Presentation Description
Institution: Department of Vascular and Endovascular Surgery, Waikato Hospital, Te Whatu Ora - Waikato - Waikato, Aotearoa New Zealand
Purpose:
Multidisciplinary team (MDT) meetings have enhanced shared decision-making in the oncology setting due to the complexity of available treatments. In view of the expanding endovascular and hybrid interventions, their evaluation in the vascular surgery setting is warranted.[1] This scoping review summarised the current evidence on MDT meetings in patients with any aortic disease.
Methodology:
The conduct of this study adhered to PRISMA methodology. Comprehensive systematic searches of the MEDLINE, EMBASE, Scopus, Web of Science, CINAHL and Google Scholar databases were independently performed by two investigators in December 2025. Studies implementing MDT meetings for consensus on management strategies among patients with any aortic disease were included. Data were synthesised thematically.
Results:
A total of 2,244 patients with aortic conditions were discussed at MDT meetings within six studies. All were retrospective cohort studies and reflected both contemporary and historic management practices (2010 until 2024). Aortic aneurysms were most frequently reviewed. MDT composition, meeting structure and processes were inconsistent and lacked standardisation. After MDT meetings were instituted, significant increases in aortic case volume and complexity were observed, together with reductions in time to definitive treatment and mortality.
Conclusion:
MDT meetings are emerging as a means of facilitating complex decision-making across a range of aortic conditions, and particularly among patients with aneurysmal disease. Despite the substantial variability in MDT frameworks, several improvements in clinical outcomes were recognised. Future efforts should aim to standardise MDT meeting processes and validate these systems-level changes through larger studies capturing a uniform set of outcomes.
References:
1. Yates MT, Lopez-Marco A, Lee M, Adams B, Yap J, Uppal R, et al. Decision making of a specialist Aortovascular multidisciplinary team meeting. AME Surg J. 2022 Mar;5:2–2.
Speakers
Authors
Authors
Dr Sameer Bhat - , Prof Mario D'Oria - , A/Prof Manar Khashram -

