Head and neck mucosal squamous cell carcinoma: results of palliative management

Timon, C.; Reilly, Kathleen J.

doi:10.1017/s0022215106000740

Cited by 18 publications

(17 citation statements)

References 9 publications

(36 reference statements)

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“…13 Timon estimates that 20% of patients would qualify for palliative care at the time of initial diagnosis, with an average survival of 5 months within this cohort. 14 Our data confirm the importance and impact of palliative care consultation. While not significantly affecting the overall FATE score, their involvement in both inpatient, outpatient and hospice settings was associated with significantly higher domain scores with regard to symptom control and care at the time of death.…”

Section: Discussion Palliative Caresupporting

confidence: 78%

End of Life Care among Head and Neck Cancer Patients

Yang¹,

Prince²,

Taylor³

2010

Otolaryngol.--head neck surg.

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Objective-This study is designed to (1) determine the perceived quality of care received by patients with head and neck cancer at the end of their lives, in order to (2) better anticipate and improve upon the experiences of future patients.Study Design-Cross-sectional survey.Setting-Single-institution, academic tertiary care medical center.Subjects and Methods-A validated survey instrument, the Family Assessment of Treatment at the End of life (FATE), was administered to families of patients who died of head and neck cancer (n=58). The primary outcome was the overall FATE score. Independent variables included clinical characteristics, treatments received and the care provided at the time of death.Results-Overall FATE scores and the domains assessing management of symptoms and care at the time of death did not vary by disease status (logoregional vs. distant metastasis) at the end of life (p=.989). The location of death in the home or in hospice (vs. hospital) significantly improves scores in all three categories (p=.023). Involvement of a palliative care team improved the care at the time of death (p<.001), and palliative treatments (radiation and/or chemotherapy) improved scores in management of symptoms and care at the time of death (p=.011, p=.017). Conclusion-The FATE survey is a useful measure of the end of life experience of head and neck cancer patients. Palliative treatments of head and neck cancer, death outside of the hospital and palliative care team involvement all improve the end of life experience in this population. KeywordsHead and neck cancer; quality of life; end of life care

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Section: Discussion Palliative Caresupporting

confidence: 78%

End of Life Care among Head and Neck Cancer Patients

Yang¹,

Prince²,

Taylor³

2010

Otolaryngol.--head neck surg.

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“…Studies were most commonly conducted in Europe (n = 23) 8,22,23,29,[31][32][33]35,37,[43][44][45][47][48][49]51,52,55,57,59,[63][64][65] with 12 being conducted in Asia, [24][25][26][27][28]34,40,42,45,53,61,62 nine in North America, 30,36,38,39,41,50,54,57,58 one in Saudi Arabia 21 and one in Australia. 60 Quantitative methods were used for the majority of the studies (n = 41) with four using qualitative methods 29,36,52,65 and one study utilising mixed methods.…”

Section: Range Of Studiesmentioning

confidence: 99%

The palliative care needs and experiences of people with advanced head and neck cancer: A scoping review

Mayland

Doughty

et al. 2020

Palliat Med

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Background: The palliative care needs of people with advanced head and neck cancer pose unique complexities due to the impact the illness has on eating, speaking, appearance and breathing. Examining these needs would help provide guidance about developing relevant models of care and identify gaps in research knowledge. Aim: To identify and map out the palliative care needs and experiences for people with advanced head and neck cancer. Design: A scoping literature review following the methods described by the Joanna Briggs Institute. Data sources: An electronic search of the literature was undertaken in MEDLINE (Ovid), EMBASE and CINAHL covering the years January 1996 to January 2019. Results: People with advanced head and neck cancer often had palliative care needs but there was variability in the timing and access to relevant services. A high prevalence of interventions, for example hospital admissions were needed even during the last month of life. This was not necessarily negated with early engagement of palliative care. Dissonance between patients and family carers about information needs and decision-making was an additional complexity. Studies tended to be descriptive in nature, and often involved a single centre. Conclusion: This scoping review demonstrates the complexity of care for people with advanced head and neck cancer and the issues related to the current healthcare systems. Focus on appropriate referral criteria, increased integration and coordination of care and robust evaluation of specific care components seems key. Linkage between research and service design delivery across teams, disciplines and care settings seems pertinent.

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“…Timon et al described the time course of palliative care [43], and Goodwin has provided an excellent analysis of surgical salvage treatment [19]. Terrell et al described the clinical predictors of post-treatment QOL, but otherwise there is a paucity of information regarding the QOL impact of palliative interventions (pain regimens, benefit of tracheotomy and percutaneous endoscopic gastrostomy tubes, palliative radiation or chemotherapy) [18].…”

Section: Palliative Carementioning

confidence: 99%