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dc.contributor.authorLamb, B. W.
dc.contributor.authorMiah, S.
dc.contributor.authorSkolarus, T. A.
dc.contributor.authorStewart, G. D.
dc.contributor.authorGreen, J. S. A.
dc.contributor.authorSevdalis, N.
dc.contributor.authorSoukup, T.
dc.date.accessioned2021-10-18T08:50:03Z
dc.date.available2021-10-18T08:50:03Z
dc.date.issued2021-05-11
dc.date.submitted2021-01-05
dc.identifier.issn1068-9265
dc.identifier.others10434-021-09989-7
dc.identifier.other9989
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/329543
dc.descriptionFunder: Maudsley Charity; doi: http://dx.doi.org/10.13039/100012176
dc.descriptionFunder: Mark Foundation For Cancer Research; doi: http://dx.doi.org/10.13039/100014599
dc.descriptionFunder: Guy's and St Thomas' Charity; doi: http://dx.doi.org/10.13039/501100000380
dc.descriptionFunder: NIHR Collaboration for Leadership in Applied Health Research and Care South London; doi: http://dx.doi.org/10.13039/501100015091
dc.description.abstractAbstract: 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.
dc.languageen
dc.publisherSpringer International Publishing
dc.subjectGlobal Health Services Research
dc.titleDevelopment and Validation of a Short Version of the Metric for the Observation of Decision-Making in Multidisciplinary Tumor Boards: MODe-Lite
dc.typeArticle
dc.date.updated2021-10-18T08:50:02Z
prism.endingPage7588
prism.issueIdentifier12
prism.publicationNameAnnals of Surgical Oncology
prism.startingPage7577
prism.volume28
dc.identifier.doi10.17863/CAM.76991
dcterms.dateAccepted2021-03-02
rioxxterms.versionofrecord10.1245/s10434-021-09989-7
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidLamb, B. W. [0000-0003-2220-893X]
dc.identifier.eissn1534-4681
pubs.funder-project-idCancer Research UK (A25117)
pubs.funder-project-idNational Cancer Institute (R01 CA242559 and R37 CA222885)


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