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Setting up a parathyroid multidisciplinary team meeting: one year's experience, outcomes and learning points

Published online by Cambridge University Press:  07 March 2018

S H Hancox ,
J D Sinnott ,
P Kirkland ,
D Lipscomb ,
E Owens  and
D C Howlett
S H Hancox*
Affiliation:
Department of General Medicine, Eastbourne District General Hospital, UK
J D Sinnott
Affiliation:
Department of ENT, Eastbourne District General Hospital, UK
P Kirkland
Affiliation:
Department of ENT, Eastbourne District General Hospital, UK
D Lipscomb
Affiliation:
Department of Endocrinology, Eastbourne District General Hospital, UK
E Owens
Affiliation:
Department of Radiology, Eastbourne District General Hospital, UK
D C Howlett
Affiliation:
Department of Radiology, Eastbourne District General Hospital, UK
*
Address for correspondence: Dr Sarah H Hancox, Department of General Medicine, Eastbourne District General Hospital, Eastbourne BN21 2UD, UK E-mail: sarahhancox@nhs.net
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Abstract

Objective:

A parathyroid multidisciplinary team meeting was set up at East Sussex Healthcare Trust, from November 2014 to November 2015, in order to improve and streamline services for patients with parathyroid pathology.

Methods:

Data were collected on all new referrals for hyperparathyroidism, and on the outcomes for each patient discussed at the meeting, including the number of operations and management outcomes. A survey was sent out to the members of the multidisciplinary team meeting to determine their perception of its effectiveness.

Results:

Seventy-nine new referrals were discussed throughout the year; 43 per cent were recommended for surgery, 41 per cent had a trial of conservative or medical management before re-discussion, and 16 per cent required further imaging. Ninety-two per cent of patients underwent an ultrasound, single-photon emission computed tomography/computed tomography or nuclear medicine (sestamibi) scan prior to the meeting. All ultrasound scans were performed by a consultant radiologist.

Conclusion:

The multidisciplinary team meeting has been successful, with perceived benefits for patients, improved imaging evaluation and efficiency of referral pathways, leading to more appropriate patient management.

Keywords

Parathyroid GlandsHyperparathyroidismMultidisciplinary Team
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 3 , March 2018 , pp. 252 - 256
Copyright
Copyright © JLO (1984) Limited 2018 

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