Predictors of distress associated with altered appearance and function in people treated surgically for oral cancers: a cross-sectional study

Megee, F.; Gough, Karla; Frowen, Jacqui; Dixon, B.; Magarey, M.; Wiesenfeld, D.; Ramakrishnan, A.

doi:10.1016/j.ijom.2023.01.006

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…First, delayed recovery is associated with a low dose to the contralateral parotid gland which may explain the lack of PRO differences between PBT and photon-based therapies in the later follow-ups [ 49 ]. Second, after the initial stage of QOL following cancer treatment, patients may have adapted to the new norms and a more stoic approach towards life after cancer treatment, thus, reporting less bother [ 50 ]. Furthermore, effective symptom alleviation for some side effects, including saliva substitute for xerostomia, is available, reducing the bother [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Patient-Reported Outcomes Following Proton Therapy for Oropharyngeal Carcinoma: A Systematic Review

Yahya

Manan

2023

Cancers

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Background: Complex anatomy surrounding the oropharynx makes proton therapy (PT), especially intensity-modulated PT (IMPT), a potentially attractive option due to its ability to reduce the volume of irradiated healthy tissues. Dosimetric improvement may not translate to clinically relevant benefits. As outcome data are emerging, we aimed to evaluate the evidence of the quality of life (QOL) and patient-reported outcomes (PROs) following PT for oropharyngeal carcinoma (OC). Materials and Methods: We searched PubMed and Scopus electronic databases (date: 15 February 2023) to identify original studies on QOL and PROs following PT for OC. We employed a fluid strategy in the search strategy by tracking citations of the initially selected studies. Reports were extracted for information on demographics, main results, and clinical and dose factor correlates. Quality assessment was performed using the NIH’s Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. The PRISMA guidelines were followed in the preparation of this report. Results: Seven reports were selected, including one from a recently published paper captured from citation tracking. Five compared PT and photon-based therapy, although none were randomized controlled trials. Most endpoints with significant differences favored PT, including xerostomia, cough, need for nutritional supplements, dysgeusia, food taste, appetite, and general symptoms. However, some endpoints favored photon-based therapy (sexual symptoms) or showed no significant difference (e.g., fatigue, pain, sleep, mouth sores). The PROs and QOL improve following PT but do not appear to return to baseline. Conclusion: Evidence suggests that PT causes less QOL and PRO deterioration than photon-based therapy. Biases due to the non-randomized study design remain obstacles to a firm conclusion. Whether or not PT is cost-effective should be the subject of further investigation.

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Section: Discussionmentioning

confidence: 99%

Quality of Life and Patient-Reported Outcomes Following Proton Therapy for Oropharyngeal Carcinoma: A Systematic Review

Yahya

Manan

2023

Cancers

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“…Including caregivers in the counselling process enhances patient support during recovery. The distress thermometer helps tailor sessions to patient needs and identifies the necessity for psychological counselling [16]. An MDT approach, with the head and neck coordinator and allied health professionals at the forefront, is vital for favourable post-operative outcomes.…”

Section: Supportive Carementioning

confidence: 99%

Optimising Patient Outcomes in Tongue Cancer: A Multidisciplinary Approach

de Boer,

Barnett,

Cardin

et al. 2024

Cancers

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A multidisciplinary approach to the management of tongue cancer is vital for achieving optimal patient outcomes. Nursing and allied health professionals play essential roles within the team. We developed symposia comprising a series of online lectures offering a detailed perspective on the role each discipline and consumer perspective has in the management of patients with tongue cancer. The topics, including epidemiology and prevention, diagnosis, treatment planning, surgery, adjuvant care, and the management of recurrent or metastatic disease, were thoroughly examined. The symposia highlighted the significance of fostering collaboration and continuous learning through a multidisciplinary approach. This initiative should be relevant to healthcare professionals, researchers, and policymakers striving to enhance patient outcomes in tongue cancer care through innovative collaboration.

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Predictors of distress associated with altered appearance and function in people treated surgically for oral cancers: a cross-sectional study

Cited by 2 publications

References 29 publications

Quality of Life and Patient-Reported Outcomes Following Proton Therapy for Oropharyngeal Carcinoma: A Systematic Review

Quality of Life and Patient-Reported Outcomes Following Proton Therapy for Oropharyngeal Carcinoma: A Systematic Review

Optimising Patient Outcomes in Tongue Cancer: A Multidisciplinary Approach

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