American Cancer Society Head and Neck Cancer Survivorship Care Guideline

CA A Cancer Journal for Clinicians, Год журнала: 2016, Номер 66(3), С. 203 - 239

Опубликована: Март 22, 2016

Answer questions and earn CME/CNE The American Cancer Society Head Neck Survivorship Care Guideline was developed to assist primary care clinicians other health practitioners with the of head neck cancer survivors, including monitoring for recurrence, screening second cancers, assessment management long‐term late effects, promotion, coordination. A systematic review literature conducted using PubMed through April 2015, a multidisciplinary expert workgroup expertise in care, dentistry, surgical oncology, medical radiation clinical psychology, speech‐language pathology, physical medicine rehabilitation, patient perspective, nursing assembled. While guideline is based on current literature, most evidence not sufficient warrant strong recommendation. Therefore, recommendations should be viewed as consensus‐based strategies assisting patients psychosocial effects its treatment. CA J Clin 2016;66:203‐239. © 2016 .

Язык: Английский

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Post-traumatic stress disorder and cancer

The Lancet Psychiatry, Год журнала: 2017, Номер 4(4), С. 330 - 338

Опубликована: Янв. 19, 2017

Язык: Английский

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Time to initial cancer treatment in the United States and association with survival over time: An observational study

PLoS ONE, Год журнала: 2019, Номер 14(3), С. e0213209 - e0213209

Опубликована: Март 1, 2019

Delays in time to treatment initiation (TTI) for new cancer diagnoses cause patient distress and may adversely affect outcomes. We investigated trends TTI common solid tumors treated with curative intent, determinants of increased association overall survival.We utilized prospective data from the National Cancer Database newly diagnosed United States patients early-stage breast, prostate, lung, colorectal, renal pancreas cancers 2004-13. was defined as days diagnosis first (surgery, systemic or radiation therapy). Negative binomial regression Cox proportional hazard models were used analysis. The study population 3,672,561 included breast (N = 1,368,024), prostate 944,246), colorectal 662,094), non-small cell lung 363,863), 262,915) 71,419) cancers. Median 21 29 (P<0.001). Aside year diagnosis, care at academic center, race, education, prior history cancer, transfer facility, comorbidities age. Increased associated worsened survival stages I II cancers, stage ratios ranging 1.005 (95% confidence intervals [CI] 1.002-1.008) 1.030 CI 1.025-1.035) per week TTI.TTI has lengthened significantly is absolute risk mortality 1.2-3.2% settings such Studies interventions ease navigation reduce barriers are warranted diminish potential harm patients.

Язык: Английский

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Psychological factors associated with head and neck cancer treatment and survivorship: Evidence and opportunities for behavioral medicine.

Journal of Consulting and Clinical Psychology, Год журнала: 2012, Номер 81(2), С. 299 - 317

Опубликована: Сен. 10, 2012

Individuals diagnosed with head and neck cancer (HNC) not only face a potentially life-threatening diagnosis but must endure treatment that often results in significant, highly visible disfigurement disruptions of essential functioning, such as deficits or complications eating, swallowing, breathing, speech. Each year, approximately 650,000 new cases are diagnosed, making HNC the 6th most common type world. Despite this, however, remains understudied behavioral medicine. In this article, authors review available evidence regarding several important psychosocial factors associated diagnosis, treatment, recovery, well various interventions conducted patient population, before concluding opportunities for medicine research practice.

Язык: Английский

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Guidelines for the Surgical Management of Laryngeal Cancer: Korean Society of Thyroid-Head and Neck Surgery

Clinical and Experimental Otorhinolaryngology, Год журнала: 2017, Номер 10(1), С. 1 - 43

Опубликована: Янв. 2, 2017

Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to develop clinical practice guidelines for the surgical treatment laryngeal cancer. This conducted systematic search EMBASE, MEDLINE, Cochrane Library, KoreaMed databases identify relevant articles, using terms selected according key questions. Evidence-based recommendations were then created on basis these articles. An external expert review Delphi questionnaire applied reach consensus regarding recommendations. The resulting focus cancer with assumption that surgery is modality after multidisciplinary discussion in any context. These do not, therefore, address non-surgical such as radiation therapy or chemotherapy. committee developed 62 evidence-based 32 categories intended assist clinicians during management patients cancer, counselors health policy-makers.

