Table 2.

Barriers to multidisciplinary review and interdisciplinary referral

Barriers to effective multidisciplinary cooperation	Poor communication Lack of awareness of the importance of multidisciplinary cooperation Time constraints and work load Limited availability of relevant specialists Logistical/organizational challenges(especially in private practice) Financial constraints
Specific barriers to referral from urologist/surgeon to oncologist	Lack of follow-up of patients after surgery Loss of patients to follow-up Patients’ social conditions Shortage of oncologists Costs of medication
Specific barriers to referral of medically treated patients for surgery	Poor communication Lack of awareness of benefits of cytoreductive nephrectomy and metastasectomy Shortage of urologists/surgeons Lack of continuity in the multidisciplinary team