Rogers Simon N, Cross Ben, Talwar Cyrus, Lowe Derek, Humphris Gerry
Evidence-Based Practice Research Centre (EPRC), Faculty of Health and Social Care, Edge Hill University, St Helens Road, Ormskirk, L39 4QP, UK.
Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, L9 1AE, UK.
Eur Arch Otorhinolaryngol. 2016 May;273(5):1235-42. doi: 10.1007/s00405-015-3585-x. Epub 2015 Mar 7.
Fear of recurrence (FoR) is the most frequent concern patients wish to discuss in head and neck review clinics. The aim of the study was to design a simple screening question on fear of recurrence to be incorporated into the University of Washington Quality of Life Questionnaire (UW-QOLv4), for use in clinical practice. A cross-sectional survey comprising 528 patients was conducted. 11 % selected the two most severe FoR categories. FoR responses correlated strongly (Spearman r s = -0.82) with the mean score of the seven items of the Fear of Recurrence Questionnaire. There was also a strong association with anxiety and mood dysfunction as measured from the UW-QOL, and with overall QOL. Patients more affected by FoR tended to be younger and post-radiotherapy or chemotherapy. The FoR screening question may be a useful addition to the UW-QOLv4 to help identify patients with significant FoR to receive extra support.
对复发的恐惧（FoR）是患者在头颈复查门诊希望讨论的最常见问题。本研究的目的是设计一个关于对复发恐惧的简单筛查问题，将其纳入华盛顿大学生活质量问卷（UW-QOLv4），以用于临床实践。对528名患者进行了横断面调查。11%的患者选择了两个最严重的FoR类别。FoR反应与复发恐惧问卷七项的平均得分密切相关（斯皮尔曼rs = -0.82）。与UW-QOL测量的焦虑和情绪功能障碍以及总体生活质量也有很强的关联。受FoR影响更大的患者往往更年轻，且接受过放疗或化疗。FoR筛查问题可能是UW-QOLv4的一个有用补充，有助于识别有显著FoR的患者以获得额外支持。
