Unmet needs in head and neck cancer patients: Unmet needs, emotional disorders, and pain.

e17501 Background: knowledge is still lacking about head and neck patients’ unmet needs and their association with the other debilitating symptomatologies that worsen Quality of Life (QoL), compliance to treatments and prognosis. The aim of this research, so, it was to investigate the unmet needs of this type of patients in accordance with sympomts. Beside this study tried to evaluate if patients’ needs were correctly understood by their caregivers, nurses and oncologist. Methods: we surveyed 100 patients (80 men and 20 women) with head and neck cancer, during the active phase of chemotherapy treatmet,58 caregivers’ patients, nurses and the oncologist. The axious symptomatology and the depressive symptomatology were assessed by the Hospital Anxiety and Depression Scale (HADS). Distress was assessed by the Distress Thermometer (DT). Unmet needs were assessed from patients and their caregivers by Supportive Care Needs Survey-short Form (SCNS-SF34); nurses and the oncologist had to answer only to the 5 questionnaire’s macro-areas. Pain was assessed using the answer given to the SCNS-SF34’s first item. Results: having unmet needs in the psychological area is associated with the presence of symptoms in the preceding 24 hours (c2 = 10.213 , p = .001). Unmet needs in the communicative and informative area are associated with pain (c2 = 5.260 , p = .022). Unmet needs in physical conditions and daily living area are associated with pain (c2 = 9.962 , p = .002) and the presence of symptoms in the preceding 24 hours (c2 = 6.760 , p = .009). Unmet needs in patient support and health care area is associated with: distress (c2 = 4.459 , p = .035), anxious symptomatology (c2 = 4.071 , p = .044) and pain (c2 = 14.733 , p = .000). Unmet needs in sexuality area are associated with anxious symptomatology (c2 = 7.328 , p = .007) and pain (c2 = 4.833 , p = .028). Feelings about death and dying are associated with anxious symptomatology (c2 = 6.451 , p = .011) and depressive symptomatology (c2 = 5.317 , p = .021). Caregivers and patients both detect the presence of unmet needs in many areas. Conclusions: there tare several associations found between unmet needs and main symptomatologies that negatively impact with patient’s QoL and prognosis.

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The need for supportive care among head and neck cancer patients: psychometric assessment of the Dutch version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and the newly developed head and neck cancer module (SCNS-HNC)

Supportive Care in Cancer ◽

10.1007/s00520-016-3307-y ◽

2016 ◽

Vol 24 (11) ◽

pp. 4639-4649 ◽

Cited By ~ 8

Author(s):

Femke Jansen ◽

Birgit I. Witte ◽

Cornelia F. van Uden-Kraan ◽

Anna M. Braspenning ◽

C. René Leemans ◽

...

Keyword(s):

Head And Neck Cancer ◽

Supportive Care ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Short Form ◽

Psychometric Assessment ◽

Care Needs ◽

Dutch Version ◽

Cancer Module

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Reliability and validity of the Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and the Head and Neck Cancer-specific Supportive Care Needs (SCNS-HNC) module

10.21203/rs.2.20861/v5 ◽

2020 ◽

Author(s):

Jianxia LYU ◽

Li Yin ◽

Ping Cheng ◽

Bin Li ◽

Shanshan Peng ◽

...

Keyword(s):

Factor Analysis ◽

Head And Neck Cancer ◽

Supportive Care ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Short Form ◽

Reliability And Validity ◽

Supportive Care Needs ◽

Care Needs

Abstract Background: This study aimed to translate the English version of the supportive care needs scale of head and neck cancer patients (SCNS-HNC) questionnaire into Mandarin and to test the reliability and validity of the SCNS-SF34 and SCNS-HNC module in head and neck cancer patients. Methods: The Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and SCNS-HNC scales were used to assess 206 patients with head and neck cancer in Chengdu, China. Among them, 51 patients were re-tested 2 or 3 days after the first survey. The internal consistency of the scale was evaluated by Cronbach's alpha coefficient, the retest reliability of the scale was evaluated by retest correlation coefficient r, the structural validity of the scale was evaluated by exploratory factor analysis, and the ceiling and floor effects of the scale were evaluated. Results: The Mandarin version of the SCNS-HNC had Cronbach's alpha coefficients greater than 0.700 (0.737 ≤ 0.962) for all of the domains. Except for the psychological demand dimension (r=0.674) of the SCNS-SF34 scale, the retest reliability of the other domains was greater than 0.8. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 64.39%. Conclusions: The Mandarin version of the SCNS-SF34 and SCNS-HNC demonstrated satisfactory reliability and validity and is able to measure the supportive care needs of Chinese patients with head and neck cancer.

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Reliability and validity of the mandarin version of the supportive care needs survey short-form (SCNS-SF34) and the head and neck cancer-specific supportive care needs (SCNS-HNC) module

BMC Health Services Research ◽

10.1186/s12913-020-05793-3 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Jianxia Lyu ◽

Li Yin ◽

Ping Cheng ◽

Bin Li ◽

Shanshan Peng ◽

...

