Introduction to Multidisciplinary Clinics and Their Value

Winston R. Owens; Josephine L. Schmidt; Pierce C. Hollier; Sam H. Cole; Edward P. Buchanan; Jessica A. Ching

doi:10.1055/s-0045-1806799

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg
DOI: 10.1055/s-0045-1806799

Review Article

Introduction to Multidisciplinary Clinics and Their Value

Winston R. Owens

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Josephine L. Schmidt

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Pierce C. Hollier

³Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas

,

Sam H. Cole

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

,

Edward P. Buchanan

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

,

Jessica A. Ching

¹Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas

²Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas

› Author Affiliations

Abstract

Multidisciplinary clinics (MDC) are a mainstay in medical and surgical management of complex diseases in the adult and pediatric populations. Due to increasingly complicated multimodal treatment plans and difficulties coordinating care, MDCs emerged to simplify care administration for patients and providers while optimizing outcomes. Multidisciplinary care is delivered in a variety of ways; however, the most common setups are concurrent and sequential clinics. With proper personnel and infrastructure organization, MDCs are beneficial to patients, providers, and institutions both clinically and financially. This introductory article will describe a brief history of MDCs, different models of operation, and known clinical and financial gains.

Keywords

multidisciplinary clinics - multidisciplinary team - cost-efficient - value - MDC - MDT

