Quality Management 2017

MDMs on prostate cancer in USA

The experience of the MD Prostate Cancer Clinics at Harvard Medical School (MGH, BWH, BIDMC), Boston Analysis: Jan - Dec 2009: 701 pts

Aim: to determine whether MDC consultation is associated with the selection of Active Surveillance for low risk patients

• Selection of Active Surveillance in patients seen at a MDM was double than patients seen by individual practitioners: 43% vs 22% • Patients treated with RP or RT decreased by ~ 30% • Consultation at MDC vs monodisciplinary was significantly associated with pursuit of Active Surveillance: p=0.02

theoric score: 7.75