• Rajdip Dulai, Shunmugam Ragunath Shunmugam, Rick A Veasey, Nikhil R Patel, Conn Sugihara, and Stephen Furniss.
• Cardiology Research Department, East Sussex Hospitals NHS Trust, Eastbourne District General Hospital, Eastbourne, UK.
• Int. J. Clin. Pract. 2020 Sep 1; 74 (9): e13562.

IntroductionCurrent UK and international guidelines advocate the need for multidisciplinary team (MDT) discussion of selected patients undergoing either percutaneous or surgical cardiac procedures to decide the optimal treatment strategy. To date, it is unknown if using videoconference facilities is cost-effective. Therefore, we performed a cost analysis of using a high-speed internet video conferencing system compared with conventional face-to-face MDT meetings.MethodsCosts of running a conventional MDT meeting vs a video conferencing MDT were modelled and compared over a 2-year period. Participants were also surveyed on the overall effectiveness of conducting remote MDTs.ResultsThe set-up and maintenance cost of the video conferencing system over 2 years was £30 400. The staff costs of running the face-to-face MDT were £95 970 and the video conferencing MDT was £23 992.50. The total travel costs of the conventional face-to-face MDTs were £10 555.34. In total, the cost of the conventional face-to-face MDT was £106 525.34 and the video conferencing MDT was £54 392.50 representing a cost saving of 48.9%. Participants rated the effectiveness of conducing a remote MDT and the ease of technology use as very good.ConclusionsVideo conferencing systems provide a highly cost-effective method of facilitating MDT meetings between cardiologists and cardiac surgeons at remote centres.© 2020 John Wiley & Sons Ltd.

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