Patient‐reported versus physiologic swallowing outcomes in patients with head and neck cancer after chemoradiation

2018 ◽  
Vol 129 (9) ◽  
pp. 2059-2064 ◽  
Author(s):  
Elliana Kirsh ◽  
Matthew Naunheim ◽  
Allison Holman ◽  
Rachel Kammer ◽  
Mark Varvares ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Patient Reported ◽  
Swallowing Outcomes

In response to letter to the editor regarding: “ Patient‐reported versus physiologic swallowing outcomes in patients with head and neck cancer after chemoradiation ”

2019 ◽  
Vol 129 (5) ◽  
pp. E168-E168
Author(s):  
Matthew Naunheim ◽  
Mark Varvares ◽  
Elliana Kirsh ◽  
Allison Holman ◽  
Rachael Kammer ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Letter To The Editor ◽  
Patient Reported ◽  
Swallowing Outcomes

Patient-Reported Outcomes Integrated Within an Electronic Medical Record in Patients With Head and Neck Cancer

2021 ◽  
pp. 842-848
Author(s):  
Stephanie Ossowski ◽  
Amy Kammerer ◽  
Douglas Stram ◽  
Lisa Piazza-DeLap ◽  
Ethan Basch ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Cancer Therapy ◽  
Head And Neck ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Neck Cancer ◽  
Functional Assessment ◽  
Primary Language ◽  
Patient Reported ◽  
Pro Tools

PURPOSE Patient-reported outcome (PRO) tools lead to clinical benefits, including improved overall survival for patients with cancer. However, routine implementation of PROs in clinical practice within the electronic medical record (EMR) by integrated health care delivery systems remains limited. We studied the use of a PRO tool for patients with head and neck cancer (HNC) integrated in an EMR at Kaiser Permanente in Northern California. METHODS Between August 2017 and December 2019, patients with newly diagnosed HNC were surveyed at baseline, then every 3 months using the Functional Assessment of Cancer Therapy–General 7 and Functional Assessment of Cancer Therapy–Head and Neck (version 4). A medical assistant performed a baseline survey on diagnosis and then notified patients electronically per surveillance protocol. Patients who did not respond to online PRO surveys could complete them via telephone or in-person appointments with medical assistants. Abnormal findings on PRO surveys were referred to appropriate members of the care team or the treating Otolaryngology-Head and Neck Surgery physicians. RESULTS Two hundred ninety patients received baseline surveys. Patients received up to a maximum of eight subsequent surveys. Of a total of 597 electronic surveys, 585 (97.9%) were completed. The percentage of patients completing each interval survey ranged from 92% to 100%. Multivariate Poisson regression analysis showed patients with English as their primary language and an online secure account were the most likely to complete surveys compared with those patients with non-English as a primary language and without an online account. CONCLUSION PRO tools can be effectively used within the EMR for patients with HNC with a high response rate provided there is strong engagement from a dedicated member of the care team. This has important implications for designing clinical trials and symptom monitoring in clinical practices that incorporate EMRs.

Impact of Time to Diagnosis and Treatment in Head and Neck Cancer: A Systematic Review

2020 ◽  
Vol 162 (4) ◽  
pp. 446-457 ◽  
Author(s):  
Henrieke W. Schutte ◽  
Floris Heutink ◽  
David J. Wellenstein ◽  
Guido B. van den Broek ◽  
Frank J. A. van den Hoogen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Laryngeal Cancer ◽  
Neck Cancer ◽  
Functional Outcomes ◽  
Cochrane Library ◽  
Symptomatic Disease ◽  
Patient Reported ◽  
Time To Diagnosis

Objective An increased interval between symptomatic disease and treatment may negatively influence oncologic and/or functional outcomes in head and neck cancer (HNC). This systematic review aims to provide insight into the effects of time to treatment intervals on oncologic and functional outcomes in oral cavity, pharyngeal, and laryngeal cancer. Data Sources PubMed, EMBASE, and Cochrane library were searched. Review Methods All studies on delay or time to diagnosis or treatment in oral, pharyngeal, and laryngeal cancer were included. Quality assessment was performed with an adjusted version of the Newcastle-Ottawa scale. Outcomes of interest were tumor volume, stage, recurrence, survival, patient-reported outcome measures (PROMs), toxicity, and functionality after treatment. Results A total of 51 studies were included. Current literature on the influence of delay in HNC is inconsistent but indicates higher stage and worse survival with longer delay. The effects on PROMs, toxicity, and functional outcome after treatment have not been investigated. The inconsistencies in outcomes were most likely caused by factors such as heterogeneity in study design, differences in the definitions of delay, bias of results, and incomplete adjustment for confounding factors in the included studies. Conclusion Irrespective of the level of evidence, the unfavorable effects of delay on oncologic, functional, and psychosocial outcomes are undisputed. Timely treatment while maintaining high-quality diagnostic procedures and decision making reflects good clinical practice in our opinion. This review will pose practical and logistic challenges that will have to be overcome.

Swallowing in the first year after chemoradiotherapy for head and neck cancer: Clinician-and patient-reported outcomes

Head & Neck ◽  
2013 ◽  
Vol 36 (3) ◽  
pp. 352-358 ◽  
Author(s):  
Joanne M. Patterson ◽  
Elaine McColl ◽  
Paul N. Carding ◽  
Anthony J. Hildreth ◽  
Charles Kelly ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Patient Reported Outcomes ◽  
First Year ◽  
Patient Reported
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