Surgery versus radiosurgery for vestibular schwannoma: Shared decision making in a multidisciplinary clinic.
Francesca ColomboHelen MayeScott RutherfordAndrew KingCharlotte Hammerbeck-WardGillian A WhitfieldCatherine McBainRovel ColacoHelen EntwistleAndrea WadesonSimon LloydSimon FreemanOmar N PathmanabanPublished in: Neuro-oncology advances (2023)
In our experience, the combined surgery/oncology/specialist nurse clinic streamlines the patient experience for those with a VS suitable for either microsurgical or SRS/radiotherapy treatment. Decision-making in this population of patients is complex and when presented with all treatment options patients do not necessarily choose the least invasive option as a treatment. The unique feature of our clinic is the multidisciplinary counseling process with a specialist nurse advocating and guiding the patient. Treatment options are likely to become more rather than less complex in future years making combined clinics more valuable than ever in the SDM process.
Keyphrases
- primary care
- end stage renal disease
- palliative care
- newly diagnosed
- ejection fraction
- minimally invasive
- chronic kidney disease
- prognostic factors
- machine learning
- early stage
- coronary artery bypass
- squamous cell carcinoma
- smoking cessation
- hepatitis c virus
- atrial fibrillation
- locally advanced
- rectal cancer
- replacement therapy
- human immunodeficiency virus
- current status
- hearing loss