Patient preferences for active surveillance versus standard surgery after neoadjuvant chemoradiotherapy in esophageal cancer treatment

Developing an e‐learning tool for clinicians to take patient preferences into account in esophageal cancer treatment decision‐making

“…Every video‐scenario focused on a “pitfall” that clinicians encounter on a regular basis, when employing SDM in situations where active surveillance is offered as an alternative to surgery. The scenarios were based on the results of our NOSANO study into esophageal cancer patient treatment preferences 11 . During the development‐phase of the e‐learning tool, we asked gastrointestinal surgeons from four different hospitals to give feedback on the scenario‐scripts to ensure that the scenarios were realistic for clinicians.…”

“…The scenarios were based on the results of our NOSANO study into esophageal cancer patient treatment preferences. 11 During the development‐phase of the e‐learning tool, we asked gastrointestinal surgeons from four different hospitals to give feedback on the scenario‐scripts to ensure that the scenarios were realistic for clinicians.…”

“…For example, if participation would mean that patients would be assigned to the “active surveillance”‐arm, some patients refused participation as they preferred standard surgery or vice versa. These patients were asked for participation in the NOSANO study 11 . These insights resulted in a conceptual model that showed that “dealing with threat of cancer” was a central theme for all patients as common starting point of the decision.…”

“…These patients were asked for participation in the NOSANO study. 11 These insights resulted in a conceptual model that showed that “dealing with threat of cancer” was a central theme for all patients as common starting point of the decision. However, how patients tend to deal with this threat differed, and resulted in a preference for active surveillance or surgery.…”