title: Guidelines (short version) of the French Otorhinolaryngology - Head and Neck Surgery Society (SFORL) on patient pathway organization in ENT: The therapeutic decision-making process.
abstract: OBJECTIVE
  The authors present the guidelines of the French Otorhinolaryngology - Head and Neck Surgery Society (SFORL) for patient pathway organization in head and neck cancer, and in particular for multidisciplinary team meetings. The present article concerns the therapeutic decision-making process.
  
  
  METHODS
  A multidisciplinary work group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, based on the articles retrieved and the group members' individual experience. They were then read over by an editorial group independent of the work group. The final version was established in a coordination meeting. The guidelines were graded as A, B, C or expert opinion, by decreasing level of evidence.
  
  
  RESULTS
  It is recommended that: an organ specialist should contribute to all multidisciplinary meetings on head and neck cancer; all members of the multidisciplinary meeting should have specific knowledge in head and neck cancer; any referring physician who does not follow the multidisciplinary meeting's advice should justify that decision; there should be sufficient time to prepare, discuss and sum up the cases dealt with in the multidisciplinary team meeting.
authors.affiliation: Département de chirurgie oncologique, centre de lutte contre le cancer Léon-Bérard, 28, rue Laennec, 69008 Lyon, France. Electronic address: sophie.deneuve@lyon.unicancer.fr.
authors.forename: S
authors.initials: S
authors.lastname: Deneuve
authors.affiliation: Service d'ORL, CHU, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: E
authors.initials: E
authors.lastname: Babin
authors.affiliation: Service d'ORL, hôpital Tenon, 4, rue de la Chine, 75018 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Lacau-St-Guily
authors.affiliation: Service d'ORL, hôpital Tenon, 4, rue de la Chine, 75018 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Baujat
authors.affiliation: Service d'oncologie et de radiothérapie, centre de Haute Énergie, 10, boulevard Pasteur, 06000 Nice, France.
authors.forename: R-J
authors.initials: RJ
authors.lastname: Bensadoun
authors.affiliation: Service d'ORL, institut universitaire de la face et du cou, 31, avenue Valombrose, 06100 Nice, France.
authors.forename: A
authors.initials: A
authors.lastname: Bozec
authors.affiliation: Service d'ORL, hôpital Claude-Huriez, rue Michel Polonovski, 59037 Lille cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Chevalier
authors.affiliation: Service d'ORL, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France.
authors.forename: O
authors.initials: O
authors.lastname: Choussy
authors.affiliation: Service d'ORL, CHU, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: F
authors.initials: F
authors.lastname: Cuny
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, hôpital de la Conception, CHU, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: N
authors.initials: N
authors.lastname: Fakhry
authors.affiliation: Service d'oncologie médicale, institut universitaire de la face et du cou, 31, avenue Valombrose, 06100 Nice, France.
authors.forename: J
authors.initials: J
authors.lastname: Guigay
authors.affiliation: Service d'ORL, hopital Robert-Debré, avenue du Général-Koenig, 51100 Reims, France.
authors.forename: M
authors.initials: M
authors.lastname: Makeieff
authors.affiliation: Service d'ORL, hopital Robert-Debré, avenue du Général-Koenig, 51100 Reims, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Merol
authors.affiliation: Service d'ORL, hôpital Claude-Huriez, rue Michel Polonovski, 59037 Lille cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Mouawad
authors.affiliation: Service d'oncologue médicale, CHU, 38043 Grenoble, France.
authors.forename: J
authors.initials: J
authors.lastname: Pavillet
authors.affiliation: Service social, CHU, 14000 Caen, France.
authors.forename: C
authors.initials: C
authors.lastname: Rebiere
authors.affiliation: Service d'ORL, hôpital Nord Michalon, BP 217, 38043 Grenoble cedex, France.
authors.forename: C-A
authors.initials: CA
authors.lastname: Righini
authors.affiliation: Service social, hôpital Tenon, 4, rue de la Chine, 75018 Paris, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Sostras
authors.affiliation: Service social, CLCC François-Baclesse, 3, avenue du Général-Harris, 14000 Caen, France.
authors.forename: M
authors.initials: M
authors.lastname: Tournaille
authors.affiliation: Service d'ORL, hôpital Larrey, 24, chemin de Pouvourville, TSA 30030, 31059 Toulouse cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Vergez
mesh_terms: D000066491:Clinical Decision-Making; D019091:Critical Pathways; D005602:France; D006258:Head and Neck Neoplasms / Q000628:therapy*; D006801:Humans; D010348:Patient Care Team
keywords: Head and neck surgeon; Multidisciplinary team meeting; Therapeutic decision-making