Keyword(s):

Factor Analysis ◽

Head And Neck Cancer ◽

Supportive Care ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Short Form ◽

Reliability And Validity ◽

Supportive Care Needs ◽

Care Needs

Abstract Background This study aimed to translate the English version of the supportive care needs scale of head and neck cancer patients (SCNS-HNC) questionnaire into Mandarin and to test the reliability and validity of the SCNS-SF34 and SCNS-HNC module in head and neck cancer patients. Methods The Mandarin version of the Supportive Care Needs Survey Short-Form (SCNS-SF34) and SCNS-HNC scales were used to assess 206 patients with head and neck cancer in Chengdu, China. Among them, 51 patients were re-tested 2 or 3 days after the first survey. The internal consistency of the scale was evaluated by Cronbach’s alpha coefficient, the retest reliability of the scale was evaluated by retest correlation coefficient r, the structural validity of the scale was evaluated by exploratory factor analysis, and the ceiling and floor effects of the scale were evaluated. Results The Mandarin version of the SCNS-HNC had Cronbach’s alpha coefficients greater than 0.700 (0.737 ≤ 0.962) for all of the domains. Except for the psychological demand dimension (r = 0.674) of the SCNS-SF34 scale, the retest reliability of the other domains was greater than 0.8. Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 64.39%. Conclusions The Mandarin version of the SCNS-SF34 and SCNS-HNC demonstrated satisfactory reliability and validity and is able to measure the supportive care needs of Chinese patients with head and neck cancer. Trial registration ChiCTR, ChiCTR1900026635. Registered 16 October 2019- Retrospectively registered.

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Head and neck cancer patients want us to support them psychologically in the posttreatment period: Survey results

Palliative & Supportive Care ◽

10.1017/s1478951513000771 ◽

2013 ◽

Vol 12 (6) ◽

pp. 481-493 ◽

Cited By ~ 34

Author(s):

Melissa Henry ◽

Laura-Anne Habib ◽

Matthew Morrison ◽

Ji Wei Yang ◽

Xuejiao Joanna Li ◽

...

Keyword(s):

Quality Of Life ◽

Head And Neck Cancer ◽

Supportive Care ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Unmet Needs ◽

Supportive Care Needs ◽

Care Needs

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.

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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

Palliative Medicine ◽

10.1177/0269216320904313 ◽

2020 ◽

Vol 34 (5) ◽

pp. 639-650 ◽

Cited By ~ 2

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.

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Burden and happiness in head and neck cancer carers: the role of supportive care needs

Supportive Care in Cancer ◽

10.1007/s00520-016-3261-8 ◽

2016 ◽

Vol 24 (10) ◽

pp. 4283-4291 ◽

Cited By ~ 13

Author(s):

Paul Hanly ◽

Rebecca Maguire ◽

Myles Balfe ◽

Philip Hyland ◽

Aileen Timmons ◽

...

Keyword(s):

Head And Neck Cancer ◽

Supportive Care ◽

Head And Neck ◽

Neck Cancer ◽

Supportive Care Needs ◽

Care Needs

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Partner’s survivorship care needs: An analysis in head and neck cancer patients

Oral Oncology ◽

10.1016/j.oraloncology.2017.06.011 ◽

2017 ◽

Vol 71 ◽

pp. 113-121 ◽

Cited By ~ 7

Author(s):

Meredith Giuliani ◽

Robin Milne ◽

Maurene McQuestion ◽

Lorna Sampson ◽

Lisa W. Le ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Survivorship Care ◽

Care Needs

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Head and Neck Cancer Survivorship Care: A Review of the Current Guidelines and Remaining Unmet Needs

Current Treatment Options in Oncology ◽

10.1007/s11864-018-0554-9 ◽

2018 ◽

Vol 19 (8) ◽

Cited By ~ 18

Author(s):

Nhu-Tram A. Nguyen ◽

Jolie Ringash

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Survivorship ◽

Neck Cancer ◽

Unmet Needs ◽

Survivorship Care ◽

Current Guidelines

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Quality of Life Scores Predict Survival Among Patients With Head and Neck Cancer

Journal of Clinical Oncology ◽

10.1200/jco.2007.12.9510 ◽

2008 ◽

Vol 26 (16) ◽

pp. 2754-2760 ◽

Cited By ~ 97

Author(s):

Carrie A. Karvonen-Gutierrez ◽

David L. Ronis ◽

Karen E. Fowler ◽

Jeffrey E. Terrell ◽

Stephen B. Gruber ◽

...

Keyword(s):

Quality Of Life ◽

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Short Form ◽

Screening Tools ◽

Physical Component Score ◽

Component Score ◽

Sf 36

Purpose The purpose of this study was to examine whether quality of life (QOL) scores predict survival among patients with head and neck cancer, controlling for demographic, health behavior, and clinical variables. Patients and Methods A self-administered questionnaire was given to 495 patients being treated for head and neck cancer while they were waiting to be seen for a clinic appointment. Data collected from the survey included demographics, health behaviors, and QOL as measured by Short Form-36 (SF-36) physical and mental component scores and the Head and Neck QOL scores. Clinical measures were collected by chart abstraction. Kaplan-Meier plots and univariate and multivariate Cox proportional hazards models were used to determine the association between QOL scores and survival time. Results After controlling for age, time since diagnosis, marital status, education, tumor site and stage, comorbidities, and smoking, the SF-36 physical component score and three of the four Head and Neck QOL scales (pain, eating, and speech domains) were associated with survival. Controlling for the same variables, the SF-36 mental component score and the emotional domain of the Head and Neck QOL were not associated with survival. Conclusion QOL instruments may be valuable screening tools to identify patients who are at high risk for poor survival. Those with low QOL scores could be followed more closely, with the potential to identify recurrence earlier and perform salvage treatments, thereby possibly improving survival for this group of patients.

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