Implementation of lung cancer multidisciplinary teams: a review of evidence-practice gaps

Nicole M Rankin; Elizabeth A Fradgley; David J Barnes

doi:10.21037/tlcr.2019.11.32

Implementation of lung cancer multidisciplinary teams: a review of evidence-practice gaps

Transl Lung Cancer Res. 2020 Aug;9(4):1667-1679. doi: 10.21037/tlcr.2019.11.32.

Authors

Nicole M Rankin¹, Elizabeth A Fradgley^{2

3

4}, David J Barnes^{1

5}

Affiliations

¹ Faculty of Medicine and Health Sciences, University of Sydney, Camperdown, New South Wales, Australia.
² University of Newcastle Priority Research Centre for Cancer Research, Innovation and Translation, Callaghan, New South Wales, Australia.
³ University of Newcastle Priority Research Centre for Health Behaviour, Callaghan, New South Wales, Australia.
⁴ School of Medicine & Public Health, University Drive, Callaghan, New South Wales, Australia.
⁵ Sydney Local Health District, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.

Abstract

Multidisciplinary care (MDC) is considered best practice in lung cancer care. Health care services have made significant investments in MDC through the establishment of multidisciplinary team (MDT) meetings. This investment is likely to be sustained in future. It is imperative that MDT meetings are efficient, effective, and sufficiently nimble to introduce new innovations to enable best practice. In this article, we consider the 'evidence-practice gaps' in the implementation of lung cancer MDC. These gaps were derived from the recurrent limitations outlined in existing studies and reviews. We address the contributions that implementation science and quality improvement can make to bridge these gaps by increasing translation and improving the uptake of innovations by teams.

Keywords: Implementation science; lung cancer; multidisciplinary care (MDC); quality outcomes.

Publication types

Review