{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T17:27:51Z","timestamp":1775496471412,"version":"3.50.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,5,8]],"date-time":"2021-05-08T00:00:00Z","timestamp":1620432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Multidisciplinary conference presentation may provide recommendations for diagnosis, monitoring and treatment for patients with inflammatory bowel disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective observational study was completed evaluating if case presentation resulted in a direct change in management for patients presented over a 2-year period in a tertiary Canadian centre. Change in management was defined as hospital admission, surgery or surgical referral, start\/change in biologic therapy or other medication or initiation of parenteral nutrition. Secondary outcomes included the involvement of specialists and other referrals. Data were analyzed using frequencies and means with standard deviations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In 63 multidisciplinary conferences, 181 patients were presented, of whom 136 patients met the inclusion criteria of inflammatory bowel disease (Crohn\u2019s n = 45, ulcerative colitis n = 88, undifferentiated n = 3). The majority were outpatient cases 110 (81%). Indications included 71 (52%) patients presented for IBD management with diagnosis &amp;gt; 1 year, 37 (27%) with an acute IBD flare in a chronic patient (&amp;gt;1 year since diagnosis) and 24 (18%) with new diagnosis of IBD. Change in management was recommended in 35 (26%) patients. The most common change was referral to surgery in 17 (13%), surgery in 12 (9%) or change in biologic therapy 11 (8%). Compliance with the recommendations was 85%. There was frequent specialist involvement in case discussions (gastroenterologist 100%, surgeon 60%, radiologist 68% and pathologist 32%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Presentation of complex inflammatory bowel disease cases at multidisciplinary conference leads to a direct change in treatment in one quarter of cases, with surgical referral as the most frequent outcome.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jcag\/gwab004","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T12:13:15Z","timestamp":1612613595000},"page":"284-289","source":"Crossref","is-referenced-by-count":8,"title":["The Impact of Multidisciplinary Conferences on Treatment Plans for Patients With Inflammatory Bowel Disease in a Tertiary Canadian Centre"],"prefix":"10.1093","volume":"4","author":[{"given":"Luke B","family":"Hartford","sequence":"first","affiliation":[{"name":"Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, General Surgery, London Health Science Centre, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura J","family":"Allen","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, General Surgery, London Health Science Centre, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Lennox","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vipul","family":"Jairath","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Epidemiology, and Biostatistics; John and Susan McDonald Endowed Chair in Inflammatory Bowel Disease Clinical Research, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie Ann M","family":"Van Koughnett","sequence":"additional","affiliation":[{"name":"Division of General Surgery and Surgical Oncology, Department of Surgery and Oncology, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, General Surgery, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,8]]},"reference":[{"issue":"5","key":"2021120508522860400_CIT0001","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1136\/gut.2010.224154","article-title":"Guidelines for the management of inflammatory bowel disease in adults","volume":"60","author":"Mowat","year":"2011","journal-title":"Gut"},{"key":"2021120508522860400_CIT0002","article-title":"Contemporary risk of surgery in patients with ulcerative colitis and Crohn\u2019s disease: A meta-analysis of population-based cohorts","author":"Tsai","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2021120508522860400_CIT0003","doi-asserted-by":"crossref","first-page":"A165.1","DOI":"10.1136\/gutjnl-2014-307263.354","article-title":"PWE-094 setting standards by defining the aims and optimal design of the inflammatory bowel disease (IBD) Multidisciplinary Team (MDT) Meeting","volume":"63","author":"Morar","year":"2014","journal-title":"Gut"},{"issue":"7","key":"2021120508522860400_CIT0004","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1097\/DCR.0000000000000390","article-title":"Effect of multidisciplinary cancer conference on treatment plan for patients with primary rectal cancer","volume":"58","author":"Snelgrove","year":"2015","journal-title":"Dis Colon Rectum"},{"issue":"9","key":"2021120508522860400_CIT0005","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1038\/bjc.2013.586","article-title":"A study of the decision outcomes and financial costs of multidisciplinary team meetings (MDMs) in oncology","volume":"109","author":"De Ieso","year":"2013","journal-title":"Br J