Emerging Concepts Impacting Head and Neck Cancer Surgery Morbidity

Ronen, Ohad; Robbins, K. Thomas; Shaha, Ashok R.; Kowalski, Luiz Paulo; Mäkitie, Antti; Florek, Ewa; Ferlito, Alfio

doi:10.1007/s40487-022-00217-0

Oncol Ther

2022

DOI: 10.1007/s40487-022-00217-0

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Emerging Concepts Impacting Head and Neck Cancer Surgery Morbidity

Ohad Ronen

K. Thomas Robbins

Ashok R. Shaha

et al.

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Cited by 3 publications

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“…After having surgery, returning to work or engaging in daily activities might be difficult due to poor health, which puts people and families in danger of going without enough food [9]. In head and neck cancer patients surgical complications are an adverse event inherent to the procedure that can alleviate the psychological impact [10].…”

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confidence: 99%

Effect of Cognitive-Behavioral Therapy on Distress Management Among Head and Neck Cancer Patients Undergoing Surgery at a Tertiary Care Center in Eastern India

Mohanty,

Bhattacharyya,

Kar

et al. 2023

amj

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Background: Cancer patients are more susceptible to psychological issues such as nervousness, traumatic stress, and depression because their vulnerability to stress increases after a cancer diagnosis. Multiple harmful effects of psychological strain on health outcomes are possible. Those who have undergone surgery for cancer are more at risk of cancer-related fatigue and psychological distress. Studies in Western countries have shown a 40-80% reduction in cancer-related distress if the patients are subjected to appropriate psycho-oncological interventions.Objectives: The aims of this study were to: 1) screen head and neck cancer patients for distress using a cancer-specific questionnaire; 2) test the association of cancer-related distress with socio-demographic and clinical characteristics of patients; and 3) evaluate the effect of cognitive behavioral therapy (CBT) on the distress level of head and neck cancer patients about to undergo surgery. Materials and methods: A pre-tested, semi-structured, self-administered 23-item Questionnaire on Stress in Cancer patients (QSC-R23) was used to measure the level of distress. Three sessions of CBT of one hour duration on every alternate day have been given to elicit the response. Categorical data were analyzed using the Chi-square test. Pre and post-scores were compared using a paired sample t-test. The correlation was done to compare continuous variables using Pearson's correlation test. To determine how other related factors will affect the results, linear regression analysis was used.Results: The mean age of the 94 participants was 54.64 ± 10.97 years. The mean pre-score was 60.06 ± 20.42, and the post-score was 34.63 ± 5.3. There was a significant improvement in the post score (P-value = 0.0001) implying a reduction in stress among the study participants after the 3 sessions of CBT. Participants with middle/high monthly family income (P-value = 0.013, 95% CI= 0.639-17.418), no past medical history (P-value = 0.0001, 95% CI= 0.639-17.418), and no past psychiatric history (P-value = 0.008, 95% CI= 3.621-20.162) were statistically significantly affected by the difference in distress score. Conclusion: This study has successfully reported that CBT can reduce distress levels among cancer patients. However, there is still a need to explore this research and produce more relevant, evidence-based literature.

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confidence: 99%

Effect of Cognitive-Behavioral Therapy on Distress Management Among Head and Neck Cancer Patients Undergoing Surgery at a Tertiary Care Center in Eastern India

Mohanty,

Bhattacharyya,

Kar

et al. 2023

amj

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Enhanced recovery after surgery (ERAS) protocol improves patient outcomes in free flap surgery for head and neck cancer

Nieminen,

Tapiovaara,

Bäck

et al. 2023

Eur Arch Otorhinolaryngol

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Background In recent years, enhanced recovery after surgery (ERAS) guidelines have been developed to optimize pre-, intra-, and postoperative care of surgical oncology patients. The aim of this study was to compare management outcome of patients undergoing head and neck cancer (HNC) surgery with free flap reconstruction at our institution before and after the implementation of the ERAS guidelines. Methods This retrospective study comprised 283 patients undergoing HNC surgery with free flap reconstruction between 2013 and 2020. Patients operated before and after the implementation of the ERAS protocol in October 2017 formed the pre-ERAS group (n = 169), and ERAS group (n = 114), respectively. Results In the pre-ERAS group the mean length of stay (LOS) and intensive care unit length of the stay (ICU–LOS) were 20 days (range 7–79) and 6 days (range 1–32), and in the ERAS group 13 days (range 3–70) and 5 days (range 1–24), respectively. Both LOS (p < 0.001) and ICU–LOS (p = 0.042) were significantly reduced in the ERAS group compared to the pre-ERAS group. There were significantly fewer medical complications in the ERAS group (p < 0.003). No difference was found between the study groups in the surgical complication rate or in the 30-day or 6-month mortality rate after surgery. Conclusions We found reduced LOS, ICU–LOS, and medical complication rate, but no effect on the surgical complication rate after implementation of the ERAS guidelines, which supports their use in major HNC surgery.

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Current aspects of the quality of head and neck cancer care – survey of the Scandinavian Society for Head and Neck Oncology

Ilmarinen,

Bratland,

Tøndel

et al. 2024

Acta Oto-Laryngologica

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Emerging Concepts Impacting Head and Neck Cancer Surgery Morbidity

Cited by 3 publications

References 62 publications

Effect of Cognitive-Behavioral Therapy on Distress Management Among Head and Neck Cancer Patients Undergoing Surgery at a Tertiary Care Center in Eastern India

Effect of Cognitive-Behavioral Therapy on Distress Management Among Head and Neck Cancer Patients Undergoing Surgery at a Tertiary Care Center in Eastern India

Enhanced recovery after surgery (ERAS) protocol improves patient outcomes in free flap surgery for head and neck cancer

Current aspects of the quality of head and neck cancer care – survey of the Scandinavian Society for Head and Neck Oncology

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