Impact of a prognostic model for overall survival on the decision-making process in a head and neck cancer multidisciplinary consultation meeting

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Abstract

Background: Multidisciplinary decision-making in head and neck cancer care is complex and requires a tradeoff between prolonging survival and optimizing quality of life. To support prognostication and decision-making in head and neck cancer care, an individualized prognostic model for overall survival (OncologIQ) is available. Methods: By quantitative and qualitative research we have studied user value of OncologIQ and its impact on the decision-making process in a multidisciplinary consultation meeting. Results: Healthcare professionals experienced added value upon using prognostic estimates of survival from OncologIQ in half (47.5%) of the measurements. Significant impact on the decision making process was seen when OncologIQ was used for older patients, patients having a WHO performance score ≥ 2, or high tumor stage. Conclusions: The prognostic model OncologIQ enables patient-centered decision-making in a multidisciplinary consultation meeting and was mostly valued in complex patients.

Original languageEnglish
Pages (from-to)2481-2490
Number of pages10
JournalHead and Neck
Volume44
Issue number11
DOIs
Publication statusPublished - Nov 2022

Bibliographical note

Funding Information:
This research partly received funding from the National Health Care Institute (Zorginstituut Nederland).

Publisher Copyright:
© 2022 The Authors. Head & Neck published by Wiley Periodicals LLC.

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