Follow-up and Survivorship in Head and Neck Cancer

Simcock, Richard; Simó, Ricard

doi:10.1016/j.clon.2016.03.004

Cited by 47 publications

(42 citation statements)

References 79 publications

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“…The complexity of organizing follow‐up for HNC patients includes the technical expertise required (e.g., flexible naso‐laryngoscopic examination, imaging studies), the comorbidities experienced by the patients and the psychofunctional disruptions caused by both the disease and treatment . The main objectives of follow‐up in HNC is the evaluation of clinical response and adverse effects of treatment, the early detection of a recurrence or SPTs and the restoration of the patient to their premorbid health status to the maximal extent possible .…”

Section: Introductionmentioning

confidence: 99%

The risk of second primary tumors in head and neck cancer: A systematic review

et al. 2019

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Background: Second primary tumors (SPTs) are a common cause of reduced life expectancy in patients treated for head and neck cancer (HNC). This phenomenon forms an area to be addressed during posttreatment follow-up.Methods: We conducted a systematic review of literature following PRISMA guidelines, from 1979 to 2019, to investigate incidence of SPTs, synchronous, and metachronous, in HNC population. Results: Our review includes data of 456 130 patients from 61 articles. With a minimum follow-up of 22 months, mean incidence of SPTs was 13.2% (95% CI: 11.56-14.84): 5.3% (95% CI: 4.24-6.36) for synchronous SPTs and 9.4% (95% CI: 7.9-10.9) for metachronous SPTs. The most frequent site for SPTs was head and neck area, followed by the lungs and esophagus.Conclusion: Although with wide variations between studies, the rate of SPTs in HNC patients is high. Given the impact in the prognosis, we must develop strategies for the early diagnosis of SPTs. K E Y W O R D Shead and neck cancer, metachronous, second primary tumor, squamous cell carcinoma, synchronous

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Section: Introductionmentioning

confidence: 99%

The risk of second primary tumors in head and neck cancer: A systematic review

et al. 2019

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“…Negative effects of continued alcohol consumption go beyond the development of second primary cancers and recurrences, however. Evidence suggests that HNC survivors who continue to use alcohol are at an increased risk of needing gastrostomy tube feeding in the future, experiencing osteoradionecrosis of the jaw, poor prognosis as well as social effects such as unemployment and work disability . Indeed, other research has shown that the absence of alcohol use by HNC survivors was significantly associated with better quality of life …”

Section: Introductionmentioning

confidence: 99%

Alcohol‐related head and neck cancer: Summary of the literature

2019

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Alcohol drinking is a risk factor for the development of head‐and‐neck malignancies, including oral, pharyngeal, and laryngeal cancers, and coupled with tobacco use, accounts for 75% of oral cancers. We summarized the literature on alcohol‐related head and neck cancer (HNC) and identified gaps that represent areas for future investigation. Research indicates that alcohol consumption has not only been linked to the development of primary HNCs, but also to secondary cancers with continued alcohol intake, cancer recurrences, and other poor health outcomes. Given this evidence, several organizations have called for reduction or avoidance of alcohol, particularly in HNC survivors. Despite these strong recommendations, evidence suggests that HNC survivors continue to use alcohol. There is a need to forge collaborations among clinicians, researchers, and social workers, to address this problem of alcohol consumption in the growing population of HNC survivors.

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“…Most people with oral cavity cancer have smoked for many years, but stop tobacco use between diagnosis and initiation of treatment. Our study found that those who continued smoking experienced greater nicotine dependence, so continued smoking remains a substantial problem in these people during the survival period (Simcock & Simo, ). Nicotine dependence can lead to physical problems (e.g.…”

Section: Discussionmentioning

confidence: 72%

“…Social support was measured by a modified version of the Social Support Scale (Sherbourne & Stewart, 1991). The 20-item SSS-m consists of four subscales: emotional/informational support (eight items), tangible support (four items), affectionate support (three items) and positive social interaction (three items), with one additional item.…”

Section: Social Support Scale Modifiedmentioning

confidence: 99%