Perioperative medicine & outcomes
Characteristics and outcome of preoperative multidisciplinary team discussions for high-risk noncardiac surgical patients in the Netherlands: a multicentre prospective observational study
Authors' conclusion
Preoperative MDT discussions lead to management modifications for high-risk noncardiac surgical patients. Almost one-third of the discussed patients did not undergo surgery. The rate of postoperative adverse events was high in this selected population.
Study context
- Population
- Consecutive adult high-risk noncardiac surgical patients discussed in a preoperative multidisciplinary team (MDT) meeting, 9 hospitals in the Netherlands, April 2022–September 2023median age 73 yr
- Participants
- 225 patients
- Exposure
- Surgery vs Nonsurgical management
- Nonsurgical managementn = 71
- Outcome
- Characteristics of MDT meetings and their effect on patient outcomes
- Follow-up
- Up to 30 days
Methodological detailsmulticentre, nine hospitals
- Multicentre
- Nine hospitals
Main finding
As reported in the abstract
Selected for MDT because of doubt regarding harm-benefit ratio of proposed surgery
n=168; 75%
Selected for MDT as part of a standardised surgical pathway
n=57; 25%
Clinical management modified after MDT discussion
183
81%
Nonsurgical management after MDT discussion
71
32%
Observational data: associations, not effects.
Further findings
30-day mortality · up to 30 days
Safety
Adverse events · up to 30 days after surgery
Original publication
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