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Appears in Collections:Faculty of Health Sciences and Sport Letters (Published in a Journal)
Title: Paradigm shift in head and neck oncology patient management
Author(s): van den Heuvell, Chiquit van Linden
van Zuuren, Florence
Wells, Mary
van der Laan, Geert
Reintsema, Harry
Keywords: Shared decision making
Head and neck oncology
Patient involvement
Issue Date: 19-Sep-2017
Date Deposited: 30-Oct-2017
Citation: van den Heuvell CvL, van Zuuren F, Wells M, van der Laan G & Reintsema H (2017) Paradigm shift in head and neck oncology patient management. Journal of Otolaryngology - Head and Neck Surgery, 46, Art. No.: 57.
Abstract: Objective  This article describes a paradigm shift in what is considered to be good care for patients living with and after (head and neck) cancer. HNO patients often experience severe and difficult physical and psychosocial problems due to the nature and location of the disease. Many disciplines are involved in their treatment, so their voice is only one amongst many others in the decision making process. For this patient group it seems complicated to put the concept of Shared Decision Making into practice. As a step in this direction, patient reported outcomes which ask patients to select the disconcerting issues and symptoms can be used as a basis for referral, supportive care and treatment decision making. We need to provide more tailored and personalized information that is specific to individual circumstances, preferences and concerns and focuses more on the impact of treatment and access to help and support. Follow up of these patients should be concentrated on both medical and emotional aspects.  Practice implications  A shift in the way caregivers provide their information contributes to a more profound involvement of patients in treatment decisions.
DOI Link: 10.1186/s40463-017-0229-8
Rights: © The Author(s). 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
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