Impact of GI/radiology conference on patient management

Background: Multidisciplinary clinical GI/radiology meetings are held in most large general hospitals. The impact of these meetings on subsequent patient management is poorly characterised.

Aims: To evaluate the impact of discussion of imaging at GI/radiology meetings on patient management

Methods: Data were obtained from 95 consecutive patients discussed. The proposed management before discussion and change following discussion was recorded.

Results: In 81/95 patients (86%), conferring facilitated diagnosis and subsequent management plan. The initial management plan was altered in 64/95 patients (67%). Surgery was avoided in 22 (23%) and postponed in 2 (2%). Radiological examination was advised in 19(20%), and avoided in 6 (6%). Endoscopic examination was recommended in 11 (11%), ERCP was avoided in 5 (5%). Surgery was recommended in 8 patients (8%). Biopsy was deferred in 5 (5%) and recommended in 1 patient. Pharmacological therapy was suggested for 4 patients (4%). An observant plan of management was undertaken in 3 (3%).

Conclusions: The multidisciplinary GI/ radiology conference contributes significantly to patient care. Following discussion, the original management plan changed in 67%. Surgery was avoided in 23%. Further study is needed to determine the outcome of those patients whose management plan was altered following discussion at the meeting.