Quality of life in head and neck cancer survivors at 1 year after treatment: the mediating role of unmet supportive care needs

2014 ◽  
Vol 22 (11) ◽  
pp. 2917-2926 ◽  
Author(s):  
Winnie K. W. So ◽  
K. C. Choi ◽  
Joanne M. T. Chen ◽  
Carmen W. H. Chan ◽  
S. Y. Chair ◽  
...  
2013 ◽  
Vol 69 (12) ◽  
pp. 2750-2758 ◽  
Author(s):  
Winnie K.W. So ◽  
K.C. Choi ◽  
Carmen W.H. Chan ◽  
Winnie P.Y. Tang ◽  
Alice W.Y. Leung ◽  
...  

2013 ◽  
Vol 12 (6) ◽  
pp. 481-493 ◽  
Author(s):  
Melissa Henry ◽  
Laura-Anne Habib ◽  
Matthew Morrison ◽  
Ji Wei Yang ◽  
Xuejiao Joanna Li ◽  
...  

AbstractObjectives:No study systematically has investigated the supportive care needs of general head and neck cancer patients using validated measures. These needs include physical and daily living needs, health system and information needs, patient care and support needs, psychological needs, and sexuality needs. Identifying the unmet needs of head and neck cancer patients is a necessary first step to improving the care we provide to patients seen in our head and neck oncology clinics. It is recommended as the first step in intervention development in the Pan-Canadian Clinical Practice Guideline of the Canadian Partnership Against Cancer (see Howell, 2009). This study aimed to identify: (1) met and unmet supportive care needs of head and neck cancer patients, and (2) variability in needs according to demographics, disease variables, level of distress, and quality-of-life domains.Methods:Participants were recruited from the otolaryngology–head and neck surgery clinics of two university teaching hospitals. Self-administered questionnaires included sociodemographic and medical questions, as well as validated measures such as the Supportive Care Needs Survey–Short Form (SCNS-SF34), the Hospital Anxiety and Depression Scale (HADS), and the Functional Assessment of Cancer Therapy–General (FACT-G) and Head and Neck Module (FACT-H&N) (quality of life measures).Results:One hundred and twenty-seven patients participated in the survey. 68% of them experienced unmet needs, and 25% revealed a clinically significant distress level on the HADS. The highest unmet needs were psychological (7 of top 10 needs). A multiple linear regression indicated a higher level of overall unmet needs when patients were divorced, had a high level of anxiety (HADS subscale), were in poor physical condition, or had a diminished emotional quality of life (FACT-G subscales).Significance of results:The results of this study highlight the overwhelming presence of unmet psychological needs in head and neck cancer patients and underline the importance of implementing interventions to address these areas perceived by patients as important. In line with hospital resource allocation and cost-effectiveness, one may also contemplate screening patients for high levels of anxiety, as well as target patients who are divorced and present low levels of physical well-being, as these patients may have more overall needs to be met.


2018 ◽  
Vol 126 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Mona Kamal ◽  
David I. Rosenthal ◽  
Stefania Volpe ◽  
Ryan P. Goepfert ◽  
Adam S. Garden ◽  
...  

2016 ◽  
Vol 41 (3) ◽  
pp. 241-248 ◽  
Author(s):  
L. Sammut ◽  
L.R. Fraser ◽  
M.J. Ward ◽  
T. Singh ◽  
N.N. Patel

2016 ◽  
Vol 127 (7) ◽  
pp. 1615-1621 ◽  
Author(s):  
Tanya K. Meyer ◽  
Jessica M. Pisegna ◽  
Gintas P. Krisciunas ◽  
Barbara R. Pauloski ◽  
Susan E. Langmore

Author(s):  
Natalia Muñoz Vigueras ◽  
Vanessa Gabriela Jerviz Guia ◽  
Isabel Castillo Pérez ◽  
Paula Obeso Benitez ◽  
Javier Martín Núñez ◽  
...  

2021 ◽  
Author(s):  
Itziar Alonso ◽  
Laura Lopez-Perez ◽  
Juan Carlos Martin Guirado ◽  
Maria Fernanda Cabrera-Umpierrez ◽  
Maria Teresa Arredondo ◽  
...  

2020 ◽  
Vol 163 (2) ◽  
pp. 356-363
Author(s):  
Chen Lin ◽  
Stephen Y. Kang ◽  
Samantha Donermeyer ◽  
Theodoros N. Teknos ◽  
Sharla M. Wells-Di Gregorio

Objective Patients with head and neck cancer (HNC) face a unique set of unmet needs. A subset of these patients experience symptom control challenges related to their disease burden and treatments. A multidisciplinary approach involving palliative medicine is underutilized but crucial to identify and address these concerns. There is limited information on palliative integration with head and neck oncology. Study Design Case series with planned data collection. Setting Academic quaternary care center. Subjects and Methods We provide descriptive analyses of patients with HNC, including psychodiagnostic assessment and validated quality-of-life screening, from patients’ first encounter at outpatient palliative medicine. Results HNC (N = 80) contributed the greatest number of palliative referrals (25%) between 2010 and 2012. This cohort was 74% male and 79% Caucasian with a mean age of 53 years (95% CI, 51.1-54.9) and with stage IV disease of the oral cavity (28%) or oropharynx (31%). Sixty-three percent of patients had no evidence of disease. Seventy-five percent had a psychological history based on DSM-IV criteria ( Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition), and 70% had a history of substance use disorder. The most distressing quality-of-life concerns were pain, housing and financial problems, and xerostomia. Conclusions Patients with HNC who were referred to palliative medicine are burdened by multiple physical, psychological, substance use, and social challenges. We recommend comprehensive cancer-specific screening, such as the James Supportive Care Screening, to triage patients to appropriate supportive care services. Palliative care is one of many services that these patients may need, and it should be utilized at any point of the disease trajectory rather than reserved for end-of-life care.


2016 ◽  
Vol 24 (10) ◽  
pp. 4283-4291 ◽  
Author(s):  
Paul Hanly ◽  
Rebecca Maguire ◽  
Myles Balfe ◽  
Philip Hyland ◽  
Aileen Timmons ◽  
...  

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