Breast cancer MDT meeting decision support

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This web-based system is designed to support collaborative decision making by a variety of health professionals in breast cancer multi-disciplinary team (MDT) meetings. The system evaluates patient clinical facts and suggests optimal management options as proposed by high-quality evidence based clinical guidelines. In addition, the system ensures that clinicians are reminded, if relevant, if a patient is eligible to take part in any current clinical trial.

A standalone desktop decision support tool for breast cancer MDT meetings (MATE) is currently in routine clinical use at the Royal Free NHS Trust in London. Researchers at the Royal Free are investigating the extent to which MATE can help improve clinicians' compliance with evidence-based guidelines and the quality of decision-making.

	Publet information
Guideline objectives	To assist breast multidisciplinary team to make evidence based decisions.
Target setting	Breast MDM
Target users	Breast multidisciplinary team members
Management	Author: Editorial team Release date: 01-04-2010 20:15:00
Sources	Scottish Intercollegiate Guidelines Network. Management of breast cancer in women. Guideline No. 84, ISBN 1 899893 34 2, December 2005. Breast Cancer guideline. National Comprehensive Cancer Network, 2008 [registration required]. W. Shelley, D. McCready, C. Holloway, M. Trudeau, S. Sinclair and the Breast Cancer Disease Site Group. Management of Ductal Carcinoma in Situ of the Breast: A Clinical Practice Guideline. A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO). Report Date: September 19, 2006. American College of Radiology. ACR–ACS–CAP–SSO (DCIS), Practice Guideline For The Management of Ductal Carcinoma In-Situ of the Breast, 2006. NHS Breast Screening Programmes. Clinical guidelines for breast cancer screening assessment. 2005, revised June 2010. NHS Breast Screening Programmes. Guidelines for non-operative diagnostic procedures and reporting in breast cancer screening. June 2008. American College of Radiology. ACR Appropriateness Criteria® - Clinical Condition: Palpable Breast Masses, 2006, 2009. American College of Radiology. Practice Guideline For The Performance Of A Breast Ultrasound Examination, 2007. National Collaborating Centre for Primary Care Familial breast cancer: The classification and care of women at risk of familial breast cancer in primary, secondary and tertiary care. National Institute for Health and Clinical Excellence (NICE) clinical guideline 41, October 2006 [NICE CG41]. American College of Radiology. ACR Appropriateness Criteria®. Clinical Condition: Ductal Carcinoma in Situ, 2006. McCready D, Holloway C, Shelley W, Down N, Robinson P, Sinclair S, Mirsky D; Breast Cancer Disease Site Group of Cancer Care; Ontario's Program in Evidence-Based Care. Surgical management of early stage invasive breast cancer: a practice guideline. Can J Surg. 2005 Jun;48(3):185-94. National Cancer Institute, US National Insititutes of Health. Breast Cancer Treatment, 2008. R. Myers, T. Minuk, M. Johnston, and the Diagnostic Imaging Guidelines Panel. Recommendations Report: Diagnostic Imaging in Breast Cancer. Cancer Care Ontario, 2006. Children’s Cancer and Leukaemia Group, Practice Statement, Therapy Based Long Term Follow Up (breast tissue) (2nd Edition), England, 2005. British National Formulary, 2008.

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Breast cancer MDT meeting decision support