Full Text

References

References
1 Taberna M, Gil Moncayo F, Jané-Salas E. et al. The multidisciplinary team (MDT) approach and quality of care. Front Oncol 2020; 10: 85
2 Taylor C, Munro AJ, Glynne-Jones R. et al. Multidisciplinary team working in cancer: what is the evidence?. BMJ 2010; 340: c951
3 Davis MJ, Luu BC, Raj S, Abu-Ghname A, Buchanan EP. Multidisciplinary care in surgery: are team-based interventions cost-effective?. Surgeon 2021; 19 (01) 49-60
4 Litton G, Kane D, Clay G, Kruger P, Belnap T, Parkinson B. Multidisciplinary cancer care with a patient and physician satisfaction focus. J Oncol Pract 2010; 6 (06) e35-e37
5 Mutlu S, Benneyan J, Terrell J, Jordan V, Turkcan A. A co-availability scheduling model for coordinating multi-disciplinary care teams. Int J Prod Res 2015; 53 (24) 7226-7237
6 Baldwin Jr DC. Some historical notes on interdisciplinary and interprofessional education and practice in health care in the USA. 1996. J Interprof Care 2007; 21 (Suppl. 01) 23-37
7 Pfeiffer SI, Naglieri JA. An investigation of multidisciplinary team decision-making. J Learn Disabil 1983; 16 (10) 588-590
8 Dadzie MA, Yarney J, Nyantakyi AY, Tackie JNO. A bright future for multidisciplinary approach to cancer care in the setting of limited resource. Transl Oncol 2024; 50: 102124
9 Borst AJ, Swerdlin RF, Phillips JD, Hawkins CM, Briones MA. How we established a multidisciplinary program for vascular anomalies. Pediatr Blood Cancer 2022; 69 (Suppl. 03) e28863
10 Frederick R, Hogan AC, Seabolt N, Stocks RMS. An ideal multidisciplinary cleft lip and cleft palate care team. Oral Dis 2022; 28 (05) 1412-1417
11 Cohen-Cutler S, Blatt J, Bayliff S, Iacobas I, Hammill A, Sisk BA. Vascular anomalies care in the United States: a cross-sectional national survey. J Pediatr 2023; 261: 113579
12 Guevara CJ, Alomari AI. Interdisciplinary approach to treatment of vascular anomalies. Tech Vasc Interv Radiol 2013; 16 (01) 55-58
13 Meguid C, Ryan CE, Edil BH. et al. Establishing a framework for building multidisciplinary programs. J Multidiscip Healthc 2015; 8: 519-526
14 Bunnell CA, Weingart SN, Swanson S, Mamon HJ, Shulman LN. Models of multidisciplinary cancer care: physician and patient perceptions in a comprehensive cancer center. J Oncol Pract 2010; 6 (06) 283-288
15 Gabel M, Hilton NE, Nathanson SD. Multidisciplinary breast cancer clinics. Do they work?. Cancer 1997; 79 (12) 2380-2384
16 Shin AY, Bishop AT, Loosbroch MF, Spinner RJ. A multidisciplinary approach to the management of brachial plexus injuries: experience from the Mayo Clinic over 100 years. J Hand Surg Eur Vol 2022; 47 (11) 1103-1113
17 Licitra L, Keilholz U, Tahara M. et al. Evaluation of the benefit and use of multidisciplinary teams in the treatment of head and neck cancer. Oral Oncol 2016; 59: 73-79
18 Rosell L, Alexandersson N, Hagberg O, Nilbert M. Benefits, barriers and opinions on multidisciplinary team meetings: a survey in Swedish cancer care. BMC Health Serv Res 2018; 18 (01) 249
19 El Saghir NS, Keating NL, Carlson RW, Khoury KE, Fallowfield L. . Tumor boards: optimizing the structure and improving efficiency of multidisciplinary management of patients with cancer worldwide. Am Soc Clin Oncol Educ Book 2014:e461–466
20 LaVigne AW, Doss VL, Berizzi D. et al. The history and future of multidisciplinary cancer care. Semin Radiat Oncol 2024; 34 (04) 441-451
21 Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: a review. Surg Neurol Int 2014; 5 (Suppl. 07) S295-S303
22 Townsend M, Kallogjeri D, Scott-Wittenborn N, Gerull K, Jansen S, Nussenbaum B. Multidisciplinary clinic management of head and neck cancer. JAMA Otolaryngol Head Neck Surg 2017; 143 (12) 1213-1219
23 Alongi AM, Mitchell WD, Elder EA, Rivere A, Fuhrman G. Multidisciplinary breast cancer clinic: a novel approach to decrease time to intervention. Am Surg 2023; 89 (08) 3648-3649
24 Joret MO, Osman K, Dean A, Cao C, van der Werf B, Bhamidipaty V. Multidisciplinary clinics reduce treatment costs and improve patient outcomes in diabetic foot disease. J Vasc Surg 2019; 70 (03) 806-814
25 Basnayake C, Kamm MA, Stanley A. et al. Long-term outcome of multidisciplinary versus standard gastroenterologist care for functional gastrointestinal disorders: a randomized trial. Clin Gastroenterol Hepatol 2022; 20 (09) 2102-2111.e9
26 Graff SL, Principe J, Galvin AM. et al. Evaluating patient experience in a multidisciplinary breast cancer clinic: a prospective study. J Womens Health (Larchmt) 2024; 33 (01) 39-44
27 Stone CJL, Johnson AP, Robinson D. et al. Health resource and cost savings achieved in a multidisciplinary lung cancer clinic. Curr Oncol 2021; 28 (03) 1681-1695
28 Kam K, Nettel-Aguirre A, Mitchell I, Johnson D, Currie G. Cost impact of a multidisciplinary clinic for children with problematic severe asthma. Eur Respir J 2016; 48 (Suppl. 60) PA1531
29 Mudd PA, Silva AL, Callicott SS, Bauman NM. Cost analysis of a multidisciplinary aerodigestive clinic: are such clinics financially feasible?. Ann Otol Rhinol Laryngol 2017; 126 (05) 401-406
30 Straughan AJ, Mudd PA, Silva AL, Callicott SS, Krakovsky G, Bauman NM. Cost analysis of a multidisciplinary vascular anomaly clinic. Ann Otol Rhinol Laryngol 2019; 128 (05) 401-405
31 Barrios C, Sánchez-Vanegas G, Villarreal-Garza C. et al. Barriers and facilitators to provide multidisciplinary care for breast cancer patients in five Latin American countries: a descriptive-interpretative qualitative study. Lancet Reg Health Am 2022; 11: 100254