Introduction to the United Kingdom National Multidisciplinary Guidelines for Head and Neck Cancer

AbstractThis is the 5th edition of the UK Multi-Disciplinary Guidelines for Head and Neck Cancer, endorsed by seven national specialty associations involved in head and neck cancer care. Our aim is to provide a document can be used as a ready reference for multidisciplinary teams and a concise easy read for trainees. All evidence based recommendations in this edition are indicated by ‘(R)’ and where the multidisciplinary team of authors consider a recommendation to be based on clinical experience, it is denoted by ‘(G)’ as a good practice point.

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Post‐Treatment Head and Neck Cancer Care: National Audit and Analysis of Current Practice in the United Kingdom

Clinical Otolaryngology ◽

10.1111/coa.13616 ◽

2020 ◽

Vol 46 (1) ◽

pp. 284-294

Author(s):

◽

Matthew Ellis ◽

George Garas ◽

John Hardman ◽

Maha Khan ◽

...

Keyword(s):

Head And Neck Cancer ◽

United Kingdom ◽

Head And Neck ◽

Neck Cancer ◽

Cancer Care ◽

Current Practice ◽

Post Treatment ◽

National Audit ◽

The United Kingdom

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Barriers to Comprehensive Multidisciplinary Head and Neck Care in a Community Oncology Practice

American Society of Clinical Oncology Educational Book ◽

10.1200/edbk_320967 ◽

2021 ◽

pp. 1-10

Author(s):

Muralidhar Beeram ◽

Andrew Kennedy ◽

Nathan Hales

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Multidisciplinary Team ◽

Unmet Need ◽

Multidisciplinary Teams ◽

Team Approach ◽

Health Care Environment ◽

Patient Centered ◽

Community Based

Complex, coordinated, and collaborative care of patients with head and neck cancer can be challenging yet amazingly rewarding and successful. The high symptom burden across multiple functional domains in patients with head and neck cancer, even in early stages of disease, mandates a multidisciplinary team approach that harnesses the combined contributions of physicians and ancillary providers to drive greater patient-centered care, addressing factors that heavily influence morbidity, mortality, and quality of life. Well-organized community-based multidisciplinary teams fulfill this unmet need and benefit patients with conveniently located comprehensive services that are typically found in large academic centers. Equivalent, if not superior, outcomes can be achieved in a unified community-based multidisciplinary team with shared patient-centered and outcomes-based goals. However, implementing true multidisciplinary team care in today’s complex health care environment is fraught with challenges and pitfalls. So how have some community-based practices managed to create safe and efficient programs with successful outcomes? The purpose of this review is to discuss barriers to reaching this success and emphasize practical solutions to such challenges.

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Organisation and provision of head and neck cancer surgical services in the United Kingdom: United Kingdom National Multidisciplinary Guidelines

The Journal of Laryngology & Otology ◽

10.1017/s0022215116000839 ◽

2016 ◽

Vol 130 (S2) ◽

pp. S5-S8 ◽

Cited By ~ 2

Author(s):

F Stafford ◽

K Ah-See ◽

M Fardy ◽

K Fell

Keyword(s):

Head And Neck Cancer ◽

United Kingdom ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Surgical Specialty ◽

Surgical Services ◽

The United Kingdom ◽

Current State ◽

The Uk

AbstractThis is the official guideline endorsed by the surgical specialty associations involved in the care of head and neck cancer patients in the UK. This paper summarises the current state of play in the organisation and provision of head and neck cancer surgical services in the UK.

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Delay in head and neck cancer care during the COVID-19 pandemic and its impact on health outcomes

Brazilian Oral Research ◽

10.1590/1807-3107bor-2020.vol34.0126 ◽

2020 ◽

Vol 34 ◽

Author(s):

Claudiane MAHL ◽

Luís Ricardo Santos de MELO ◽

Maria Helena Andrade ALMEIDA ◽

Catarina Sampaio CARVALHO ◽

Lois Lene Silva SANTOS ◽

...

Keyword(s):

Head And Neck Cancer ◽

Health Outcomes ◽

Head And Neck ◽

Neck Cancer ◽

Cancer Care

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Integrated Therapeutic Approaches in Head and Neck Cancer: The Importance of Multidisciplinary Team Management

Anti-Cancer Agents in Medicinal Chemistry ◽

10.2174/18715206113139990110 ◽

2013 ◽

Vol 13 (6) ◽

pp. 834-843 ◽

Cited By ~ 10

Author(s):

Francesco Perri ◽

Paolo Muto ◽

Corrado Aversa ◽

Antonio Daponte ◽

Giuseppina Vittoria ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Multidisciplinary Team ◽

Team Management ◽

Therapeutic Approaches

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Integrated Therapeutic Approaches in Head and Neck Cancer: The Importance of Multidisciplinary Team Management

Anti-Cancer Agents in Medicinal Chemistry ◽

10.2174/18715206113139990082 ◽

2013 ◽

Vol 999 (999) ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Francesco Perri ◽

Paolo Muto ◽

Corrado Aversa ◽

Antonio Daponte ◽

Giuseppina Della Vittoria ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Multidisciplinary Team ◽

Team Management ◽

Therapeutic Approaches

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Outcomes of head and neck cancer management from two cancer centres in Southern and Northern Europe during the first wave of COVID-19

Tumori Journal ◽

10.1177/03008916211007927 ◽

2021 ◽

pp. 030089162110079

Author(s):

Marta Tagliabue ◽

Beth Russell ◽

Charlotte Moss ◽

Rita De Berardinis ◽

Francesco Chu ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Ace Inhibitors ◽

Northern Europe ◽

Nasopharyngeal Swab ◽

Cancer Management ◽

The United Kingdom ◽

Tertiary Hospitals ◽

Using Data

Objective: To describe the approach and outcomes from two cancer centres in Southern and Northern Europe during the first wave of coronavirus disease 2019 (COVID-19) of patients with head and neck cancer (HNC). Methods: Data collection was performed on a retrospective cohort of patients surgically treated for primary HNC between March and May 2020, using data from two tertiary hospitals: the European Institute of Oncology (Milan) and Guy’s & St Thomas’ NHS Foundation Trust (London). Results: We included 77 patients with HNC. More patients with COVID-19 were taking angiotensin-converting enzyme (ACE) inhibitors and had Clavien-Dindo Classification grade I compared to negative patients, respectively (60% vs 22% [ p = 0.058] and 40% vs 8% [ p = 0.025]). Multivariate logistic regression analyses confirmed our data ( p = 0.05 and 0.03, respectively). Sex and age were statistically significantly different ( p = 0.05 and <0.001 respectively), showing more male patients (75% vs 53.66%, respectively) and more elderly patients in Italy than in the United Kingdom (patients aged >63 years: 69.44% vs 29.27%). Conclusions: This study presents a large cohort of patients with HNC with nasopharyngeal swab during the first peak of the COVID-19 pandemic in Europe. Patients with HNC with COVID-19 appeared more likely to develop postsurgical complications and to be taking ACE inhibitors. The preventive measures adopted guaranteed the continuation of therapeutic surgical intervention.

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