Palliative care and head and neck cancer

2000 ◽  
Vol 38 (4) ◽  
pp. 253-254 ◽  
Author(s):  
Tim Lovel
Keyword(s):  
Palliative Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer

scholarly journals Use of inpatient palliative care services in patients with metastatic incurable head and neck cancer

Head & Neck ◽  
2015 ◽  
Vol 38 (3) ◽  
pp. 355-363 ◽  
Author(s):  
Carolyn L. Mulvey ◽  
Thomas J. Smith ◽  
Christine G. Gourin
Keyword(s):  
Palliative Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Care Services ◽  
Palliative Care Services

scholarly journals Disease trajectories, place and mode of death in people with head and neck cancer: Findings from the ‘Head and Neck 5000’ population-based prospective clinical cohort study

2020 ◽  
Vol 34 (5) ◽  
pp. 639-650 ◽  
Author(s):  
Catriona R Mayland ◽  
Kate Ingarfield ◽  
Simon N Rogers ◽  
Paola Dey ◽  
Steven Thomas ◽  
...  
Keyword(s):  
Palliative Care ◽  
Cohort Study ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Population Based ◽  
Hospital Death ◽  
Care Needs ◽  
Curative Intent ◽  
Mode Of Death

Background: Few large studies describe initial disease trajectories and subsequent mortality in people with head and neck cancer. This is a necessary first step to identify the need for palliative care and associated services. Aim: To analyse data from the Head and Neck 5000 study to present mortality, place and mode of death within 12 months of diagnosis. Design: Prospective cohort study. Participants: In total, 5402 people with a new diagnosis of head and neck cancer were recruited from 76 cancer centres in the United Kingdom between April 2011 and December 2014. Results: Initially, 161/5402 (3%) and 5241/5402 (97%) of participants were treated with ‘non-curative’ and ‘curative’ intent, respectively. Within 12 months, 109/161 (68%) in the ‘non-curative’ group died compared with 482/5241 (9%) in the ‘curative’ group. Catastrophic bleed was the terminal event for 10.4% and 9.8% of people in ‘non-curative’ and ‘curative’ groups, respectively; terminal airway obstruction was recorded for 7.5% and 6.3% of people in the same corresponding groups. Similar proportions of people in both groups died in a hospice (22.9% ‘non-curative’; 23.5% ‘curative’) and 45.7% of the ‘curative’ group died in hospital. Conclusion: In addition to those with incurable head and neck cancer, there is a small but significant ‘curative’ subgroup of people who may have palliative needs shortly following diagnosis. Given the high mortality, risk of acute catastrophic event and frequent hospital death, clarifying the level and timing of palliative care services engagement would help provide assurance as to whether palliative care needs are being met.

Aspiration Prevention Surgery under Local Anesthesia for Palliative Care in Patients with Head and Neck Cancer: A Report of Two Cases

ORL ◽  
2020 ◽  
pp. 1-7
Author(s):  
Misaki Sekiguchi Koyama ◽  
Rumi Ueha ◽  
Takao Goto ◽  
Taku Sato ◽  
Akane Tachibana ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Local Anesthesia ◽  
Neck Cancer ◽  
Respiratory Impairment ◽  
Severe Dysphagia ◽  
Type Of Surgery

Aspiration prevention (AP) surgery may improve the quality of life (QOL) of patients with severe dysphagia. However, not all patients can endure this type of surgery under general anesthesia because of their poor status. Herein, we describe the cases of 2 patients with head and neck cancer (HNC) who underwent AP surgery for palliative care. Although both patients had tracheostomy due to severe dysphagia and respiratory impairment and frequently needed suction, they were successfully managed with AP surgery under local anesthesia. A tracheostoma was reshaped to be sufficiently large for an airway to be secured without a cannula. Their respiratory failure gradually improved, and suction frequency markedly decreased after surgery; thus, they could receive medical treatment at home. When patients with HNC under palliative care have a tracheal cannula and cannot vocalize, AP surgery under local anesthesia is an option to improve their QOL.

Experience of palliative care for patients with head and neck cancer through the eyes of next of kin: Impact of an Expert Center

Head & Neck ◽  
2013 ◽  
pp. n/a-n/a
Author(s):  
Marinella P. J. Offerman ◽  
Jean F. A. Pruyn ◽  
Maarten F. de Boer ◽  
Quirine C. P. Ledeboer ◽  
Jan J. van Busschbach ◽  
...  
Keyword(s):  
Palliative Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Next Of Kin ◽  
Expert Center

Palliative care for patients with head and neck cancer -What should otolaryngologists do?-

Toukeibu Gan ◽  
2010 ◽  
Vol 36 (4) ◽  
pp. 417-419
Author(s):  
Kazuhiko Yokoshima ◽  
Munenaga Nakamizo ◽  
Takayuki Kokawa ◽  
Shunta Inai ◽  
Atsuko Sakanushi
Keyword(s):  
Palliative Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer

Palliative Care for Patients With Head and Neck Cancer

JAMA ◽  
2008 ◽  
Vol 299 (22) ◽  
pp. 2679 ◽  
Author(s):  
Amy J. Markowitz ◽  
Michael W. Rabow
Keyword(s):  
Palliative Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer

Training Otolaryngologists in Palliative Care Delivery: An Underutilized Opportunity

2017 ◽  
Vol 158 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Yemeng Lu-Myers
Keyword(s):  
Palliative Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Psychosocial Support ◽  
Care Delivery ◽  
Care Providers ◽  
Treatment Paradigm ◽  
Positive Effect

Palliative care is an underutilized and often misunderstood discipline in the treatment of patients with head and neck cancer. The key components of palliative care include symptoms management, psychosocial support, and enhanced communications. Abundant evidence has demonstrated the beneficial effect for the early incorporation of palliative care in the treatment paradigm for patients with chronic diseases and malignancies, with findings supporting its positive effect on patients’ quality of life as well their survival. Particularly for otolaryngologists, the unique morbidities of head and neck cancer make our patients especially vulnerable and even more in need of the support and benefits that can come from palliative care. While increased consultation with palliative care providers for patients with head and neck cancer is a good first step, training otolaryngologists to develop their own “primary palliative care competencies” is key for improving our patients’ outcomes.

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