{
  "abstract": "Introduction The management of pancreaticobiliary disorders frequently requires coordinated multidisciplinary expertise to ensure appropriate diagnostic assessment, therapeutic intervention, and longitudinal follow-up. Multidisciplinary team (MDT) meetings aim to optimise patient selection for invasive procedures, reduce unnecessary interventions, and enhance care coordination across services. This study evaluates the performance, impact, and clinical outcomes of a regional pancreaticobiliary MDT service.Methodology A retrospective service evaluation was conducted on all referrals discussed at the pancreaticobiliary MDT in a six-month period in 2024. Data collected included referral indications, MDT decisions, onward referrals for procedures and outpatient clinics, rejection rates, and the influence of MDT recommendations on inpatient management. Descriptive statistical analysis was performed.Results A retrospective service evaluation of a regional pancreaticobiliary multidisciplinary team (MDT) assessed referral patterns, clinical decision-making, and procedural timeliness over the study period. Seventy-six referrals from five hospitals were discussed, with the most frequent indications relating to pancreatitis management, biliary obstruction, and indeterminate pancreaticobiliary pathology. Of the cases proceeding to intervention, valid wait-time data were available for 24 procedures. The overall mean time from MDT discussion to procedure was 20.6 days, with a median of 14 days. Inpatient procedures (n = 6) demonstrated substantially shorter waiting times, with a mean of 2.5 days, including three procedures performed within one day, one within two days, and two within five days. In contrast, outpatient procedures (n = 18) had a longer mean waiting time of 22.5 days, reflecting routine scheduling processes. Notably, 46% of all procedures were completed within one week of MDT discussion, highlighting the service’s effectiveness in prioritising urgent inpatient cases while maintaining appropriate scheduling for elective outpatient interventions, supporting efficient care coordination and timely access to specialist procedures.Conclusion Our regional pancreaticobiliary multidisciplinary team effectively supports timely, coordinated decision-making and prioritisation of patient care across multiple referring centres. The high proportion of procedures completed within one week, particularly among inpatients, indicates efficient triage and responsiveness to clinical urgency, while longer outpatient waiting times appropriately reflect elective scheduling processes. Overall, these findings support the value of a regional MDT model in optimising patient selection for intervention and improving service efficiency.Abstract P299 Table 1Wait time Numbers Up to 7 days118-14 days(2weeks)315-28 days (3-4 weeks)5>28 days (>4 weeks)5",
  "authors": [
    {
      "affiliations": [
        "East Lanchashire Hospital Trust, Blackburn, United Kingdom"
      ],
      "name": "Mohamed Osman"
    },
    {
      "affiliations": [
        "East Lanchashire Hospital Trust, Blackburn, United Kingdom"
      ],
      "name": "Mohamed Ibrahim"
    },
    {
      "affiliations": [
        "East Lanchashire Hospital Trust, Blackburn, United Kingdom"
      ],
      "name": "Mohamed Shibeika"
    }
  ],
  "title": "P299 Impact and outcomes of a regional pancreatico-biliary multidisciplinary team: a six-months service evaluation",
  "uid": "c0c71c0f-c4c7-572d-a9a8-0f9a8029d33f"
}