha Davendralingam1, Asanda Koza1, Geoffrey Lie1, Sonali Shah1, Mahrukh Qureshi1
Affiliations: Barts & The Royal London Hospital
This poster was presented at BIR 2020
Poster Views: 171
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Poster Information
Abstract: Purpose: Consultant radiologist input is essential to the infrastructure of the MDTM as, through providing specialist input on imaging, advice can be given to direct further investigation and intervention (1). This is usually recorded at the time of discussion in the form of an MDTM report which is critical to continuity of care and information. Therefore, accurate and comprehensive documentation of this input is important, in addition to other key information including histopathological diagnosis, staging and MDTM outcome.

Methods: We carried out a retrospective analysis of the MDTM reports of 64 patients with HCC managed at our centre who were discussed at the regional north-east London meeting in the 2017-2019 period. We assessed whether documentation met the requirements set out by Cancer Multidisciplinary Team Meeting - Standards for Clinical Radiologists. The Royal College of Radiologists (2).

Results: We found that, of the analysed MDTM reports, 89% explicitly noted the imaging that was reviewed and 75% stated the radiological opinion. Only 28% of MDTM documents had the staging of the malignancy documented and 33% referred to biopsy status or histological diagnosis. 97% of reports had a clear management plan.

Conclusion: These results indicate that although documentation of radiology guidance and future management strategy was present in a large proportion of MDTM reports, there is significant improvement required to meet standards for recording of disease staging and histopathological findings. A more robust MDTM documentation template, education of staff and local guidance detailing the requirements would be potential strategies to improve compliance.
Summary: Assessing quality of documentation of radiology input at Hepatobiliary Multi-disciplinary team meetings (MDTM) for cases of hepatocellular carcinoma (HCC).References: 1) Balasubramaniam R, Subesinghe M, Smith JT. The proliferation of multidisciplinary team meetings (MDTMs): how can radiology departments continue to support them all? Eur Radiol. 2015 Dec;25(12):3679–84.
2) Cancer Multidisciplinary Team Meeting - Standards for Clinical Radiologists 2nd edition. The Royal College of Radiologists.
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