Zebralla Veit, Meuret Sylvia, Wiegand Susanne
Clinic of Otolaryngology, Head and Neck Surgery, University Hospital Leipzig, Leipzig, Germany.
Front Oncol. 2019 Jul 30;9:700. doi: 10.3389/fonc.2019.00700. eCollection 2019.
Patients treated for head and neck cancer (HNC) often suffer from severe and visible loss of function as the cancer itself and the side effects of aggressive treatments have the potential to severely affect quality of life. Therefore, the aim of follow-up is not only the early detection of potentially curable recurrences and second primary tumors but also the diagnosis and rehabilitation of functional impairments. Clear guidelines determining the frequency of follow-up visits are missing, and the impact of follow-up visits on patient's prognosis is unclear. An intensive post-treatment follow-up is needed to detect functional impairments and to initiate their treatment. The aim is an optimal rehabilitation of the patients. This article focusses on goals of aftercare treatment and describes the spectrum of long-term sequelae, and the impact of Patient Reported Outcome (PRO) instruments of which three will be introduced.
头颈部癌症（HNC）患者在接受治疗后，往往会出现严重且明显的功能丧失，因为癌症本身以及积极治疗产生的副作用可能会严重影响生活质量。因此，随访的目的不仅是早期发现潜在可治愈的复发和第二原发性肿瘤，还包括功能障碍的诊断与康复。目前尚缺乏明确规定随访频率的指南，且随访对患者预后的影响也不明确。需要进行强化的治疗后随访，以检测功能障碍并启动相应治疗。目标是实现患者的最佳康复。本文重点关注后续治疗的目标，描述长期后遗症的范围，以及将介绍的三种患者报告结局（PRO）工具的影响。
