Original Investigation

Shared Decision-Making With Otolaryngologists and Palliative Care Specialists in Oral Cavity Cancer

JAMA Network Open 10.1001/jamanetworkopen.2025.48557

December 11, 2025 at 11:00 AM EST

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Is a model of shared decision-making with otolaryngologists and palliative care specialists (SOP) associated with increased use of palliative care among patients with advanced oral cavity cancer?In this cohort study with 430 initially eligible patients and 110 included in the final analysis after 3 years, patients in the SOP group received significantly more multidisciplinary palliative care consultations before death than those in the non-SOP group.These findings suggest that the SOP model may improve timely access to palliative care and enhance end-of-life care quality for patients with advanced oral cavity cancer.

Corresponding Author: Hsien-Liang Huang, MD, MSc, Department of Family Medicine, National Taiwan University Hospital, No. 7, Chung-Shan South Rd, Taipei, Taipei 100, Taiwan, R.O.C. (tennishuang@gmail.com).

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