2016
DOI: 10.1017/s0022215116000633
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Palliative and supportive care in head and neck cancer: United Kingdom National Multidisciplinary Guidelines

Abstract: This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. It provides recommendations on the assessments and interventions for this group of patients receiving palliative and supportive care.Recommendations• Palliative and supportive care must be multidisciplinary. (G)• All core team members should have training in advanced communication skills. (G)• Palliative surgery should be considered in selected cases. (R)• Hypofractionated or s… Show more

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Cited by 67 publications
(59 citation statements)
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“…Recent data focus on the role of supportive care in reducing acute and late toxicities; early evaluation of pretreatment conditions, swallowing impairment, and new side-effect onset improves outcomes and quality of life (QoL). 8 For recurrent/metastatic (R/M) disease, CT remains the standard therapeutic option. After platinum progression, no second lines that significantly improve prognosis are available.…”
Section: Introductionmentioning
confidence: 99%
“…Recent data focus on the role of supportive care in reducing acute and late toxicities; early evaluation of pretreatment conditions, swallowing impairment, and new side-effect onset improves outcomes and quality of life (QoL). 8 For recurrent/metastatic (R/M) disease, CT remains the standard therapeutic option. After platinum progression, no second lines that significantly improve prognosis are available.…”
Section: Introductionmentioning
confidence: 99%
“…Recently, more research has also been aimed at further developing palliative care. Development has also been made in symptom management of advanced disease, as the impact of various aspects of palliative care is better recognized [ 1 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…Palliative care modalities, which also include radiotherapy and surgical interventions, play a critical role in improving quality of life of the patient by alleviating tumour-related symptoms. Still, the functional deficits and symptomology caused by HNCs, due to the distinctive profile of the cancer itself in combination with the organs and tissues affected, remain a challenge even for experienced multidisciplinary centres [ 4 , 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…In addition, we have reviewed official guidelines from two UK Healthcare Trusts detailing the proper use of crisis sedation as a response to ‘major hemorrhage’ and ‘carotid blowout’ that are otherwise untreatable. iii We have also located a number of major statements, such as ‘Palliative and supportive care in head and neck cancer: United Kingdom National Multidisciplinary Guidelines’,8 the ‘European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care’9 and ‘Care of Dying Adults in the Last Days of Life’ published by the UK’s National Institute for Health and Care Excellence10 that mentions the topic, although in passing. iv We have found no reason to demur from the conclusions drawn in a systematic review of the management of terminal haemorrhage literature published in 2009: the existing literature on the topic is primarily based on expert opinion, the weakest evidence base for medical care and interventions 11…”
Section: Introductionmentioning
confidence: 99%