Head and Neck Cancer Survivorship: Learning the Needs, Meeting the Needs

被引:119
作者
Ringash, Jolie [1 ,2 ]
Bernstein, Lori J. [2 ,3 ]
Devins, Gerald [2 ,3 ]
Dunphy, Colleen [2 ,4 ]
Giuliani, Meredith [1 ,2 ]
Martino, Rosemary [2 ,5 ,6 ]
McEwen, Sara [7 ,8 ,9 ]
机构
[1] Univ Hlth Network, Princess Margaret Canc Ctr, Dept Radiat Oncol, Toronto, ON, Canada
[2] Univ Toronto, Dept Otolaryngol Head & Neck Surg, Toronto, ON, Canada
[3] Univ Hlth Network, Princess Margaret Canc Ctr, Dept Support Care, Toronto, ON, Canada
[4] Univ Hlth Network, Toronto, ON, Canada
[5] Univ Toronto, Dept Speech Language, Pathol & Rehabil Sci Inst, Toronto, ON, Canada
[6] Univ Hlth Network, Krembil Res Inst, Toronto, ON, Canada
[7] Sunnybrook Res Inst, Toronto, ON, Canada
[8] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada
[9] Univ Toronto, Rehabil Sci Inst, Toronto, ON, Canada
关键词
QUALITY-OF-LIFE; MODULATED RADIATION-THERAPY; SUPPORTIVE CARE NEEDS; VS. CONVENTIONAL RADIOTHERAPY; NEWLY-DIAGNOSED HEAD; LONG-TERM HEAD; OROPHARYNGEAL CANCER; NASOPHARYNGEAL CARCINOMA; COGNITIVE DYSFUNCTION; PSYCHOSOCIAL ADJUSTMENT;
D O I
10.1016/j.semradonc.2017.08.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancers of the head and neck and the treatments required to control them frequently result in serious and persistent impairments that can affect participation and quality of life. Increased recognition of the needs of cancer survivors and their caregivers has prompted research focused on the unique concerns of this complex group. Unmet needs have been identified among 60-70% of patients and a similar proportion of their partners; impacts can include profound social effects, isolation, and psychiatric conditions. Interprofessional teams, supplementing oncology nursing and physicians with physical rehabilitation, occupational therapy, speech-language pathology, nutrition and psychological disciplines is important to address the spectrum of emotional, cognitive, physical and functional, and pragmatic issues. In addition to investigating modified anti-cancer therapy intended to reduce the frequency of long-term toxicities, supportive care strategies that may be effective include physical activity, nutritional intervention, behavioral and cognitive-behavioral therapy, psycho-education and goal management therapy. This article addresses identified needs across varied domains, the current state of research surrounding them, and their impact on quality of life, while also describing one cancer center's approach to head and neck cancer survivorship. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:64 / 74
页数:11
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