Table 5.

Multidisciplinary team: SIGN recommendations

Quality of evidences (SIGN)	Recommendation	Strength of recommendation
D	The diagnostic and therapeutic strategy should be proposed by a multidisciplinary team. Each decision must be recorded and archived.2–4	Strong for
D	The diagnostic and therapeutic decision must be in line with guidelines. Different proposals should be well explained.2–4	Strong for
D	The multidisciplinary team must provide adequate documentary evidence to the patient and the family doctor.2–4	Strong for
D	The treatment quality is directly proportional to the number of treated patients: each multidisciplinary team should treat at least 50 patients per year (including early stage and advanced disease). Teams with less than 50 patients should collaborate with referral hospitals.2	Strong for

SIGN, Scottish Intercollegiate Guidelines Network.