人乳头瘤病毒与头颈癌:对患者的社会心理影响及对两者关联的认知——一项系统综述

Human Papillomavirus and Head and Neck Cancer: Psychosocial Impact in Patients and Knowledge of the Link - A Systematic Review.

作者信息

Dodd R H, Waller J, Marlow L A V

机构信息

Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology & Public Health, UCL, London, UK.

Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology & Public Health, UCL, London, UK.

出版信息

Clin Oncol (R Coll Radiol). 2016 Jul;28(7):421-439. doi: 10.1016/j.clon.2016.02.012. Epub 2016 Mar 18.

Abstract

Head and neck cancer (HNC) currently affects approximately 11 200 people in the UK, with an increasing proportion known to be caused by the human papillomavirus (HPV). We undertook a systematic review of studies measuring the psychosocial impact of HPV-related HNC and also studies measuring knowledge about the link between HPV and HNC among different populations. Searches were conducted on MEDLINE, Embase, PsycINFO, CINAHL Plus and Web of Science, with reference and forward citation searches also carried out on included studies. Studies were selected if they (i) were original peer-reviewed research (qualitative or quantitative), (ii) mentioned HPV and HNC, (iii) measured an aspect of the psychosocial impact of the diagnosis of HPV-related HNC as the dependent variable and/or (iv) measured knowledge of the association between HPV and HNC. In total, 51 papers met the inclusion criteria; 10 measuring psychosocial aspects and 41 measuring knowledge of the link between HPV and HNC. Quality of life in those with HPV-positive HNC was found to be higher, lower or equivalent to those with HPV-negative HNC. Longitudinal studies found quality of life in patients was at its lowest 2-3 months after diagnosis and some studies found quality of life almost returned to baseline levels after 12 months. Knowledge of the link between HPV and HNC was measured among different populations, with the lowest knowledge in the general population and highest in medical and dental professionals. Due to the limited studies carried out with patients measuring the psychosocial impact of a diagnosis of HPV-positive HNC, future work is needed with the partners of HPV-positive HNC patients and health professionals caring for these patients. The limited knowledge of the association between HPV and HNC among the general population also indicates the need for research to explore the information that these populations are receiving.

摘要

目前,英国约有11200人受头颈癌(HNC)影响,其中由人乳头瘤病毒(HPV)引发的病例比例呈上升趋势。我们对衡量HPV相关头颈癌心理社会影响的研究以及衡量不同人群对HPV与头颈癌之间联系的认知的研究进行了系统综述。检索了MEDLINE、Embase、PsycINFO、CINAHL Plus和Web of Science数据库,并对纳入研究进行了参考文献和正向引文检索。入选的研究需满足以下条件:(i)为原创的同行评审研究(定性或定量);(ii)提及HPV和头颈癌;(iii)将HPV相关头颈癌诊断的心理社会影响的某个方面作为因变量进行测量;和/或(iv)测量对HPV与头颈癌之间关联的认知。共有51篇论文符合纳入标准;10篇衡量心理社会方面,41篇衡量对HPV与头颈癌之间联系的认知。研究发现,HPV阳性头颈癌患者的生活质量高于、低于或等同于HPV阴性头颈癌患者。纵向研究发现,患者的生活质量在诊断后2至3个月时最低,一些研究发现,12个月后生活质量几乎恢复到基线水平。对不同人群对HPV与头颈癌之间联系的认知进行了测量,普通人群的认知度最低,医疗和牙科专业人员的认知度最高。由于针对患者测量HPV阳性头颈癌诊断的心理社会影响的研究有限,未来需要与HPV阳性头颈癌患者的伴侣以及照顾这些患者的卫生专业人员合作开展研究。普通人群对HPV与头颈癌之间关联的认知有限,这也表明需要开展研究来探索这些人群所获取的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7946/4914608/4d3e882ff02c/gr1.jpg

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