Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer (2024)

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 languageEnglish
Pages (from-to)345-351
JournalJournal of Cancer Education
Volume35
Issue number2
DOIs
Publication statusPublished - 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 journalArticleAcademicpeer-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

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    SP - 345

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    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

    Needs with Regard to Decision Support Systems for Treating Patients with Incurable Non-small Cell Lung Cancer (2024)
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