Risk stratified follow up for head and neck cancer patients - An evidence based proposal.


Journal

Oral oncology
ISSN: 1879-0593
Titre abrégé: Oral Oncol
Pays: England
ID NLM: 9709118

Informations de publication

Date de publication:
08 2021
Historique:
received: 18 02 2021
revised: 11 05 2021
accepted: 23 05 2021
pubmed: 1 6 2021
medline: 2 2 2022
entrez: 31 5 2021
Statut: ppublish

Résumé

Head and neck squamous cell carcinoma (HNSCC) has a significant impact on patients' quality of life and treatment can be associated with severe morbidity. Following completion of treatment, patients are followed up in order to detect potentially salvageable recurrences and to manage long-term toxicities. In recent years, a growing interest has been given to risk stratified follow-up interventions to prevent and detect recurrences and manage treatment toxicities in other tumour sites as well as to transfer some of that care to community services. We review the literature for HNSCC and propose a risk stratified follow up protocol to address these issues and assist clinicians in decision making. A shift in patterns of care is suggested in order to provide a basis to improve care for HNSCC patients after complete response to primary treatment.

Identifiants

pubmed: 34058702
pii: S1368-8375(21)00188-3
doi: 10.1016/j.oraloncology.2021.105365
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

105365

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Francesca De Felice (F)

Department of Clinical Oncology, Guy's and St Thomas' NHS Trust, London, UK; Department of Radiotherapy, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.

Mary Lei (M)

Department of Clinical Oncology, Guy's and St Thomas' NHS Trust, London, UK.

Richard Oakley (R)

Department of Head and Neck Surgery Guys and St Thomas' NHS Trust, London, UK.

Andrew Lyons (A)

Department of Head and Neck Surgery Guys and St Thomas' NHS Trust, London, UK.

Alastair Fry (A)

Department of Head and Neck Surgery Guys and St Thomas' NHS Trust, London, UK.

Jean-Pierre Jeannon (JP)

Department of Head and Neck Surgery Guys and St Thomas' NHS Trust, London, UK; King's College London, UK.

Ricard Simo (R)

Department of Head and Neck Surgery Guys and St Thomas' NHS Trust, London, UK.

Teresa Guerrero Urbano (T)

Department of Clinical Oncology, Guy's and St Thomas' NHS Trust, London, UK. Electronic address: Teresa.GuerreroUrbano@gstt.nhs.uk.

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Classifications MeSH