Roxane Elaldi1, Lise-Marie Roussel2, Jocelyn Gal3, Boris Scheller1, Emmanuel Chamorey3, Renaud Schiappa3, Audrey Lasne-Cardon2, Marie-Yolande Louis2, Dorian Culié1, Olivier Dassonville1, Gilles Poissonnet1, Esma Saada4, Karen Benezery5, Emmanuel Babin6, Alexandre Bozec7. 1. , 31 avenue de Valombrose, 06103, Nice, France. 2. Department of Maxillo-Facial and Head and Neck Surgery, François Baclese Centre, Caen, France. 3. Department of Statistics, Antoine Lacassagne Centre, Côte D'Azur University, Nice, France. 4. Department of Medical Oncology, Antoine Lacassagne Centre, Côte D'Azur University, Nice, France. 5. Department of Radiotherapy, Antoine Lacassagne Centre, Côte D'Azur University, Nice, France. 6. Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Centre of Caen, Caen, France. 7. , 31 avenue de Valombrose, 06103, Nice, France. alexandre.bozec@nice.unicancer.fr.
Abstract
OBJECTIVES: To assess patient needs and concerns after head and neck squamous cell carcinoma (HNSCC) treatment and their possible correlations with long-term quality of life (QoL) and to examine the potential impact of psychological distress on these results. METHODS: Alive and disease-free HNSCC patients at least 1 year after treatment were enrolled in this cross-sectional multicentric study and completed the EORTC QLQ-C30 and H&N35 QoL questionnaires, the head and neck cancer-specific patient concerns inventory (PCI-HN) questionnaire and the hospital anxiety and depression scale (HADS). Correlations between QoL outcomes and patient needs and concerns were investigated using Spearman's correlation tests. RESULTS: Seventy-two patients were enrolled in the study. Fear of cancer recurrence was the main patient concern followed by dental, salivary, fatigue, speech, and eating problems. The leading patient needs in terms of consultation were to be referred to the surgeon, the speech, and swallow therapist and the oral rehabilitation team. The number of patient concerns correlated negatively (r < .40) with functioning scales score and positively (r > .40) with general and head and neck symptoms. Psychological distress was the main determinant of QoL outcomes (p < .0001). We found a significant impact of gender (p = .002) on the number of patient concerns, and of patient age (p = .003) on the number of staff members selected by patients. CONCLUSION: Identification of patient needs and concerns along with multidisciplinary management of persistent symptoms and psychological distress seem essential steps towards improving QoL of HNSCC patients.
OBJECTIVES: To assess patient needs and concerns after head and neck squamous cell carcinoma (HNSCC) treatment and their possible correlations with long-term quality of life (QoL) and to examine the potential impact of psychological distress on these results. METHODS: Alive and disease-free HNSCC patients at least 1 year after treatment were enrolled in this cross-sectional multicentric study and completed the EORTC QLQ-C30 and H&N35 QoL questionnaires, the head and neck cancer-specific patient concerns inventory (PCI-HN) questionnaire and the hospital anxiety and depression scale (HADS). Correlations between QoL outcomes and patient needs and concerns were investigated using Spearman's correlation tests. RESULTS: Seventy-two patients were enrolled in the study. Fear of cancer recurrence was the main patient concern followed by dental, salivary, fatigue, speech, and eating problems. The leading patient needs in terms of consultation were to be referred to the surgeon, the speech, and swallow therapist and the oral rehabilitation team. The number of patient concerns correlated negatively (r < .40) with functioning scales score and positively (r > .40) with general and head and neck symptoms. Psychological distress was the main determinant of QoL outcomes (p < .0001). We found a significant impact of gender (p = .002) on the number of patient concerns, and of patient age (p = .003) on the number of staff members selected by patients. CONCLUSION: Identification of patient needs and concerns along with multidisciplinary management of persistent symptoms and psychological distress seem essential steps towards improving QoL of HNSCC patients.
Entities:
Keywords:
Head and neck cancer; Patient concerns; Patient needs; Psychological distress; Quality of life
Authors: Esther Deuning-Smit; José A E Custers; Špela Miroševič; Robert P Takes; Femke Jansen; Johannes A Langendijk; Chris H J Terhaard; Robert J Baatenburg de Jong; C René Leemans; Johannes H Smit; Linda Kwakkenbos; Irma M Verdonck-de Leeuw; Judith B Prins Journal: Head Neck Date: 2022-01-27 Impact factor: 3.821
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