scholarly journals A Systematic Review of Patient-Reported Outcome Measures Assessing Body Image Disturbance in Patients with Head and Neck Cancer

2019 ◽  
Vol 160 (6) ◽  
pp. 941-954 ◽  
Author(s):  
Mark A. Ellis ◽  
Katherine R. Sterba ◽  
Emily A. Brennan ◽  
Stacey Maurer ◽  
Elizabeth G. Hill ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Image ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Treatment Strategies ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Body Image Disturbance ◽  
Patient Reported ◽  
Over Time

Objective To synthesize published literature describing the severity of body image disturbance (BID) in patients with head and neck cancer (HNC) over time, its psychosocial and functional associations, and treatment strategies as assessed by patient-reported outcome measures (PROMs). Data Source PubMed/MEDLINE, Scopus, PsycINFO, Web of Science, and Google Scholar. Review Methods A systematic review of the English-language literature was performed to identify studies of BID in patients with HNC using psychometrically validated PROMs to assess (1) severity of BID over time, (2) psychosocial and functional associations, and (3) management strategies. Results A total of 17 studies met inclusion criteria. BID was assessed via 10 different PROMs, none of which were HNC-specific measures of BID. Two of 2 longitudinal studies (100%) reported that BID improved from pretreatment to posttreatment, and 2 of 3 longitudinal studies (67%) showed that the severity of BID decreased over time as survivors got further out from treatment. Seven of 17 studies (41%) described negative functional and psychosocial associations with BID, although study methodology limited conclusions about cause and effect. None of the studies assessing interventions to manage BID (0/2, 0%) demonstrated an improvement in BID relative to control. Conclusion BID in patients with HNC has negative functional and psychosocial associations and lacks evidence-based treatment. Research is limited by the lack of an HNC-specific BID PROM. Further research should address knowledge gaps related to the lack of an HNC-specific BID PROM, longitudinal course of BID in patients with HNC, confusion with regards to risk factors and outcomes, and lack of prevention and treatment strategies.

A systematic review of patient-reported outcome measures in head and neck cancer surgery

2007 ◽  
Vol 136 (4) ◽  
pp. 525-535 ◽  
Author(s):  
Andrea Pusic ◽  
Jeffrey C. Liu ◽  
Constance M. Chen ◽  
Stefan Cano ◽  
Kristen Davidge ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Outcome Measures ◽  
Neck Cancer ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Cancer Surgery ◽  
Patient Reported

scholarly journals Body Image Disturbance in Surgically Treated Head and Neck Cancer Patients: A Prospective Cohort Pilot Study

2019 ◽  
Vol 161 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Evan M. Graboyes ◽  
Elizabeth G. Hill ◽  
Courtney H. Marsh ◽  
Stacey Maurer ◽  
Terry A. Day ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Image ◽  
Head And Neck Cancer ◽  
Pilot Study ◽  
Head And Neck ◽  
Neck Cancer ◽  
Prospective Cohort ◽  
The Body ◽  
Body Image Disturbance ◽  
Patient Reported

This prospective cohort pilot study sought to characterize the short-term temporal trajectory of, and risk factors for, body image disturbance (BID) in patients with head and neck cancer (HNC). Most patients were male (35/56), had oral cavity cancer (33/56), and underwent microvascular reconstruction (37/56). Using the Body Image Scale (BIS), a validated patient-reported outcome measure of BID, the prevalence of BID (BIS ≥10) increased from 11% preoperatively to 25% at 1 month postoperatively and 27% at 3 months posttreatment ( P < .001 and P = .0014 relative to baseline, respectively). Risk factors for BID included female sex (odds ratio [OR], 4.8; 95% confidence interval [CI], 1.3-19.8), pT 3 to 4 tumors (OR, 8.9; 95% CI, 2.0-63.7), and more severe baseline shame and stigma (OR, 1.06; 95% CI, 1.01-1.13), depression (OR, 1.25; 95% CI, 1.06-1.51), and social isolation (OR, 1.21; 95% CI, 1.01-1.49). The prevalence and severity of BID increase immediately posttreatment. Demographic, oncologic, and psychosocial characteristics identify high-risk patients for targeted interventions.

scholarly journals Identifying Patient-Reported Outcome Measures (PROMs) for Routine Surveillance of Physical and Emotional Symptoms in Head and Neck Cancer Populations: A Systematic Review

2021 ◽  
Vol 10 (18) ◽  
pp. 4162
Author(s):  
Sheilla de Oliveira Faria ◽  
Gillian Hurwitz ◽  
Jaemin Kim ◽  
Jacqueline Liberty ◽  
Kimberly Orchard ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Outcome Measures ◽  
Neck Cancer ◽  
Reliability And Validity ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Emotional Symptoms ◽  
Specific Patient ◽  
Patient Reported

The aims of this review were to identify symptoms experienced by head and neck cancer (HNC) patients and their prevalence, as well as to compare symptom coverage identified in HNC specific patient-reported outcome measures (PROMs). Searches of Ovid Medline, Embase, PsychInfo, and CINAHL were conducted to identify studies. The search revealed 4569 unique articles and identified 115 eligible studies. The prevalence of reported symptoms was highly variable among included studies. Variability in sample size, timing of the assessments, and the use of different measures was noted across studies. Content mapping of commonly used PROMs showed variability and poor capture of prevalent symptoms, even though validation studies confirmed satisfactory reliability and validity. This suggests limitations of some of the tools in providing an accurate and comprehensive picture of the patient’s symptoms and problems.

Patient-reported outcome measures which assess body image in urogynaecology patients: a systematic review

2019 ◽  
Vol 30 (5) ◽  
pp. 673-681 ◽  
Author(s):  
Thomas G. Gray ◽  
Rosanna Sneyd ◽  
Kaia Scurr ◽  
Georgina L. Jones ◽  
David Iles ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Image ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Patient Reported
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