Table of Contents Prologue 7 Chapter 1. General introduction 13 Part 1. Shared Decision Making in Head and Neck Oncology Chapter 2. Decisional Conflict and Decision Regret in Head and Neck Oncology – A Systematic Review and Meta-Analysis 39 Chapter 3. Exploring the State of Shared Decision-Making in Head and Neck Oncology: Assessing Treatment Communication 73 Chapter 4. Decisional Conflict in Patients with Advanced Laryngeal Carcinoma – A Multicenter Study 103 Chapter 5. The Impact of a Patient Decision Aid for Patients with Advanced Laryngeal Carcinoma – A Multicenter Study 123 Chapter 6. The Development of a Decision Aid for Patients with Operable Oropharyngeal Carcinoma in the Netherlands – A Mixed Methods Study 147 Part 2. Rehabilitation after Total Laryngectomy Chapter 7. Does Prophylactic Replacement of Voice Prosthesis Make Sense? – A Study to Predict Prosthesis Lifetime 173 Chapter 8. The Acceptance and Voice Quality of a New Voice Prosthesis “Vega High Performance” – A Feasibility Study 191 Chapter 9. Maximal Cardiopulmonary Exercise Testing in Laryngectomized Patients using Different HMEs – Feasibility and Exercise Responses 213 Chapter 10. Singing after Total Laryngectomy 235 Chapter 11. General Discussion and Future Perspectives 241 Chapter 12 12.1 English summary 261 12.2 Nederlandse samenvatting 265 Appendices Authors and affiliations 273 Author contributions 277 PhD portfolio 280 Dankwoord 282 About the author 290
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