Modified Delphi survey for decision analysis for prophylaxis of post-radiation osteonecrosis

to augment epidemiological data from the literature, assist Bayesian perspectives and a decision analytic framework for the minimization of post-radiation osteonecrosis (PRON; osteoradionecrosis) and its impacts in irradiated head and neck cancer patients. a modified Delphi process survey of 15 inte...

Full description

Saved in:
Bibliographic Details
Published in:Oral oncology 2002-09, Vol.38 (6), p.574-583
Main Authors: CRAMER, Carl K, EPSTEIN, Joel B, SHEPS, Samuel B, SCHECHTER, Martin T, BUSSER, James R
Format: Article
Language:English
Subjects:
Biological and medical sciences
Decision Support Techniques
Delphi Technique
Diseases of the upper aerodigestive tract
Ent and stomatology
Head and Neck Neoplasms - radiotherapy
Humans
Medical sciences
Osteoradionecrosis - etiology
Osteoradionecrosis - prevention & control
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Pain Measurement
Quality of Life
Radiotherapy - adverse effects
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Risk Factors
Tooth Extraction
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:to augment epidemiological data from the literature, assist Bayesian perspectives and a decision analytic framework for the minimization of post-radiation osteonecrosis (PRON; osteoradionecrosis) and its impacts in irradiated head and neck cancer patients. a modified Delphi process survey of 15 international clinical experts was used to identify and assess outcome data and factors related to PRON risk, extraction, and factor suitability for formal decision analysis. Clinimetric pain and function outcome scales were created and assessed for relevance to quality of life. expert opinion qualitative assessments were generally adequate and consistent between open- and close-ended items, but many quantitative (e.g. PRON risk rate) estimates were not. A research agenda advocated to validate the epidemiological database for minimization of PRON and decision analysis includes: adoption of a uniform definition of PRON, and ICD code for non-experimental databases; more detailed, consistent data reporting in articles; and quality of life studies.
ISSN:1368-8375
1879-0593
DOI:10.1016/S1368-8375(01)00115-4