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

Maarten C. Dorr; Arta Hoesseini; Aniel Sewnaik; José A. Hardillo; Robert J. Baatenburg de Jong; Marinella P.J. Offerman

doi:10.1002/hed.27163

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

Maarten C. Dorr^*, Arta Hoesseini, Aniel Sewnaik, José A. Hardillo, Robert J. Baatenburg de Jong, Marinella P.J. Offerman

^*Corresponding author for this work

Otorhinolaryngology and Head and Neck Surgery

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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 language	English
Pages (from-to)	2481-2490
Number of pages	10
Journal	Head and Neck
Volume	44
Issue number	11
DOIs	https://doi.org/10.1002/hed.27163
Publication status	Published - 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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title = "Impact of a prognostic model for overall survival on the decision-making process in a head and neck cancer multidisciplinary consultation meeting",

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.",

author = "Dorr, {Maarten C.} and Arta Hoesseini and Aniel Sewnaik and Hardillo, {Jos{\'e} A.} and {Baatenburg de Jong}, {Robert J.} and Offerman, {Marinella P.J.}",

note = "Funding Information: This research partly received funding from the National Health Care Institute (Zorginstituut Nederland). Publisher Copyright: {\textcopyright} 2022 The Authors. Head & Neck published by Wiley Periodicals LLC.",

year = "2022",

month = nov,

doi = "10.1002/hed.27163",

language = "English",

volume = "44",

pages = "2481--2490",

journal = "Head and Neck",

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T1 - Impact of a prognostic model for overall survival on the decision-making process in a head and neck cancer multidisciplinary consultation meeting

AU - Dorr, Maarten C.

AU - Hoesseini, Arta

AU - Sewnaik, Aniel

AU - Hardillo, José A.

AU - Baatenburg de Jong, Robert J.

AU - Offerman, Marinella P.J.

N1 - 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.

PY - 2022/11

Y1 - 2022/11

N2 - 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.

AB - 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.

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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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