Discussion
multimorbidity
ADVERSE EVENTS
If the anesthesiologist, another healthcare professional, or the patient harbors serious doubt regarding the potential advantages and risks of the suggested surgery procedure for high-risk patients, the Dutch perioperative guideline recommends scheduling a preoperative MDT meeting [The current trial boasts a significant advantage in that, should the preoperative multidisciplinary team (MDT) meetings prove successful in mitigating serious adverse events (SAEs), enhancing quality of life, and optimizing cost-effectiveness, the study’s design will facilitate implementation across the fourteen participating hospitals. Additionally, extensive experience with implementation of preoperative MDT meetings will have been gained at the end of the study. This experience may be used to facilitate implementation of preoperative MDT discussions for high-risk noncardiac surgical patients in other hospitals which do not have regular preoperative MDT meetings installed yet.Preoperative MDT meetings, the intervention of the current study, may show a large variability between hospitals in both the course of the discussion and the decisions made. In the current study, hospitals are assisted with preparing the implementation of the MDT meetings and provided with feedback after observation of early MDT meetings, in order to maximize quality and uniformity of MDT discussions between different hospitals. Moreover, valuable information about organization, attendance, quality of discussion and decision-making during these preoperative MDT meetings will be acquired during the study. Furthermore, it needs to be clarified how the patients’ health situation and preferences can be optimally integrated into the discussion during a preoperative MDT meeting [Given the profound increase in multimorbidity in the current population, it has become evident that single disease-oriented management programs are less effective in providing high-quality care compared to patient-centered approaches [