An International Hepatobiliary Multidisciplinary Team Meeting: A Case for Its Perpetuation

Abstract

Introduction: Multidisciplinary team meetings (MDTs) are integral to modern surgical oncology. With multiple specialists coming together to discuss patient care on a case-by-case basis, they have been shown to improve patient outcomes. The global cancer burden appears to be shifting to less developed countries - patient load is high, resources are low, and clinicians often work in isolation, with little access to multidisciplinary care teams. With the use of videoconferencing, international MDTs can take place over great geographical distances, providing insight, exchange of medical knowledge, protocols and guidelines amongst colleagues. Methods: We implemented a unique model for an international hepatobiliary MDT in order to improve services in developing nations and enhance our own management of complex cases. 3-monthly meetings were conducted by a Chairperson at a coordinated time with 7 Hepatobiliary units worldwide contributing simultaneously. A secure web-based platform was used for case presentations. Results: 6 MDTs have been successfully coordinated despite the 5 different time zones between the 7 different institutions (Table 1.). More than 40 patients have been discussed. Since overcoming the problems of internet connections and technical issues, the participating institutions enjoyed complex case-based as well as building the global peer group that has resulted in skills workshops. Conclusion: We show it is possible to continually coordinate and implement an international hepatobiliary MDT meeting. Robust discussion, improvement in evidence-based practice in developing countries and building an international peer group were byproducts of such a process.Tabled 1Table 1Participating LocationsLocal TimeBrisbane, Australia2100HYangon, Myanmar1730HKandy, Sri Lanka1630HColombo, Sri Lanka1630HManchester, U.K.1100HEdinburgh, Scotland1100HDallas, U.S.A0600H Open table in a new tab