Cognetti David M, Villaflor Victoria M, Fakhry Carole, Miller Matthew C, Malloy Kelly M
Department of Otolaryngology, Sydney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
Department of Medical Oncology, Robert H Lurie Comprehensive Cancer Center of Northwestern University, Chicago, Illinois.
Head Neck. 2020 May;42(5):939-944. doi: 10.1002/hed.26066. Epub 2020 Jan 10.
The value of supporting cancer survivors beyond formal treatment has become increasingly recognized among clinicians who care for patients with head and neck cancer.
A survey was developed by the American Head and Neck Society (AHNS) Survivorship Committee and distributed to members of the AHNS electronically.
The survey was distributed to 1403 AHNS members, with 202 responses (14.4%). Among survivorship topics, respondents were most likely to address detection of recurrence/second primary malignancies (97.5%), dysphagia (93.1%), and thyroid function (90.1%) with their patients; they were least likely to address sleep disturbance/apnea (27.7%) and body and self-image issues (29.7%.) Less than half provide patients with a written treatment summary (43.1%) or follow-up care plan (36.9%).
These results highlight the need for improved survivorship care planning and offer an opportunity for the development of educational and survivorship research in head and neck cancer care.
在照顾头颈癌患者的临床医生中，对癌症幸存者在正规治疗之外提供支持的价值的认识日益提高。
美国头颈协会（AHNS）生存委员会开展了一项调查，并以电子方式分发给AHNS成员。
该调查分发给了1403名AHNS成员，收到202份回复（14.4%）。在生存相关主题中，受访者最常与患者讨论复发/第二原发性恶性肿瘤的检测（97.5%）、吞咽困难（93.1%）和甲状腺功能（90.1%）；最不常讨论睡眠障碍/呼吸暂停（27.%)和身体及自我形象问题（29.7%）。不到一半的人会为患者提供书面治疗总结（43.1%）或后续护理计划（36.9%）。
这些结果凸显了改善生存护理计划的必要性，并为头颈癌护理领域的教育和生存研究提供了发展机会。
