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

Head Neck. 2022 Nov;44(11):2481-2490. doi: 10.1002/hed.27163. Epub 2022 Jul 30.

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.

Keywords: head and neck cancer; mixed method study; multidisciplinary decision making; prognostic counseling; shared decision making.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Decision Making
  • Head and Neck Neoplasms* / therapy
  • Humans
  • Prognosis
  • Quality of Life*
  • Referral and Consultation