Late systemic symptom (SS) frequency in head and neck cancer (HNC) survivors as measured by the Vanderbilt Head and Neck Symptom Survey – General Symptoms Subscale (GSS).

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. 6094-6094
Author(s):  
Elizabeth Marie Wulff-Burchfield ◽  
Mary S. Dietrich ◽  
Barbara A. Murphy
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Systemic Symptom ◽  
Neck Symptom

Validation of late oral health outcomes, an oral health subscale of the Vanderbilt Head and Neck Symptom Survey in post-radiation therapy head and neck cancer patients.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 6040-6040
Author(s):  
Leanne Kolnick ◽  
Jie Deng ◽  
Joel Brian Epstein ◽  
Cesar A. Migliorati ◽  
Julie Rezk ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Oral Health ◽  
Head And Neck ◽  
Neck Cancer ◽  
Dental Health ◽  
Salivary Flow ◽  
Health Issues ◽  
Neck Symptom ◽  
Patient Reported ◽  
Version 2.0

6040 Background: The Vanderbilt Head and Neck Symptom Survey (VHNSS) version 2.0 oral symptom subscale was developed to address potentially overlooked and underreported oral health issues. We report the validation of questions pertaining to xerostomia (4 items), dental health (4 teeth), dentures (1 item) and trismus (1 item). Methods: Between May 2011 and April 2012, 50 patients treated with chemoradiotherapy for head and neck cancer completed the 50-item VHNSS survey, underwent an oral health assessment by a dentist, salivary flow and inter-incisal opening (IIO) measurements. Results: Patient reported “problems with dry mouth” correlated with unstimulated salivary flow rates (-0.43, p = 0.002). “Cracked teeth” (-0.55, p = < 0.001) or “difficulty chewing due to teeth” (-0.43, p = 0.004) correlated with urgent or emergent dental care issues identified on exam. Using a cut off of >4 on any of four the dental questions, we were able to identify 83% of patients with urgent or emergent dental issues. The ROC curve was useful (0.89, p< 0.001) for separating patients with and without urgent/emergent dental issues. “Limitations” in jaw movement correlated with IIO (-0.43, p = 0.002). Small numbers of patients with dentures precluded meaningful analysis of this subsample. Conclusions: Clinically significant oral health issues pertaining to xerostomia, dental health and trismus may be identified using the oral health subscale of the VHNSS version 2.0. Patients who score > 4 on any of the teeth related items should be referred for immediate dental evaluation; and for trismus should be referred for physical therapy.

Nutritional status as a prognostic factor in advanced head and neck cancer

1998 ◽  
Vol 23 (4) ◽  
pp. 376-376
Author(s):  
Quak ◽  
Van Bokhorst ◽  
Klop ◽  
Van Leeuwen ◽  
Snow
Keyword(s):  
Head And Neck Cancer ◽  
Prognostic Factor ◽  
Nutritional Status ◽  
Head And Neck ◽  
Neck Cancer ◽  
Advanced Head
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