Язык: Английский

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Psychosocial Issues in Patients with Head and Neck Cancer: an Updated Review with a Focus on Clinical Interventions

Current Psychiatry Reports, Год журнала: 2017, Номер 19(9)

Опубликована: Июль 20, 2017

Язык: Английский

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Post-traumatic stress in head and neck cancer survivors and their partners

Supportive Care in Cancer, Год журнала: 2018, Номер 26(9), С. 3003 - 3011

Опубликована: Март 15, 2018

Язык: Английский

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Distinguishing and treating depression, anxiety, adjustment, and post-traumatic stress disorders in brain tumor patients

Annals of Palliative Medicine, Год журнала: 2020, Номер 10(1), С. 875 - 892

Опубликована: Июль 21, 2020

Cancer patients often suffer from psychiatric disorders as a result of their disease and its treatment. Rates depression, anxiety, adjustment, post-traumatic stress are particularly high for individuals with cancer differentiating between these conditions is important providing both appropriate high-quality care. Patients primary metastatic brain tumors susceptible to morbidities direct neuropsychiatric effects the tumor itself, well psychological distress stemming diagnosis, prognosis, or However, underdiagnosed, misdiagnosed, undertreated. Many tools exist screening, diagnosing, treating in patients, palliative care settings suited identify treat patients. This review summarizes our current knowledge tumors, highlights susceptibility conditions, provides recommendations emphasizes need further research. The goal this inform healthcare providers opportunities address settings, areas additional

Язык: Английский

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Health-Related Quality of Life, Psychosocial Distress and Unmet Needs in Older Patients With Head and Neck Cancer

Frontiers in Oncology, Год журнала: 2022, Номер 12

Опубликована: Фев. 15, 2022

Head and neck squamous cell carcinoma (HNSCC) is the most common cancer involving mucosal surfaces of head associated with a number etiological factors, including cigarette smoking, alcohol betel nut consumption exposure to high-risk human papillomavirus. The risk HNSCC increases age, peaking in seventh eighth decade, but this varies by anatomical histological subtype. While several advancements have been made treatment (HNC) recent decades, undertaking curative still subjects majority patients substantial treatment-related toxicity requiring tolerate gamut physical, psychological, emotional demands on their reserves. In conjunction other patient-related clinicians involved treating may incorporate advancing chronological age into decision-making process when determining recommendations. be increased concerns regarding physical tolerability, also concerned about heightened vulnerability various health wellbeing outcomes. available literature, however, does not provide evidence and, many instances, older self-report greater resilience compared younger counterparts. data reassuring it limited selection bias heterogeneity trial study design absence consistent definition elderly patient HNSCC. This narrative review article includes measures used assess HRQL, psychosocial outcomes unmet needs or

Язык: Английский

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Predictive Factors for Cancer Treatment Delay in a Racially Diverse and Socioeconomically Disadvantaged Urban Population

JCO Oncology Practice, Год журнала: 2023, Номер 19(6), С. e904 - e915

Опубликована: Март 31, 2023

Incremental delays in time to treatment initiation (TTI) have been shown cause a proportional, increased independent risk of disease-specific mortality for breast cancer, colorectal cancer (CRC), head and neck (HNC), non-small-cell lung (NSCLC), pancreatic cancer. Studies suggest that are associated with racial socioeconomic disparities. We evaluated associations between patient factors TTI identify those delay.This is retrospective cohort study at an urban community-based academic center patients diagnosed or referred curative-intent CRC, HNC, NSCLC, from January 2019 December 2021. Variables interest included Charlson Comorbidity Index (CCI) score, insurance type, language preference, inpatient admission 30 days before diagnosis. Factors delay, defined as ≥ days, were assessed using multivariable logistic regression.Among 2,543 (69% female), the mean age was 63.4 years median 25 (IQR, 6-44). Within models, treated outpatient not admitted diagnosis experienced statistically significant greater delay CRC (odds ratio [OR], 2.82; 95% CI, 1.71 4.66) NSCLC (OR, 2.11; 1.31 3.39). Higher CCI score HNC 2.63; 1.04 6.66) 1.75; 1.14 2.71). For uninsured Spanish-speaking 1.79; 1.21 2.67) TTI.Care coordination/compliance (eg, diagnosis), clinical medical comorbidities), status) predictors delayed identified may inform minimizing interventions. Our data support evidence demographic Existing disparities likely exacerbated by disproportionately affect care issues, multiple comorbidities, lower status.

Язык: Английский

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