Cancer"},{"issue":"3","key":"2021120508522860400_CIT0006","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1111\/j.1442-2050.2006.00559.x","article-title":"Multidisciplinary team management is associated with improved outcomes after surgery for esophageal cancer","volume":"19","author":"Stephens","year":"2006","journal-title":"Dis Esophagus"},{"issue":"3","key":"2021120508522860400_CIT0007","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1038\/sj.bjc.6602947","article-title":"MRI directed multidisciplinary team preoperative treatment strategy: The way to eliminate positive circumferential margins?","volume":"94","author":"Burton","year":"2006","journal-title":"Br J Cancer"},{"key":"2021120508522860400_CIT0008","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1016\/S0190-9622(98)70203-8","article-title":"The multidisciplinary melanoma clinic: A cost outcomes analysis of specialty care","volume":"38","author":"Fader","year":"1998","journal-title":"J Am Acad Dermatol"},{"issue":"1","key":"2021120508522860400_CIT0009","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1136\/flgastro-2017-100835","article-title":"Establishing the aims, format and function for multidisciplinary team-driven care within an inflammatory bowel disease service: A multicentre qualitative specialist-based consensus study","volume":"9","author":"Morar","year":"2018","journal-title":"Frontline Gastroenterol"},{"key":"2021120508522860400_CIT0010","doi-asserted-by":"crossref","first-page":"S285","DOI":"10.1016\/S1590-8658(08)60539-3","article-title":"The multidisciplinary team for management of inflammatory bowel diseases","volume":"40","author":"Ricci","year":"2008","journal-title":"Dig Liver Dis"},{"issue":"9","key":"2021120508522860400_CIT0011","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1111\/imj.13965","article-title":"Multidisciplinary team meetings appear to be effective in inflammatory bowel disease management: An audit of process and outcomes","volume":"48","author":"Ferman","year":"2018","journal-title":"Intern Med J"},{"key":"2021120508522860400_CIT0012"},{"issue":"2","key":"2021120508522860400_CIT0013","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1007\/s10147-011-0362-8","article-title":"Impact of a multidisciplinary tumour board meeting for upper-GI malignancies on clinical decision making: A prospective cohort study","volume":"18","author":"van Hagen","year":"2013","journal-title":"Int J Clin Oncol"},{"issue":"5","key":"2021120508522860400_CIT0014","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1097\/MCG.0b013e3182049949","article-title":"Multidisciplinary management of early and locally advanced esophageal cancer","volume":"45","author":"Kaifi","year":"2011","journal-title":"J Clin Gastroenterol"},{"issue":"10","key":"2021120508522860400_CIT0015","doi-asserted-by":"crossref","first-page":"2346","DOI":"10.1002\/cncr.22266","article-title":"Changes in surgical management resulting from case review at a breast cancer multidisciplinary tumor board","volume":"107","author":"Newman","year":"2006","journal-title":"Cancer"},{"issue":"3","key":"2021120508522860400_CIT0016","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1258\/135763304323070779","article-title":"Telemedicine for multidisciplinary lung cancer meetings","volume":"10","author":"Davison","year":"2004","journal-title":"J Telemed Telecare"},{"issue":"5","key":"2021120508522860400_CIT0017","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/j.otohns.2010.07.020","article-title":"A prospective study of the clinical impact of a multidisciplinary head and neck tumor board","volume":"143","author":"Wheless","year":"2010","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"2","key":"2021120508522860400_CIT0018","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1038\/bjc.1994.307","article-title":"Management of ovarian cancer: Referral to a multidisciplinary team matters","volume":"70","author":"Junor","year":"1994","journal-title":"Br J Cancer"},{"issue":"6","key":"2021120508522860400_CIT0019","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1111\/j.1463-1318.2007.01307.x","article-title":"The inflammatory bowel disease unit and the multidisciplinary team meeting","volume":"9","author":"Nicholls","year":"2007","journal-title":"Colorectal Dis"}],"container-title":["Journal of the Canadian Association of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jcag\/article-pdf\/4\/6\/284\/41504215\/gwab004.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jcag\/article-pdf\/4\/6\/284\/41504215\/gwab004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T08:53:00Z","timestamp":1638694380000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jcag\/article\/4\/6\/284\/6272549"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,8]]},"references-count":19,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,5,8]]},"published-print":{"date-parts":[[2021,12,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jcag\/gwab004","relation":{},"ISSN":["2515-2084","2515-2092"],"issn-type":[{"value":"2515-2084","type":"print"},{"value":"2515-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,12,1]]},"published":{"date-parts":[[2021,5,8]]}}}