Catriona R Mayland1,2,3, Qiaoling Marilyn Ho2,4, Hannah C Doughty2,5, Simon N Rogers6,7, Prithvi Peddinti8,9, Praytush Chada8,10, Stephen Mason2, Matthew Cooper3, Paola Dey6. 1. Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK. 2. Palliative Care Institute, University of Liverpool, Liverpool, UK. 3. Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. 4. Nanyang Technology University, Singapore. 5. Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Liverpool, UK. 6. Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK. 7. Aintree University Hospitals NHS Foundation Trust, Liverpool, UK. 8. University of Liverpool Medical School, Liverpool, UK. 9. Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK. 10. Luton and Dunstable University Hospital, Luton, UK.
Abstract
BACKGROUND: The palliative care needs of people with advanced head and neck cancer pose unique complexities due to the impact the illness has on eating, speaking, appearance and breathing. Examining these needs would help provide guidance about developing relevant models of care and identify gaps in research knowledge. AIM: To identify and map out the palliative care needs and experiences for people with advanced head and neck cancer. DESIGN: A scoping literature review following the methods described by the Joanna Briggs Institute. DATA SOURCES: An electronic search of the literature was undertaken in MEDLINE (Ovid), EMBASE and CINAHL covering the years January 1996 to January 2019. RESULTS: People with advanced head and neck cancer often had palliative care needs but there was variability in the timing and access to relevant services. A high prevalence of interventions, for example hospital admissions were needed even during the last month of life. This was not necessarily negated with early engagement of palliative care. Dissonance between patients and family carers about information needs and decision-making was an additional complexity. Studies tended to be descriptive in nature, and often involved a single centre. CONCLUSION: This scoping review demonstrates the complexity of care for people with advanced head and neck cancer and the issues related to the current healthcare systems. Focus on appropriate referral criteria, increased integration and coordination of care and robust evaluation of specific care components seems key. Linkage between research and service design delivery across teams, disciplines and care settings seems pertinent.
BACKGROUND: The palliative care needs of people with advanced head and neck cancer pose unique complexities due to the impact the illness has on eating, speaking, appearance and breathing. Examining these needs would help provide guidance about developing relevant models of care and identify gaps in research knowledge. AIM: To identify and map out the palliative care needs and experiences for people with advanced head and neck cancer. DESIGN: A scoping literature review following the methods described by the Joanna Briggs Institute. DATA SOURCES: An electronic search of the literature was undertaken in MEDLINE (Ovid), EMBASE and CINAHL covering the years January 1996 to January 2019. RESULTS: People with advanced head and neck cancer often had palliative care needs but there was variability in the timing and access to relevant services. A high prevalence of interventions, for example hospital admissions were needed even during the last month of life. This was not necessarily negated with early engagement of palliative care. Dissonance between patients and family carers about information needs and decision-making was an additional complexity. Studies tended to be descriptive in nature, and often involved a single centre. CONCLUSION: This scoping review demonstrates the complexity of care for people with advanced head and neck cancer and the issues related to the current healthcare systems. Focus on appropriate referral criteria, increased integration and coordination of care and robust evaluation of specific care components seems key. Linkage between research and service design delivery across teams, disciplines and care settings seems pertinent.
Entities:
Keywords:
Head and neck cancer; end-of-life; healthcare services; palliative care; palliative medicine; review
Authors: Laura M Enomoto; Eric W Schaefer; David Goldenberg; Heath Mackley; Wayne M Koch; Christopher S Hollenbeak Journal: JAMA Otolaryngol Head Neck Surg Date: 2015-12 Impact factor: 6.223
Authors: Catriona R Mayland; Kate Ingarfield; Simon N Rogers; Paola Dey; Steven Thomas; Andrea Waylen; Sam D Leary; Miranda Pring; Katrina Hurley; Tim Waterboer; Michael Pawlita; Andy R Ness Journal: Palliat Med Date: 2020-02-27 Impact factor: 4.762
Authors: Alexander Fabian; Justus Domschikowski; Markus Hoffmann; Oliver Weiner; Claudia Schmalz; Jürgen Dunst; David Krug Journal: Front Oncol Date: 2021-06-04 Impact factor: 6.244