Abstract
Treatment decision-making for patients with incurable non-small cell lung cancer (NSCLC) is complex due to the rapidly increasing number of treatments and discovery of new biomarkers. Decision support systems (DSS) could assist thoracic oncologists (TO) weighing of the pros and cons of treatments in order to arrive at an evidence-based and personalized treatment advice. Our aim is to inventory (1) TO's needs with regard to DSS in the treatment of incurable (stage IIIB/IV) NSCLC patients, and (2) preferences regarding the development of future tools in this field. We disseminated an online inventory questionnaire among all members of the Section of Oncology within the Society of Physicians in Chest Medicine and Tuberculosis. Telephone interviews were conducted to better contextualize the findings from the questionnaire. In total, 58 TO completed the questionnaire and expressed a need for new DSS. They reported that it is important for tools to include genetic and immune markers, to be sufficiently validated, regularly updated, and time-efficient. Also, future DSS should incorporate multiple treatment options, integrate estimates of toxicity, quality of life and cost-effectiveness of treatments, enhance communication between caregivers and patients, and use IT solutions for a clear interface and continuous updating of tools. With this inventory among Dutch TO, we summarized the need for new DSS to aid treatment decision-making for patients with incurable NSCLC. To meet the expressed needs, substantial additional efforts will be required by DSS developers, above already existing tools.
Original language | English |
---|---|
Pages (from-to) | 345-351 |
Journal | Journal of Cancer Education |
Volume | 35 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2020 |
Keywords
- Decision support systems
- Non-small-cell lung cancer
- Surveys and questionnaires
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Révész, D., Engelhardt, E. G., Tamminga, J. J., Schramel, F. M. N. H., Onwuteaka-Philipsen, B. D., van de Garde, E. M. W., Steyerberg, E. W., de Vet, H. C. W., & Coupé, V. M. H. (2020). Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer. Journal of Cancer Education, 35(2), 345-351. https://doi.org/10.1007/s13187-019-1471-8
Révész, Dóra ; Engelhardt, Ellen G ; Tamminga, Johannes J et al. / Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer. In: Journal of Cancer Education. 2020 ; Vol. 35, No. 2. pp. 345-351.
@article{210d06fbb65f445bb481e9f6102566a3,
title = "Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer",
abstract = "Treatment decision-making for patients with incurable non-small cell lung cancer (NSCLC) is complex due to the rapidly increasing number of treatments and discovery of new biomarkers. Decision support systems (DSS) could assist thoracic oncologists (TO) weighing of the pros and cons of treatments in order to arrive at an evidence-based and personalized treatment advice. Our aim is to inventory (1) TO's needs with regard to DSS in the treatment of incurable (stage IIIB/IV) NSCLC patients, and (2) preferences regarding the development of future tools in this field. We disseminated an online inventory questionnaire among all members of the Section of Oncology within the Society of Physicians in Chest Medicine and Tuberculosis. Telephone interviews were conducted to better contextualize the findings from the questionnaire. In total, 58 TO completed the questionnaire and expressed a need for new DSS. They reported that it is important for tools to include genetic and immune markers, to be sufficiently validated, regularly updated, and time-efficient. Also, future DSS should incorporate multiple treatment options, integrate estimates of toxicity, quality of life and cost-effectiveness of treatments, enhance communication between caregivers and patients, and use IT solutions for a clear interface and continuous updating of tools. With this inventory among Dutch TO, we summarized the need for new DSS to aid treatment decision-making for patients with incurable NSCLC. To meet the expressed needs, substantial additional efforts will be required by DSS developers, above already existing tools.",
keywords = "Decision support systems, Non-small-cell lung cancer, Surveys and questionnaires",
author = "D{\'o}ra R{\'e}v{\'e}sz and Engelhardt, {Ellen G} and Tamminga, {Johannes J} and Schramel, {Franz M N H} and Onwuteaka-Philipsen, {Bregje D} and {van de Garde}, {Ewoudt M W} and Steyerberg, {Ewout W} and {de Vet}, {Henrica C W} and Coup{\'e}, {Veerle M H}",
year = "2020",
doi = "10.1007/s13187-019-1471-8",
language = "English",
volume = "35",
pages = "345--351",
journal = "Journal of Cancer Education",
issn = "0885-8195",
publisher = "Springer",
number = "2",
}
Révész, D, Engelhardt, EG, Tamminga, JJ, Schramel, FMNH, Onwuteaka-Philipsen, BD, van de Garde, EMW, Steyerberg, EW, de Vet, HCW & Coupé, VMH 2020, 'Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer', Journal of Cancer Education, vol. 35, no. 2, pp. 345-351. https://doi.org/10.1007/s13187-019-1471-8
Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer. / Révész, Dóra; Engelhardt, Ellen G; Tamminga, Johannes J et al.
