Development and Validation of a Short Version of the Metric for the Observation of Decision-Making in Multidisciplinary Tumor Boards: MODe-Lite
Skolarus, T. A.
Stewart, G. D.
Green, J. S. A.
Annals of Surgical Oncology
Springer International Publishing
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Lamb, B. W., Miah, S., Skolarus, T. A., Stewart, G. D., Green, J. S. A., Sevdalis, N., & Soukup, T. (2021). Development and Validation of a Short Version of the Metric for the Observation of Decision-Making in Multidisciplinary Tumor Boards: MODe-Lite. Annals of Surgical Oncology, 28 (12), 7577-7588. https://doi.org/10.1245/s10434-021-09989-7
Funder: Maudsley Charity; doi: http://dx.doi.org/10.13039/100012176
Funder: Mark Foundation For Cancer Research; doi: http://dx.doi.org/10.13039/100014599
Funder: Guy's and St Thomas' Charity; doi: http://dx.doi.org/10.13039/501100000380
Funder: NIHR Collaboration for Leadership in Applied Health Research and Care South London; doi: http://dx.doi.org/10.13039/501100015091
Abstract: Background: Evidence-based tools are necessary for scientifically improving the way MTBs work. Such tools are available but can be difficult to use. This study aimed to develop a robust observational assessment tool for use on cancer multidisciplinary tumor boards (MTBs) by health care professionals in everyday practice. Methods: A retrospective cross-sectional observational study was conducted in the United Kingdom from September 2015 to July 2016. Three tumor boards from three teaching hospitals were recruited, with 44 members overall. Six weekly meetings involving 146 consecutive cases were video-recorded and scored using the validated MODe tool. Data were subjected to reliability and validity analysis in the current study to develop a shorter version of the MODe. Results: Phase 1, a reduction of the original items in the MODe, was achieved through two focus group meetings with expert assessors based on previous research. The 12 original items were reduced to 6 domains, receiving full agreement by the assessors. In phase 2, the six domains were subjected to item reliability, convergent validation, and internal consistency testing against the MODe-Lite global score, the MODe global score, and the items of the MODe. Significant positive correlations were evident across all domains (p < 0.01), indicating good reliability and validity. In phase 3, feasibility and high inter-assessor reliability were achieved by two clinical assessors. Six domains measuring clinical input, holistic input, clinical collaboration, pathology, radiology, and management plan were integrated into MODe-Lite. Conclusions: As an evidence-based tool for health care professionals in everyday practice, MODe-Lite gives cancer MTBs insight into the way they work and facilitates improvements in practice.
Global Health Services Research
Cancer Research UK (A25117)
National Cancer Institute (R01 CA242559 and R37 CA222885)
External DOI: https://doi.org/10.1245/s10434-021-09989-7
This record's URL: https://www.repository.cam.ac.uk/handle/1810/329543