Routine follow-up care after curative treatment of head and neck cancer : A survey of patients' needs and preferences for healthcare services

© 2019 John Wiley & Sons Ltd..

OBJECTIVE: The experience of a cancer diagnosis and receiving treatment can have profound impacts on health and subsequently patients may require significant support. Often, these needs are not identified or addressed. Given that less is known about the follow-up requirements for head and neck cancer patients, this study aimed to describe their follow-up needs and preferences.

METHODS: In Ontario, Canada from 2012-2014, 175 patients completed a questionnaire at an appointment one year after treatment. To identify associations between characteristics and follow-up needs, bivariate analyses and ordinal logistic regression models were employed.

RESULTS: A diversity of follow-up requirements was found. The most commonly reported follow-up needs were having imaging tests performed (66%), receiving information on treatment side effects (84%) and prognosis details (95%). Many patients experienced an improvement in their health (79%) but notably, not all. Characteristics such as psychosocial and well-being measures (functional status, anxiety, fear of recurrence, quality of life), attitudes towards follow-up (reassurance, communication), demographics (age, sex, marital status), and stage of disease predicted needs and preferences for follow-up care (p < 0.05).

CONCLUSION: While awaiting top-level evidence, this work demonstrates the variation in needs and supports the identification of patients with higher follow-up requirements by screening for well-being and enquiring about expectations in follow-up care.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

European journal of cancer care - 28(2019), 2 vom: 18. März, Seite e12993

Sprache:

Englisch

Beteiligte Personen:

Brennan, Kelly E [VerfasserIn]
Hall, Stephen F [VerfasserIn]
Yoo, John [VerfasserIn]
Rohland, Susan L [VerfasserIn]
Theurer, Julie [VerfasserIn]
Peng, Yingwei [VerfasserIn]
Feldman-Stewart, Deb [VerfasserIn]

Links:

Volltext

Themen:

Follow-up care
Head and neck cancer
Journal Article
Multicenter Study
Patient needs
Patient preference
Squamous cell carcinoma
Surveillance

Anmerkungen:

Date Completed 22.07.2019

Date Revised 22.07.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/ecc.12993

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM292845766