2017
DOI: 10.3747/co.24.3669
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Development of an Online, Patient-Centred Decision Aid for Patients with Oropharyngeal Cancer in the Transoral Robotic Surgery Era

Abstract: Background Radiotherapy (rt) has been the standard treatment for early oropharyngeal cancer, achieving excellent

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Cited by 13 publications
(14 citation statements)
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“…When comparing patient‐rated swallowing QOL in patients undergoing TORS versus primary chemoradiotherapy, significant differences have been found in QOL at 6 and 12 months posttreatment, with better MDADI scores in patients treated with TORS surgery . A recent study in healthy individuals examined preference for radiotherapy versus TORS when provided a decision aid . In this cohort of 40 healthy individuals, more than 80% selected TORS for treatment .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…When comparing patient‐rated swallowing QOL in patients undergoing TORS versus primary chemoradiotherapy, significant differences have been found in QOL at 6 and 12 months posttreatment, with better MDADI scores in patients treated with TORS surgery . A recent study in healthy individuals examined preference for radiotherapy versus TORS when provided a decision aid . In this cohort of 40 healthy individuals, more than 80% selected TORS for treatment .…”
Section: Discussionmentioning
confidence: 99%
“…A recent study in healthy individuals examined preference for radiotherapy versus TORS when provided a decision aid . In this cohort of 40 healthy individuals, more than 80% selected TORS for treatment . Clearly, patient preference and satisfaction should be included in shared decision‐making discussions regarding treatment.…”
Section: Discussionmentioning
confidence: 99%
“…Some OPSCC treatment preference studies have been performed with lay adults as subjects. Interestingly, study members overwhelmingly choose primary surgery [72,73], with the cutoff point for switching to primary radiation at a mean 'cure rate' of 15% [73]. Preference analyses in healthy individuals, however, are poorly generalizeable to head and neck cancer patients [74,75] and should be interpreted with caution.…”
Section: Conclusion and Future Perspectivementioning
confidence: 99%
“…In a prior analysis of a patient-centered decision aid, treatment duration was cited as the most frequent reason patients would chose TORS over RT for the primary management of an OPSCC. 15 Patients may be unaware of the high likelihood that they will be recommended 6 weeks of adjuvant RT after TORS. Patients with HPV-associated tumors who may only require 60 Gy of RT (the same standard dose as postoperative RT), albeit typically with the addition of weekly low-dose cisplatin, should especially undergo multidisciplinary management.…”
Section: Discussionmentioning
confidence: 99%
“…This finding underscores the need for a complete and multidisciplinary conversation with patients prior to their treatment selection between two treatment options that otherwise have clinical equipoise. In a prior analysis of a patient‐centered decision aid, treatment duration was cited as the most frequent reason patients would chose TORS over RT for the primary management of an OPSCC 15 . Patients may be unaware of the high likelihood that they will be recommended 6 weeks of adjuvant RT after TORS.…”
Section: Discussionmentioning
confidence: 99%