Development of an Online, Patient-Centred Decision Aid for Patients with Oropharyngeal Cancer in the Transoral Robotic Surgery Era

Lam, J. S.; Scott, G. M.; Palma, D. A.; Fung, K.; Louie, A. V.

doi:10.3747/co.24.3669

Open AccessArticle

Development of an Online, Patient-Centred Decision Aid for Patients with Oropharyngeal Cancer in the Transoral Robotic Surgery Era

by

J. S. Lam

¹,

G. M. Scott

²,

D. A. Palma

¹,

K. Fung

² and

A. V. Louie

^1,*

¹

Department of Radiation Oncology, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

²

Department of Otolaryngology–Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada

^*

Author to whom correspondence should be addressed.

Curr. Oncol. 2017, 24(5), 318-323; https://doi.org/10.3747/co.24.3669

Submission received: 3 July 2017 / Revised: 7 August 2017 / Accepted: 4 September 2017 / Published: 1 October 2017

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Abstract

Background: Radiotherapy (RT) has been the standard treatment for early oropharyngeal cancer, achieving excellent outcomes, but with significant toxicities. Transoral robotic surgery (TORS) has emerged as a promising alternative. A decision aid (DA) can help to establish patient treatment preferences. Methods: A DA was developed and piloted in 40 healthy adult volunteers. Assuming equal oncologic outcomes of the treatments, participants indicated their preference. The treatment trade-off point was then established, and participant perceptions were elicited. Results: More than 80% of participants initially selected TORS for treatment, regardless of facilitator background. For all participants, the treatment trade-off point changed after an average 15% cure benefit. Treatment toxicities, duration, novelty, and perceptions all influenced treatment selection. All subjects valued the DA. Conclusions: A DA developed for early oropharyngeal cancer treatment holds promise in the era of shared decision-making. Assuming equal cure rates, TORS was preferred over RT by healthy volunteers.

Keywords: oropharyngeal cancer; decision aids; shared decision-making; transoral robotic surgery; radiation therapy

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MDPI and ACS Style

Lam, J.S.; Scott, G.M.; Palma, D.A.; Fung, K.; Louie, A.V. Development of an Online, Patient-Centred Decision Aid for Patients with Oropharyngeal Cancer in the Transoral Robotic Surgery Era. Curr. Oncol. 2017, 24, 318-323. https://doi.org/10.3747/co.24.3669

AMA Style

Lam JS, Scott GM, Palma DA, Fung K, Louie AV. Development of an Online, Patient-Centred Decision Aid for Patients with Oropharyngeal Cancer in the Transoral Robotic Surgery Era. Current Oncology. 2017; 24(5):318-323. https://doi.org/10.3747/co.24.3669

Chicago/Turabian Style

Lam, J. S., G. M. Scott, D. A. Palma, K. Fung, and A. V. Louie. 2017. "Development of an Online, Patient-Centred Decision Aid for Patients with Oropharyngeal Cancer in the Transoral Robotic Surgery Era" Current Oncology 24, no. 5: 318-323. https://doi.org/10.3747/co.24.3669

APA Style

Lam, J. S., Scott, G. M., Palma, D. A., Fung, K., & Louie, A. V. (2017). Development of an Online, Patient-Centred Decision Aid for Patients with Oropharyngeal Cancer in the Transoral Robotic Surgery Era. Current Oncology, 24(5), 318-323. https://doi.org/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

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