In: Journal of Cancer Education, Vol. 35, No. 2, 2020, p. 345-351.
Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer
AU - Révész, Dóra
AU - Engelhardt, Ellen G
AU - Tamminga, Johannes J
AU - Schramel, Franz M N H
AU - Onwuteaka-Philipsen, Bregje D
AU - van de Garde, Ewoudt M W
AU - Steyerberg, Ewout W
AU - de Vet, Henrica C W
AU - Coupé, Veerle M H
PY - 2020
Y1 - 2020
N2 - Treatment decision-making for patients with incurable non-small cell lung cancer (NSCLC) is complex due to the rapidly increasing number of treatments and discovery of new biomarkers. Decision support systems (DSS) could assist thoracic oncologists (TO) weighing of the pros and cons of treatments in order to arrive at an evidence-based and personalized treatment advice. Our aim is to inventory (1) TO's needs with regard to DSS in the treatment of incurable (stage IIIB/IV) NSCLC patients, and (2) preferences regarding the development of future tools in this field. We disseminated an online inventory questionnaire among all members of the Section of Oncology within the Society of Physicians in Chest Medicine and Tuberculosis. Telephone interviews were conducted to better contextualize the findings from the questionnaire. In total, 58 TO completed the questionnaire and expressed a need for new DSS. They reported that it is important for tools to include genetic and immune markers, to be sufficiently validated, regularly updated, and time-efficient. Also, future DSS should incorporate multiple treatment options, integrate estimates of toxicity, quality of life and cost-effectiveness of treatments, enhance communication between caregivers and patients, and use IT solutions for a clear interface and continuous updating of tools. With this inventory among Dutch TO, we summarized the need for new DSS to aid treatment decision-making for patients with incurable NSCLC. To meet the expressed needs, substantial additional efforts will be required by DSS developers, above already existing tools.
AB - Treatment decision-making for patients with incurable non-small cell lung cancer (NSCLC) is complex due to the rapidly increasing number of treatments and discovery of new biomarkers. Decision support systems (DSS) could assist thoracic oncologists (TO) weighing of the pros and cons of treatments in order to arrive at an evidence-based and personalized treatment advice. Our aim is to inventory (1) TO's needs with regard to DSS in the treatment of incurable (stage IIIB/IV) NSCLC patients, and (2) preferences regarding the development of future tools in this field. We disseminated an online inventory questionnaire among all members of the Section of Oncology within the Society of Physicians in Chest Medicine and Tuberculosis. Telephone interviews were conducted to better contextualize the findings from the questionnaire. In total, 58 TO completed the questionnaire and expressed a need for new DSS. They reported that it is important for tools to include genetic and immune markers, to be sufficiently validated, regularly updated, and time-efficient. Also, future DSS should incorporate multiple treatment options, integrate estimates of toxicity, quality of life and cost-effectiveness of treatments, enhance communication between caregivers and patients, and use IT solutions for a clear interface and continuous updating of tools. With this inventory among Dutch TO, we summarized the need for new DSS to aid treatment decision-making for patients with incurable NSCLC. To meet the expressed needs, substantial additional efforts will be required by DSS developers, above already existing tools.
KW - Decision support systems
KW - Non-small-cell lung cancer
KW - Surveys and questionnaires
U2 - 10.1007/s13187-019-1471-8
DO - 10.1007/s13187-019-1471-8
M3 - Article
C2 - 30685832
SN - 0885-8195
VL - 35
SP - 345
EP - 351
JO - Journal of Cancer Education
JF - Journal of Cancer Education
IS - 2
ER -
Révész D, Engelhardt EG, Tamminga JJ, Schramel FMNH, Onwuteaka-Philipsen BD, van de Garde EMW et al. Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer. Journal of Cancer Education. 2020;35(2):345-351. doi: 10.1007/s13187-019-1471-8