Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer
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-makin...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Medical Informatics and Decision Making |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12911-018-0712-9 |
| _version_ | 1819178224881500160 |
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| author | Ellen G. Engelhardt Dóra Révész Hans J. Tamminga Cornelis J. A. Punt Miriam Koopman Bregje D. Onwuteaka-Philipsen Ewout W. Steyerberg Henrica C. W. de Vet Veerle M. H. Coupé |
| author_facet | Ellen G. Engelhardt Dóra Révész Hans J. Tamminga Cornelis J. A. Punt Miriam Koopman Bregje D. Onwuteaka-Philipsen Ewout W. Steyerberg Henrica C. W. de Vet Veerle M. H. Coupé |
| author_sort | Ellen G. Engelhardt |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T21:39:10Z |
| format | Article |
| id | doaj.art-fcbddd26984d42c6b955d6e4409fdac1 |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-12-22T21:39:10Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-fcbddd26984d42c6b955d6e4409fdac12022-12-21T18:11:39ZengBMCBMC Medical Informatics and Decision Making1472-69472018-12-011811710.1186/s12911-018-0712-9Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancerEllen G. Engelhardt0Dóra Révész1Hans J. Tamminga2Cornelis J. A. Punt3Miriam Koopman4Bregje D. Onwuteaka-Philipsen5Ewout W. Steyerberg6Henrica C. W. de Vet7Veerle M. H. Coupé8Department of Epidemiology and Biostatistics, Amsterdam UMC, location VUMCDepartment of Epidemiology and Biostatistics, Amsterdam UMC, location VUMCDepartment of Epidemiology and Biostatistics, Amsterdam UMC, location VUMCDepartment of Medical Oncology, Amsterdam UMC, location AMCDepartment of Medical Oncology, University Medical Center Utrecht and University UtrechtDepartment of Public and Occupational Health, and Palliative Care Expertise Centre, VU University Medical Center, Amsterdam Public Health Research InstituteDepartment of Public Health, Centre for Medical Decision Making, Erasmus Medical Center, Rotterdam, The Netherlands and Department of Medical Statistics, Leiden University Medical CenterDepartment of Epidemiology and Biostatistics, Amsterdam UMC, location VUMCDepartment of Epidemiology and Biostatistics, Amsterdam UMC, location VUMCAbstract 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.http://link.springer.com/article/10.1186/s12911-018-0712-9Metastatic colorectal cancerDecision support toolsQuestionnaires |
| spellingShingle | Ellen G. Engelhardt Dóra Révész Hans J. Tamminga Cornelis J. A. Punt Miriam Koopman Bregje D. Onwuteaka-Philipsen Ewout W. Steyerberg Henrica C. W. de Vet Veerle M. H. Coupé Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer BMC Medical Informatics and Decision Making Metastatic colorectal cancer Decision support tools Questionnaires |
| title | Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer |
| title_full | Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer |
| title_fullStr | Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer |
| title_full_unstemmed | Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer |
| title_short | Inventory of oncologists’ unmet needs for tools to support decision-making about palliative treatment for metastatic colorectal cancer |
| title_sort | inventory of oncologists unmet needs for tools to support decision making about palliative treatment for metastatic colorectal cancer |
| topic | Metastatic colorectal cancer Decision support tools Questionnaires |
| url | http://link.springer.com/article/10.1186/s12911-018-0712-9 |
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