Pre-treatment psychoeducational intervention and outcomes in head and neck cancer patients undergoing radiotherapy

被引：8
作者：
Malik, Nauman H. [1 ,2 ]
Maganti, Manjula [3 ,4 ]
McQuestion, Maurene [1 ,2 ,5 ]
Tjong, Michael C. [1 ,2 ]
Keilty, Dana [1 ,2 ]
Monteiro, Eric [6 ]
Huang, Shao Hui [1 ,2 ]
Jang, Raymond Woo-Jun [7 ]
Gomes, Andrea [8 ]
Pun, Joanne [2 ,9 ]
Ringash, Jolie [1 ,2 ,6 ]
机构：
[1] Univ Toronto, Dept Radiat Oncol, Toronto, ON, Canada
[2] Princess Margaret Canc Ctr, Radiat Med Program, 610 Univ Ave, Toronto, ON M5G 2M9, Canada
[3] Princess Margaret Canc Ctr, Dept Biostat, Toronto, ON, Canada
[4] Univ Hlth Network, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada
[5] Univ Toronto, Lawrence S Bloomberg Fac Nursing, Toronto, ON, Canada
[6] Univ Toronto, Dept Otolaryngol Head & Neck Surg, Toronto, ON, Canada
[7] Univ Toronto, Princess Margaret Canc Ctr, Dept Med Oncol, Toronto, ON, Canada
[8] Univ Toronto, Dept Speech Language Pathol, Toronto, ON, Canada
[9] Princess Margaret Canc Ctr, Clin Nutr, Toronto, ON, Canada
来源：
SUPPORTIVE CARE IN CANCER | 2021年 / 29卷 / 03期
关键词：
Head and neck cancers; Survivorship; Radiotherapy; Quality of life; Supportive care; QUALITY-OF-LIFE; PSYCHOSOCIAL INTERVENTION; HUMAN-PAPILLOMAVIRUS; SURVIVAL;
D O I：
10.1007/s00520-020-05627-2
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Background To investigate the relationship between attendance to a pre-treatment psychoeducational intervention (prehab) with treatment outcomes and toxicities in patients receiving radiotherapy for head and neck cancers (HNCs). Methods Patients were included from prehab inception in 2013 to 2017, comparing overall survival (OS), locoregional recurrence-free survival (LRFS), and locoregional recurrence (LRR) between prehab attendees (PA) and non-attendees (PNA). Multivariable analysis was performed for OS and LRFS. Results Among 864 PA and 1128 PNA, 2-year OS was 88% vs 80% (p < 0.001), and LRFS was 84% vs 75% (p < 0.001). On multivariable analysis (MVA), OS and LRFS were independently and unfavourably associated with PNA. The PA cohort had a lower frequency of a "rocky treatment course" compared with the PNA cohort (52/150, 35% vs 71/150, 47%;p = 0.034). Conclusions Prehab at our institution is associated with improved long-term oncologic outcomes. Prospective data is needed to better understand this association.
引用
收藏
页码：1643 / 1652
页数：10
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