Table 3.
Concordance of recommendations generated by the MDT versus the CDTs in patients of which all data-items were available during MDT meetings
| Recommendation | Patients | Concordant | Not concordant | |||||
|---|---|---|---|---|---|---|---|---|
| N | % | N | % | Reasons not documented | Reasons documented | |||
| N | % | N | % | |||||
| MRI scan | 276 | 70 | ||||||
| Recommended/for consideration | 49 | 18 | 48 | 98 | 1 | 2 | NA | NA |
| Not recommended | 227 | 82 | 6 | 3 | 219 | 96 | 2* | 1 |
| PST | 52 | 13 | ||||||
| Recommended/for consideration | 49 | 94 | 33 | 67 | 13 | 27 | 3** | 6 |
| Not recommended | 3 | 6 | 0 | 0 | 3 | 100 | NA | NA |
| AST | 356a | 97 | ||||||
| Recommended/for consideration | 257 | 72 | 253 | 98 | NA | NA | 4b | 2 |
| Not recommended | 98 | 28 | 91 | 93 | NA | NA | 7c | 7 |
| IBR | 46 | 13 | ||||||
| Recommended | 28 | 61 | 2 | 7 | 24 | 86 | 2d | 7 |
| For consideration | 18 | 39 | 0 | 0 | 18 | 100 | NA | NA |
*Two patients received preoperative systemic treatment with preference to omit surgery in case of response to preoperative systemic therapy
**In three patients, preoperative systemic therapy was reported as an alternative in the electronic health record
aIn one patient, the sentinel node procedure did not identify the sentinel node, and no pN status was available
bThree patients deliberately decided not to start adjuvant systemic treatment
cSeven patients were referred to the oncologist for the reason of "border-line" indication for adjuvant systemic treatment
dIn two patients, the MDT did not recommend immediate breast reconstruction because irradiation of the thoracic wall was idicated