Krishnapura Shreyas G, Lee Aaron X, Koyama Tatsuki, Netterville James L, Mannion Kyle, Langerman Alexander J, Sinard Robert, Rohde Sarah L, Topf Michael C
School of Medicine, Vanderbilt University, Nashville, TN, USA.
Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Support Care Cancer. 2025 Apr 4;33(4):351. doi: 10.1007/s00520-025-09406-9.
The treatment summary (TS) remains underused in head and neck cancer (HNC). We determine if receiving a personalized TS following a definitive HNC treatment improves patient recall of treatment details.
A history questionnaire was administered to assess patient accuracy in reporting diagnosis and treatment-related details at baseline (pre-TS) and 1-month follow-up (post-TS). Statistical significance of accuracy changes was assessed using McNemar's chi squared test.
One hundred participants were enrolled between January and December 2022. Ninety-one completed all surveys. Significant improvement in correct responses was noted for questions regarding cancer diagnosis type (94.5% post-TS, 78.0% pre-TS, p = 0.002), cancer diagnosis date (75.8% post-TS, 40.7% pre-TS, p < 0.001), T-stage (82.4% post-TS, 28.6% pre-TS, p < 0.001), and lymph node status (91.2% post-TS, 63.7% pre-TS, p < 0.001).
TS may improve HNC survivors' recall about their diagnosis and treatment in the short term. Patients view TS as beneficial to their survivorship care plans.
TS in survivorship care plans are understudied in HNC patients. This investigation will serve as a meaningful contribution to the literature, promote additional investigation, and encourage improvement of informative resources available to HNC survivors.
治疗总结（TS）在头颈癌（HNC）中的应用仍未得到充分利用。我们确定在确定性HNC治疗后接受个性化TS是否能提高患者对治疗细节的回忆。
采用病史问卷评估患者在基线（TS前）和1个月随访（TS后）时报告诊断和治疗相关细节的准确性。使用McNemar卡方检验评估准确性变化的统计学意义。
2022年1月至12月期间招募了100名参与者。91人完成了所有调查。在癌症诊断类型（TS后94.5%，TS前78.0%，p = 0.002）、癌症诊断日期（TS后75.8%，TS前40.7%，p < 0.001）、T分期（TS后82.4%，TS前28.6%，p < 0.001）和淋巴结状态（TS后91.2%，TS前63.7%，p < 0.001）方面，正确回答有显著改善。
TS可能在短期内提高HNC幸存者对其诊断和治疗的回忆。患者认为TS对他们的生存护理计划有益。
HNC患者生存护理计划中的TS研究不足。这项调查将为文献做出有意义的贡献，促进进一步的研究，并鼓励改进提供给HNC幸存者的信息资源。
