Survivorship in Head and Neck Cancer

Miller, Matthew C.; Shuman, Andrew G.

doi:10.1001/jamaoto.2016.1615

Cited by 38 publications

(27 citation statements)

References 20 publications

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“…The American Head and Neck Society (AHNS) recently published a primer on survivorship in head and neck cancer that includes a head and neck cancer treatment summary template. 3 Additionally, the American Cancer Society (ACS) also recently published a consensus statement outlining the potential issues experienced by head and neck cancer survivors. 4 Therefore, given the recent interest in head and neck cancer survivorship, this study was designed to assess the current knowledge and attitudes pertaining to survivorship among members of the AHNS.…”

Section: Introductionmentioning

confidence: 99%

Survivorship support in head and neck cancer: American Head and Neck Society survey

et al. 2020

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Background: The value of supporting cancer survivors beyond formal treatment has become increasingly recognized among clinicians who care for patients with head and neck cancer. Methods: A survey was developed by the American Head and Neck Society (AHNS) Survivorship Committee and distributed to members of the AHNS electronically. Results: The survey was distributed to 1403 AHNS members, with 202 responses (14.4%). Among survivorship topics, respondents were most likely to address detection of recurrence/second primary malignancies (97.5%), dysphagia (93.1%), and thyroid function (90.1%) with their patients; they were least likely to address sleep disturbance/apnea (27.7%) and body and self-image issues (29.7%.) Less than half provide patients with a written treatment summary (43.1%) or follow-up care plan (36.9%). Conclusions: These results highlight the need for improved survivorship care planning and offer an opportunity for the development of educational and survivorship research in head and neck cancer care. K E Y W O R D S head and neck cancer, surveillance, survivorship, treatment plan

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Section: Introductionmentioning

confidence: 99%

Survivorship support in head and neck cancer: American Head and Neck Society survey

et al. 2020

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“…In Brazil, the National Cancer Institute estimated a total of 206,000 new cancer cases among women in 2016, 28% of which (57,960) are primary breast malignancies. 2 These numbers represent an incidence rate of 56 new cases per 100,000 women per year. The mortality rate in Brazil was estimated at 14.7 per 100,000 women in 2014, with a total of 14,622 deaths in the same year.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Patients With Breast Cancer Treated in a Private Health Care Institution in Brazil

Boukai

Gonçalves

Padoan

et al. 2018

JGO

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PurposeMiddle-income countries like Brazil often have a dichotomous health care system in which patients may be treated in either public or private institutions that differ substantially in terms of level of access to diagnostic and therapeutic procedures.Patients and MethodsThis was a prospective, observational study to assess real-world data in 1,230 female patients with breast cancer who were treated in a private health care institution between 2012 and 2016 in Brazil.ResultsBreast cancer in these patients mostly was diagnosed at early (79.0% stages I or II) or locally advanced (16.1% stage III) stages. The primary tumor was resected in 89.0% of cases, most often through breast-conserving surgery (55.1%). Patients with locally advanced disease received more aggressive therapy (eg, higher rates of mastectomy, axillary dissection and chemotherapy use) than patients with early-stage disease. The estimated 2-year overall survival (OS) was 95.3%. Survival was significantly longer among patients with stage I or II disease (2-year OS, 97.9% and 97.5%, respectively) than those with stage III or IV disease (89.4% and 69.5%, respectively; P < .01). Tumor grade was also correlated with OS in the overall cohort (P = .05); triple-negative status was only prognostic for patients with stage III disease (P < .01).ConclusionThe data provided aid understanding of the current scenario of breast cancer presentation and treatment in the Brazilian private health care system and may serve as a foundation to guide resource allocation. Our results reinforce the need to pursue adequate access to cancer care in low- and middle-income countries to optimize patient outcome.

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Section: Methodsmentioning

confidence: 99%

“…In the absence of a validated instrument to specifically evaluate survivor experiences and desires, a survey instrument was constructed based on considerations deriving from survivorship literature and the experience of the investigators (Figure 1). 4,10,11 Themes of the survey included patient priorities for survivorship care, understanding of prognosis, involvement of primary care providers in survivorship care, and satisfaction with care. Respondents were asked about the site of their prior cancer and their demographic information.…”

Section: Methodsmentioning

confidence: 99%

Head and neck cancer survivorship from the patient perspective

et al. 2020

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Background Survivorship is a critical part of head and neck cancer (HNC) care. In order to design better processes, we assessed care provided to long‐term HNC survivors and their priorities for ongoing care. Methods A survey was provided to HNC survivors at clinic appointments, including our HNC survivorship clinic. Questions focused on priorities for care in the otolaryngology clinic, types of care provided, and opioid use. Results Of 168 respondents, the most common priority for survivors was surveillance for recurrence (first priority in 75%), with general health the next most common (8%). Few respondents reported active primary care involvement in survivorship. About 10% of patients reported current opioid use. Conclusion Survivors face a large burden of symptoms and deficits, but our data show that most survivors focus on recurrence. Few survivors reported recall of survivorship care plan delivery or discussing cancer care needs with primary care providers.

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Survivorship in Head and Neck Cancer

Cited by 38 publications

References 20 publications

Survivorship support in head and neck cancer: American Head and Neck Society survey

Survivorship support in head and neck cancer: American Head and Neck Society survey

Outcome of Patients With Breast Cancer Treated in a Private Health Care Institution in Brazil

Head and neck cancer survivorship from the patient perspective

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