TABLE 4

Unresolved controversies regarding multidisciplinary team (MDT) practice

  • Do all cases of ILD, even the most typical ones, need to be discussed in an MDT?

  • Should MDTs deal with management (in addition to diagnosis)?

  • Is the presence of both a rheumatologist and a pulmonologist always required when discussing a case of CTD-ILD?

  • What constitutes the quorum in an MDD?

  • Which method of lung biopsy should be used?

  • What data should be presented in an MDT?

  • What is the frequency of an MDT meeting?

  • What is the potential role in MDD of noncore members (e.g. palliative care specialist, research nurse and physiologist)?

  • Does the MDT have a role in other scenarios, e.g. assessment of longitudinal disease behaviour?

CTD: connective tissue disease; ILD: interstitial lung disease; MDD: multidisciplinary discussion.