{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:52:32Z","timestamp":1791366752723,"version":"4.3.1"},"reference-count":49,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Multidisziplin\u00e4re Tumorboards (MDTs) sind zentral f\u00fcr die leitliniengerechte Versorgung von Patienten mit Lungenkarzinom. Obwohl ihre Durchf\u00fchrung mit einer Verbesserung der Versorgungsqualit\u00e4t sowie klinischer Endpunkte assoziiert ist, weisen zahlreiche Studien auf Defizite bei der Entscheidungsfindung und Umsetzbarkeit von MDT-Beschl\u00fcssen hin. Gleichzeitig fehlen in Deutschland sowohl verbindliche Prozessstandards als auch belastbare Daten dar\u00fcber, wie thoraxonkologische MDTs aktuell durchgef\u00fchrt werden. Ziel dieser Arbeit war es, qualit\u00e4tsrelevante Faktoren effektiver MDTs darzustellen, etablierte Instrumente zur Qualit\u00e4tsmessung zu bewerten und Ans\u00e4tze zur strukturierten Weiterentwicklung der MDT-Prozesse in Deutschland aufzuzeigen.<\/jats:p>\n                  <jats:p>Narrativer Review auf Basis einer fokussierten, nicht-systematischen Literaturrecherche in PubMed\/MEDLINE (Februar 2026). Eingeschlossen wurden Originalarbeiten, Reviews, Leitlinien und Konsensuspapiere in deutscher und englischer Sprache.<\/jats:p>\n                  <jats:p>Effektive MDTs sind durch Qualit\u00e4tsfaktoren gekennzeichnet, die sich in f\u00fcnf Dimensionen einordnen lassen: Team, Infrastruktur, Organisation, Entscheidungsfindung und Governance. Besonders relevant sind hierbei die Beteiligung aller relevanten Fachdisziplinen, eine kompetente Moderation, eine respektvolle Diskussionskultur, ausreichende Zeit zur Vorbereitung, klare Zust\u00e4ndigkeiten, strukturierte Prozesse und eine nachvollziehbare Dokumentation. Zudem m\u00fcssen Komorbidit\u00e4ten, psychosoziale Faktoren und Patientenw\u00fcnsche f\u00fcr eine patientenzentrierte Entscheidungsfindung ber\u00fccksichtigt werden. Zur Qualit\u00e4tsmessung stehen validierte Instrumente wie der MODe-Fragebogen zur Verf\u00fcgung. Digitale Konferenzformate und IT-Systeme zur MDT-Koordination und Entscheidungsfindung bieten zus\u00e4tzliches Potenzial zur Prozessoptimierung.<\/jats:p>\n                  <jats:p>MDTs sind f\u00fcr die Versorgung des Lungenkarzinoms unverzichtbar. Ihre Effektivit\u00e4t wird wesentlich durch strukturierte Prozesse und nicht allein durch die medizinische Expertise der beteiligten Fachdisziplinen bestimmt. F\u00fcr Deutschland besteht ein Bedarf an einer systematischen Erfassung bestehender Strukturen sowie an einer einheitlichen, validierten Qualit\u00e4tsmessung. Eine bundesweite Bestandsaufnahme und die anschlie\u00dfende prospektive Anwendung standardisierter Instrumente wie des MODe k\u00f6nnten die nationale Evidenzbasis st\u00e4rken, relevante Optimierungspotenziale identifizieren und die Grundlage f\u00fcr eine kontinuierliche Qualit\u00e4tsverbesserung thoraxonkologischer MDTs schaffen.<\/jats:p>","DOI":"10.1055\/a-2949-4152","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:38:01Z","timestamp":1791362281000},"source":"Crossref","is-referenced-by-count":0,"title":["Von Eminenz zu Evidenz: Was gute Tumorboards beim Lungenkarzinom ausmacht"],"prefix":"10.1055","author":[{"given":"Gerald","family":"Schmid-Bindert","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Heidelberg-Mannheim GmbH, Universit\u00e4t Heidelberg, Deutschland","place":["Mannheim"],"department":["V. Medizinische Klinik \u2013 Pneumologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin","family":"Gro\u00df-Ophoff-M\u00fcller","sequence":"additional","affiliation":[{"name":"Kliniken der Stadt K\u00f6ln gGmbH, Deutschland","place":["K\u00f6ln"],"department":["Lungenklinik K\u00f6ln-Merheim"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aitan","family":"Kasumova","sequence":"additional","affiliation":[{"name":"Klinikverbund Allg\u00e4u gGmbH, Deutschland","place":["Kempten und Immenstadt"],"department":["Klinik f\u00fcr Pneumologie, Thoraxonkologie, Schlaf- und Beatmungsmedizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Schumann","sequence":"additional","affiliation":[{"name":"Klinikverbund Allg\u00e4u gGmbH, Deutschland","place":["Kempten und Immenstadt"],"department":["Klinik f\u00fcr Pneumologie, Thoraxonkologie, Schlaf- und Beatmungsmedizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality\n          worldwide for 36 cancers in 185 countries","volume":"74","author":"F Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"c951","DOI":"10.1136\/bmj.c951","article-title":"Multidisciplinary team working in cancer: what is the evidence?","volume":"340","author":"C Taylor","year":"2010","journal-title":"BMJ"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1200\/JGO.2015.000158","article-title":"Global Practice and Efficiency of Multidisciplinary Tumor Boards: Results of an American Society of Clinical Oncology International Survey","volume":"1","author":"NS El Saghir","year":"2015","journal-title":"JGO"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.ejcts.2010.01.051","article-title":"The effect of a multidisciplinary thoracic malignancy conference on the treatment of patients with lung cancer","volume":"38","author":"RK Freeman","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"656","DOI":"10.1188\/18.CJON.656-662","article-title":"Interprofessional Lung Cancer Tumor Board: The Role of the Oncology Nurse Navigator in Improving Adherence to National Guidelines and Streamlining Patient Care","volume":"22","author":"J Peckham","year":"2018","journal-title":"Clin J Oncol Nurs"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"267","DOI":"10.2147\/JMDH.S98345","article-title":"Effectiveness of a thoracic multidisciplinary clinic in the treatment of stage III non-small-cell lung cancer","volume":"9","author":"EL Friedman","year":"2016","journal-title":"J Multidiscip Healthc"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1719","DOI":"10.1016\/j.athoracsur.2014.11.019","article-title":"Thoracic multidisciplinary tumor board routinely impacts therapeutic plans in patients with lung and esophageal cancer: a prospective cohort study","volume":"99","author":"HM Schmidt","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1834","DOI":"10.1016\/j.athoracsur.2015.05.056","article-title":"The Effects of a Multidisciplinary Care Conference on the Quality and Cost of Care for Lung Cancer Patients","volume":"100","author":"RK Freeman","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtocrr.2023.100580","article-title":"Does Multidisciplinary Team Management Improve Clinical Outcomes in NSCLC? 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