Variation of treatment decision-making for laryngeal cancer in Japan a retrospective observational study using a claim- and electronic medical record-based database

ABSTRACT Treatment options for early laryngeal cancer include radiation therapy or surgical resection. It is widely agreed upon that early laryngeal cancer should be managed with only one treatment modality. The debate on which treatment modality is best for early laryngeal cancer has essentially been going on for the last 65 years. Many new developments have impacted the treatment decision making process. These developments include the introduction of transoral endoscopic partial laryngeal surgery, such as transoral laser microsurgery (TLM) which is replacing external partial laryngectomy procedures; improvements in external beam radiation therapy (EBRT) delivery techniques and technology which result in enhanced accuracy and decreased extralaryngeal side effects and complications; and the introduction of quality of life measures and understanding their importance, in addition to survival rate, in defining successful outcome or failure. This review article concentrates on some of the important issues facing the patient, his/her family, and the treating physicians in the treatment decision making process. How to cite this article Har-El G. Management of Early Laryngeal Cancer: The Role of Individualized Medicine. Int J Head Neck Surg 2016;7(1):23-28.

Download Full-text

Ethical considerations and treatment decision making when parental adherence difficulties impact treatment outcomes: Comment on Bruni, Lancaster, and Kullgren (2017).

Clinical Practice in Pediatric Psychology ◽

10.1037/cpp0000201 ◽

2017 ◽

Vol 5 (3) ◽

pp. 271-272

Author(s):

Karla K. Fehr

Keyword(s):

Decision Making ◽

Treatment Outcomes ◽

Treatment Decision ◽

Ethical Considerations ◽

Treatment Decision Making

Download Full-text

Facilitating treatment decision making, adjustment, and coping in men newly diagnosed with prostate cancer

PsycEXTRA Dataset ◽

10.1037/e447342006-001 ◽

2001 ◽

Author(s):

Michael A. Diefenbach

Keyword(s):

Prostate Cancer ◽

Decision Making ◽

Treatment Decision ◽

Newly Diagnosed ◽

Treatment Decision Making ◽

And Coping

Download Full-text

Prostate Cancer Survivors with Rising PSA and Their Spouses: Treatment Decision Making and Quality of Life

PsycEXTRA Dataset ◽

10.1037/e512142010-001 ◽

2006 ◽

Author(s):

Michael A. Diefenbach

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Decision Making ◽

Cancer Survivors ◽

Treatment Decision ◽

Prostate Cancer Survivors ◽

Treatment Decision Making

Download Full-text

Patients’ practices for taking the initiative in decision-making in outpatient psychiatric consultations

Communication & Medicine ◽

10.1558/cam.27013 ◽

2017 ◽

Vol 13 (2) ◽

pp. 169-184 ◽

Cited By ~ 4

Author(s):

Shuya Kushida ◽

Takeshi Hiramoto ◽

Yuriko Yamakawa

Keyword(s):

Decision Making ◽

Conversation Analysis ◽

Treatment Decision ◽

Close Inspection ◽

Important Resource ◽

Treatment Decision Making ◽

The Way

In spite of increasing advocacy for patients’ participation in psychiatric decision-making, there has been little research on how patients actually participate in decision-making in psychiatric consultations. This study explores how patients take the initiative in decision-making over treatment in outpatient psychiatric consultations in Japan. Using the methodology of conversation analysis, we analyze 85 video-recorded ongoing consultations and find that patients select between two practices for taking the initiative in decision-making: making explicit requests for a treatment and displaying interest in a treatment without explicitly requesting it. A close inspection of transcribed interaction reveals that patients make explicit requests under the circumstances where they believe the candidate treatment is appropriate for their condition, whereas they merely display interest in a treatment when they are not certain about its appropriateness. By fitting practices to take the initiative in decision-making with the way they describe their current condition, patients are optimally managing their desire for particular treatments and the validity of their initiative actions. In conclusion, we argue that the orderly use of the two practices is one important resource for patients’ participation in treatment decision-making.

Download Full-text