Timing and presentation of recurrent oral and oropharyngeal squamous cell carcinoma and awareness in the outpatient clinic

Kissun, Dean; Magennis, Patrick; Lowe, Derek; Brown, James S.; Vaughan, E.D.; Rogers, Simon N.

doi:10.1016/j.bjoms.2005.08.010

Cited by 61 publications

(74 citation statements)

References 13 publications

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“…30 Kissun et al retrospectively studied 278 patients treated for oral and oropharyngeal cancer. 31 They found that 54 patients developed a recurrence at a median of 8 months.…”

Section: Frequency Of Visitsmentioning

confidence: 99%

Current concepts of surveillance and its significance in head and neck cancer

Manikantan

Dwivedi

Sayed

et al. 2011

annals

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Follow-up in head and neck cancer (HNC) is essential to detect and manage locoregional recurrence or metastases, or second primary tumours at the earliest opportunity. A variety of guidelines and investigations have been published in the literature. This has led to oncologists using different guidelines across the globe. The follow-up protocols may have unnecessary investigations that may cause morbidity or discomfort to the patient and may have significant cost implications. In this evidencebased review we have tried to evaluate and address important issues like the frequency of follow-up visits, clinical and imaging strategies adopted, and biochemical methods used for the purpose. This review summarises strategies for follow-up, imaging modalities and key investigations in the literature published between 1980 and 2009. A set of recommendations is also presented for cost-effective, simple yet efficient surveillance in patients with head and neck cancer.

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“…30 Kissun et al retrospectively studied 278 patients treated for oral and oropharyngeal cancer. 31 They found that 54 patients developed a recurrence at a median of 8 months.…”

Section: Frequency Of Visitsmentioning

confidence: 99%

Current concepts of surveillance and its significance in head and neck cancer

Manikantan

Dwivedi

Sayed

et al. 2011

annals

View full text Add to dashboard Cite

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“…However, it is worrying that patients having symptoms consistent with possible recurrence tend not to move forward their appointment [16]. Also, patients often feel unable to express FOR [2] and it is these fears that are rarely discussed in consultations.…”

Section: Introductionmentioning

confidence: 99%

Fear of recurrence following head and neck cancer in the outpatient clinic

Rogers

Scott

Lowe

et al. 2010

Eur Arch Otorhinolaryngol

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Fear of recurrence (FOR) following head and neck cancer is one of the most frequent concerns of patients and is associated with psychological distress. The aims of this study were, first, to report the clinical characteristics of patients selected for FOR concerns on a patient concerns inventory (PCI) and, second, to compare the degree of FOR using a FOR questionnaire of those patients expressing FOR concerns on the PCI with those who did not. Two cohorts were used. The first comprised consecutive oncology patients attending clinics from August 2007 for 9 months (N = 123). These patients completed the PCI only. The second comprised patients attending the same clinic for over 4 months from October 2008 (N = 68), and this group completed both the PCI and the FOR questionnaire. FOR was the most frequently selected issue on the PCI (42%). There were no obvious differences in selecting FOR by patient characteristics. Those who scored 'a lot' or 'all the time' for questions 1-6 in the FOR questionnaire and responses (on a 10-point scale) of 7-10 for question 7 were deemed as having 'significant' FOR. In those raising the issue of FOR on the PCI, 79% (15/19) had significant problems compared to 24% (12/49) if they did not. FOR is a common concern and because it is not possible to identify patients based on clinical parameters, it is important to screen for FOR to direct patients to appropriate support and intervention.

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“…In terms of the duration of PTSS, it is clear that the majority of recurrences are identified during the first 2 years following treatment, with most being seen near the end of the first year (Table 3) [7,8,10,17,19]. If the purpose of PTSS is to identify recurrence, the tapering nature of the incidence of locoregional recurrence is such that the data provided by the majority of authors would advocate discontinuation of structured PTSS after the third year [6,8,9,13,16,[19][20][21]48] ( Table 4, Fig.…”

Section: Discussionmentioning

confidence: 89%

“…If the purpose of PTSS is to identify recurrence, the tapering nature of the incidence of locoregional recurrence is such that the data provided by the majority of authors would advocate discontinuation of structured PTSS after the third year [6,8,9,13,16,[19][20][21]48] ( Table 4, Fig. 2).…”

Section: Discussionmentioning

confidence: 95%

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Post-therapeutic Surveillance Schedule for Oral Cancer: Is There Agreement?

Liu

Dierks

Bell

et al. 2012

Oral Maxillofac Surg

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No international consensus was achieved about the follow-up strategies. The value of post-therapeutic surveillance schedule following oral cancer treatment is generally not in dispute, although patient-initiated symptom-driven visits can be effective in identifying tumor recurrence for oral cancer patients. The range of appointment interval schemes tends to identify a progressive escalation of visit intervals such that there are more visits in the first year than in the second, and fewer yet during the third. Patients may fail to comply with their clinic visit structure. Most references agree that follow-up beyond the third year is unnecessary and may waste medical resources as well as the time of both patient and surgeon. There is no agreement as to the need for or interval of imaging studies.

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Timing and presentation of recurrent oral and oropharyngeal squamous cell carcinoma and awareness in the outpatient clinic

Cited by 61 publications

References 13 publications

Current concepts of surveillance and its significance in head and neck cancer

Current concepts of surveillance and its significance in head and neck cancer

Fear of recurrence following head and neck cancer in the outpatient clinic

Post-therapeutic Surveillance Schedule for Oral Cancer: Is There Agreement?

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