Pilot Assessment of the BMET Decision Support Platform: A Tool to Improve Provider Survival Estimates and Selection of Prognosis-Appropriate Treatment for Patients with Symptomatic Bone Metastases

Developing an Improved Statistical Approach for Survival Estimation in Bone Metastases Management: The Bone Metastases Ensemble Trees for Survival (BMETS) Model

“…As such, we have also performed a pilot assessment of BMETS as part of a decision support tool within the source population. 34 This early evidence shows that the tool improves providers' survival predictions and selection of evidence-based and prognosis-appropriate palliative treatments for patients with SBM. Future directions include a multi-institutional, randomized assessment of the BMETS-based decision support tool in external environments.…”

Improving providers' survival estimates and selection of prognosis‐ and guidelines‐appropriate treatment for patients with symptomatic bone metastases: Development of the Bone Metastases Ensemble Trees for Survival Decision Support Platform

“…As noted, a pilot assessment of the BMETS‐DSP has been initiated to assess the impact of the tool on providers' decision outcomes. Preliminary data from this pilot suggest that the BMETS‐DSP may increase both confidence in and likelihood of sharing estimated prognosis, as well as selection of prognosis‐appropriate RT regimens in the care of symptomatic bone metastases 35 …”

“…To overcome this limitation, our recommendations for radiotherapy were grouped into 3 relatively broad, occasionally overlapping categories: consideration of shorter fraction, multiple fraction, or a range of fractionation options. Nonetheless, preliminary success of the pilot assessment of the BMETS‐DSP in improving provider selection of prognosis‐matched RT regimens 35 suggests that even these broad decision categories may be helpful. Additional data collection and outcomes following the use of this tool may further improve decision support recommendations.…”

“…Informed by the finalised components of the BMETS‐DSP, the platform was developed with the expressed intent to create measurable changes to modifiable determinants of the decision‐making process. To assess the platform's impact on these determinants, a pilot assessment of the BMETS‐DSP was planned, and preliminary data has been presented elsewhere 35 …”

“…To assess the platform's impact on these determinants, a pilot assessment of the BMETS-DSP was planned, and preliminary data has been presented elsewhere. 35 F I G U R E 1 Three inter-related components of the Ottawa Decision Support Framework. Adapted from O'Connor et al 21…”