Geographic Barriers Affect Follow‐Up Care in Head and Neck Cancer

2021 ◽  
Author(s):  
Tooba Alwani ◽  
Jennifer N. Shehan ◽  
Jessica LeClair ◽  
Taylor F. Mahoney ◽  
Pratima Agarwal ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Geographic Barriers ◽  
Follow Up Care

scholarly journals Screening for psychological distress in follow-up care to identify head and neck cancer patients with untreated distress

2015 ◽  
Vol 24 (6) ◽  
pp. 2541-2548 ◽  
Author(s):  
Anne-Marie H. Krebber ◽  
Femke Jansen ◽  
Pim Cuijpers ◽  
C. René Leemans ◽  
Irma M. Verdonck-de Leeuw
Keyword(s):  
Head And Neck Cancer ◽  
Psychological Distress ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Follow Up Care ◽  
Screening For Psychological Distress

Towards personalized surveillance for head and neck cancer patients.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 116-116
Author(s):  
Sven Thomas Alders ◽  
Rosella Hermens
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Care Provider ◽  
Care Providers ◽  
Structured Interviews ◽  
Physical Constraints ◽  
Follow Up Care ◽  
In The Beginning

116 Background: Optimal follow-up care for head and neck cancer (HCN) patients has been subject of an ongoing debate. In the Netherlands, the current follow-up schedule is based on a ‘one-size fits all’ concept, and lacks evidence. Additionally, this standardized follow-up fails to reflect the heterogeneity of tumors within HNC. Besides the need of more evidence, improvements should be made by using a more person-centred approach. In this study, we aimed to explore the needs, preferences and values of HNC patient regarding sub-components of follow-up care (form, content, duration, frequency, and type of care provider). Methods: Semi-structured interviews were held with 13 HNC patients (inclusion until saturation) in order to explore the needs, preferences and values of HNC regarding their follow-up care. Interviews were transcribed verbatim and qualitatively analyzed using the eight-dimension Picker model. Results: During follow-up, patients prefer traditional face-to-face appointments, where they have to be physically present at the hospital. Alternative forms (e.g. telephone or Skype-related forms) may only be preferable under certain circumstances ( form). Physical examinations should be leading during these appointments, to look for signs of recurrence ( content). Patients mentioned that information on prognoses and the physical constraints as a consequence of treatment is important during follow-up appointments ( content). In the beginning of the follow-up, a high frequency of appointments was preferred ( duration & frequency). Preferably, follow-up care takes place in the specialized centers ( location). A predominant role has been assigned to the primary treating physician. Additionally, qualified personnel is needed in the continuation and relocation of follow-up care for HNC patient ( type of care provider). Conclusions: The results of this study will enable us to better tailor care to the specific needs, preferences and values of HNC patients. Further research is needed to determine if the results are representative. In the new personalized follow-up, there should be a balance between evidence based options and the needs, preferences and values of patients and different care providers within HNC care.

scholarly journals Nurse-led follow-up care for head and neck cancer patients: a quasi-experimental prospective trial

2012 ◽  
Vol 21 (2) ◽  
pp. 537-547 ◽  
Author(s):  
Jacqueline de Leeuw ◽  
Judith B. Prins ◽  
Steven Teerenstra ◽  
Matthias A. W. Merkx ◽  
Henri A. M. Marres ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Prospective Trial ◽  
Follow Up Care ◽  
Quasi Experimental

Routine follow-up care after curative treatment of head and neck cancer: A survey of patients’ needs and preferences for healthcare services

2019 ◽  
Vol 28 (2) ◽  
pp. e12993 ◽  
Author(s):  
Kelly E. Brennan ◽  
Stephen F. Hall ◽  
John Yoo ◽  
Susan L. Rohland ◽  
Julie Theurer ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Healthcare Services ◽  
Curative Treatment ◽  
Follow Up Care

scholarly journals Variation in routine follow-up care after curative treatment for head-and-neck cancer: a population-based study in Ontario

2018 ◽  
Vol 25 (2) ◽  
pp. 120 ◽  
Author(s):  
K.E. Brennan ◽  
S.F. Hall ◽  
T.E. Owen ◽  
R.J. Griffiths ◽  
Y. Peng
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Population Based ◽  
Practice Variation ◽  
Geographic Region ◽  
Curative Treatment ◽  
Population Based Study ◽  
Follow Up Care

Background The actual practices of routine follow-up after curative treatment for head-and-neck cancer are unknown, and existing guidelines are not evidence-based.Methods This retrospective population-based study used administrative data to describe 5 years of routine follow-up care in 3975 head-and-neck cancer patients diagnosed between 2007 and 2012 in Ontario.Results The mean number of visits per year declined during the follow-up period (from 7.8 to 1.9, p < 0.001). The proportion of patients receiving visits in concordance with guidelines ranged from 80% to 45% depending on the follow-up year. In at least 50% of patients, 1 head, neck, or chest imaging test was performed in the first follow-up year; that proportion subsequently declined (p < 0.001). Factors associated with follow-up practices included comorbidity, tumour site, treatment, geographic region, and physician specialty (p < 0.05).Conclusions Given current practice variation and the absence of an evidence-based standard, the challenge in identifying a single optimal follow-up strategy might be better addressed with a harmonized approach to providing individualized follow-up care.

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