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Inventory of oncologists' unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer
- Source :
- BMC Medical Informatics and Decision Making, 18(1), 132. BioMed Central, BMC medical informatics and decision making, 18(1):132. BioMed Central, BMC Medical Informatics and Decision Making, Vol 18, Iss 1, Pp 1-7 (2018), BMC Medical Informatics and Decision Making, 18, BMC Medical Informatics and Decision Making, BMC Medical Informatics and Decision Making, 18:132. BioMed Central Ltd., BMC Medical Informatics and Decision Making, 18(1):132. BioMed Central, Engelhardt, E G, Révész, D R, Tamminga, H J, Punt, C J A, Koopman, M, Onwuteaka-Philipsen, B D, Steyerberg, E W, de Vet, H C W & Coupé, V M H 2018, ' Inventory of oncologists' unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer ', BMC Medical Informatics and Decision Making, vol. 18, no. 1, 132 . https://doi.org/10.1186/s12911-018-0712-9, https://doi.org/10.1186/s12911-018-0712-9
- Publication Year :
- 2018
-
Abstract
- Background Decision-making about palliative care for metastatic colorectal cancer (mCRC) consists of many different treatment-related decisions, and there generally is no best treatment option. Decision support systems (DSS), e.g., prognostic calculators, can aid oncologists’ decision-making. DSS that contain features tailored to the needs of oncologists are more likely to be implemented in clinical practice. Therefore, our aim is to inventory colorectal cancer specialists’ unmet decision support needs. Methods We asked oncologists from the Dutch colorectal cancer group (DCCG), to participate in an online inventory questionnaire on their unmet decision support needs. To get more in-depth insight in required features of the DSS they need, we also conducted semi-structured telephone interviews. Results Forty-one oncologists started the inventory questionnaire, and 27 of them completed all items. Of all respondents, 18 were surgeons (44%), 22 were medical oncologists (54%), and 28 (68%) had more than 10 years of experience treating mCRC. In both the inventory questionnaire and interviews, respondents expressed a need for an overarching DSS incorporating multiple treatment options, and presenting both the treatment benefits and harms. Respondents found it relevant for other outcomes, such as cost-effectiveness of treatment or quality of life, to be incorporated in DSS. There was also a wish for DSS incorporating an up-to-date “personalized” overview of the ongoing trials for which a specific patient is eligible. Conclusions Experienced oncologists indicate that their treatment advice is currently almost solely based on the available clinical guidelines. They experience a lack of good quality DSS to help them personalize their treatment advice. New tools integrating multiple treatment options and providing a broad range of clinically relevant outcomes are urgently needed to stimulate and safeguard more personalized treatment decision-making.
- Subjects :
- Questionnaires
Adult
medicine.medical_specialty
Decision support system
Palliative care
Palliative treatment
Colorectal cancer
media_common.quotation_subject
Clinical Decision-Making
Decision Support Systems
Health Informatics
lcsh:Computer applications to medicine. Medical informatics
Research Support
Health informatics
03 medical and health sciences
Clinical
0302 clinical medicine
Quality of life (healthcare)
Colorectal Neoplasms/secondary
SDG 3 - Good Health and Well-being
Surveys and Questionnaires
medicine
Journal Article
Humans
Quality (business)
Non-U.S. Gov't
Health policy
media_common
Oncologists
business.industry
Metastatic colorectal cancer
Research Support, Non-U.S. Gov't
Health Policy
Palliative Care
medicine.disease
Decision Support Systems, Clinical
Computer Science Applications
030220 oncology & carcinogenesis
Family medicine
lcsh:R858-859.7
030211 gastroenterology & hepatology
business
Colorectal Neoplasms
Decision support tools
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 14726947
- Volume :
- 18
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Medical Informatics and Decision Making
- Accession number :
- edsair.doi.dedup.....c608a737fc50ecc0055e0d7587106a1e