252 | Chapter 11 Future perspectives Having thoroughly discussed all our research, the question arises: What is next, and above all, what do I think the future will look like? Part 1: Shared decision making One of the studies that is still ongoing is the one investigating the impact of our developed PDA for early stage oropharyngeal cancer patients. With collaborative efforts from other institutions, our aim is to conclude this investigation by approximately 2027. Additionally, there is a pressing need for an updated iteration of the advanced laryngeal cancer PDA. This entails a thorough review to ensure compliance with the latest clinical guidelines, alongside streamlining the content for enhanced clarity and accessibility. Furthermore, leveraging the rich data from our patient interviews documented in Chapter 3, we are embarking on qualitative research pertaining to nudging techniques and aligning patient goals during counseling sessions. Our ultimate objective is to convene a comprehensive meeting involving all participating physicians, where we can collectively scrutinize the findings and potentially provide tailored training in SDM. What I’ve noticed is that navigating the landscape of SDM implementation presents significant challenges, especially in multicenter settings. While multicenter studies are crucial due to the relatively low numbers of HNC patients, rallying participation from diverse institutions proves to be a formidable task. Overcoming logistical hurdles and fostering collaboration among stakeholders will be paramount in realizing the full potential of SDM initiatives. In the Netherlands, we do have a dedicated working group for head and neck tumors, and there is a great deal of collaboration. However, submitting a study in another hospital and achieving patient inclusions remains difficult. To improve collaboration, establishing clear communication protocols and regular cross-institutional meetings could help align goals and methodologies. Additionally, leveraging digital tools for data sharing and project management can streamline processes and enhance transparency among all participating centers. In envisioning the future landscape of healthcare, my hopes are pinned on a fundamental shift in the mindset of physicians. It’s imperative that we recognize patients as individuals with unique preferences and needs, steering away from a onesize-fits-all approach to treatment. As echoed in the words of Hippocrates, “Our primary aim should be to treat the patient, not just the disease”. This paradigm shift towards
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