PMID- 32189100
OWN - NLM
STAT- MEDLINE
DCOM- 20201204
LR  - 20201228
IS  - 1433-7339 (Electronic)
IS  - 0941-4355 (Linking)
VI  - 28
IP  - 11
DP  - 2020 Nov
TI  - Immediate post-treatment supportive care needs of patients newly diagnosed with 
      head and neck cancer.
PG  - 5557-5567
LID - 10.1007/s00520-020-05368-2 [doi]
AB  - OBJECTIVE: This study aimed at identifying supportive care needs of patients with 
      head and neck cancer (HNC-P) immediately post-treatment, finding early predictors 
      of unmet needs, and contrasting how immediate post-treatment needs differed from 
      needs in longer-term survivorship. METHODS: Prospective longitudinal study of 223 
      consecutive adults (313 approached; 72% participation) newly diagnosed with a 
      first occurrence of primary HNC. Patients completed the Supportive Care Needs 
      Survey-Short Form (SCNS), the Structured Clinical Interview for DSM-IV, and other 
      outcomes. Medical chart reviews were conducted. RESULTS: A total of 68% of 
      patients (n = 145/223) completed the SCNS. The multiple linear regression 
      indicated that when controlled for medical variables, patients presented higher 
      levels of unmet needs when they presented with higher level of anxiety upon HNC 
      diagnosis (p = 0.03), higher neuroticism (p = 0.03), and more stressful life 
      events in the year pre-diagnosis (p = 0.01). Patients immediately post-treatment 
      had a wider variety of unmet needs compared with those in extended survivorship, 
      with psychological unmet needs most prevalent at both time points. Immediately 
      post-treatment, patients needed more support regarding pain (p = 0.04) and 
      worries about treatment results (p = 0.05), whereas patients in longer-term 
      survivorship needed more support regarding anxiety (p = 0.02), changes in sexual 
      relationships (p = 0.04), and fear of death and dying (p = 0.001). CONCLUSION: 
      This study identifies areas needing further development to improve quality of 
      care for HNC-P in the immediate post-treatment period, as well as early 
      determinants of unmet needs. HNC clinics may want to routinely screen for 
      anxiety, neuroticism, and burden from other life events, to pro-actively address 
      needs upon treatment completion and alleviate disease burden.
FAU - Henry, Melissa
AU  - Henry M
AUID- ORCID: 0000-0002-0642-0888
AD  - Faculty of Medicine, Department of Oncology, McGill University, Montreal, Canada. 
      melissa.henry@mcgill.ca.
AD  - Department of Oncology, Jewish General Hospital, Montreal, Canada. 
      melissa.henry@mcgill.ca.
AD  - Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, 
      Montreal, Canada. melissa.henry@mcgill.ca.
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada. melissa.henry@mcgill.ca.
AD  - Lady-Davis Institute for Medical Research, Jewish General Hospital, 3755 Cote 
      Ste. Catherine Road, Pavilion E room E-872, Montreal, Quebec, H3T 1E2, Canada. 
      melissa.henry@mcgill.ca.
FAU - Alias, Ali
AU  - Alias A
AD  - Faculty of Medicine, McGill University, Montreal, Canada.
FAU - Cherba, Maria
AU  - Cherba M
AD  - Lady-Davis Institute for Medical Research, Jewish General Hospital, 3755 Cote 
      Ste. Catherine Road, Pavilion E room E-872, Montreal, Quebec, H3T 1E2, Canada.
AD  - Department of Communication, Universite de Montreal, Montreal, Canada.
FAU - Woronko, Claudia
AU  - Woronko C
AD  - Lady-Davis Institute for Medical Research, Jewish General Hospital, 3755 Cote 
      Ste. Catherine Road, Pavilion E room E-872, Montreal, Quebec, H3T 1E2, Canada.
FAU - Rosberger, Zeev
AU  - Rosberger Z
AD  - Faculty of Medicine, Department of Oncology, McGill University, Montreal, Canada.
AD  - Lady-Davis Institute for Medical Research, Jewish General Hospital, 3755 Cote 
      Ste. Catherine Road, Pavilion E room E-872, Montreal, Quebec, H3T 1E2, Canada.
AD  - Department of Psychology, McGill University, Montreal, Canada.
FAU - Hier, Michael
AU  - Hier M
AD  - Faculty of Medicine, Department of Oncology, McGill University, Montreal, Canada.
AD  - Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, 
      Montreal, Canada.
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada.
FAU - Zeitouni, Anthony
AU  - Zeitouni A
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada.
AD  - Department of Otolaryngology, McGill University Health Centre-Head and Neck 
      Surgery, Montreal, Canada.
FAU - Kost, Karen
AU  - Kost K
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada.
AD  - Department of Otolaryngology, McGill University Health Centre-Head and Neck 
      Surgery, Montreal, Canada.
FAU - Mlynarek, Alex
AU  - Mlynarek A
AD  - Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, 
      Montreal, Canada.
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada.
AD  - Department of Otolaryngology, McGill University Health Centre-Head and Neck 
      Surgery, Montreal, Canada.
FAU - Richardson, Keith
AU  - Richardson K
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada.
AD  - Department of Otolaryngology, McGill University Health Centre-Head and Neck 
      Surgery, Montreal, Canada.
FAU - Black, Martin
AU  - Black M
AD  - Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, 
      Montreal, Canada.
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada.
FAU - MacDonald, Christina
AU  - MacDonald C
AD  - Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, 
      Montreal, Canada.
AD  - Department of Nursing, Jewish General Hospital, Montreal, Canada.
FAU - Chartier, Gabrielle
AU  - Chartier G
AD  - Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, 
      Montreal, Canada.
AD  - Department of Nursing, Jewish General Hospital, Montreal, Canada.
FAU - Frenkiel, Saul
AU  - Frenkiel S
AD  - Department of Otolaryngology-Head and Neck Surgery, Jewish General Hospital, 
      Montreal, Canada.
AD  - Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, 
      Canada.
AD  - Department of Otolaryngology, McGill University Health Centre-Head and Neck 
      Surgery, Montreal, Canada.
LA  - eng
GR  - 24910/Fonds de Recherche du Quebec - Sante/
PT  - Journal Article
DEP - 20200318
PL  - Germany
TA  - Support Care Cancer
JT  - Supportive care in cancer : official journal of the Multinational Association of 
      Supportive Care in Cancer
JID - 9302957
SB  - IM
MH  - Anxiety/etiology/therapy
MH  - Cancer Pain/etiology/therapy
MH  - Cancer Survivors/statistics & numerical data
MH  - Female
MH  - Head and Neck Neoplasms/psychology/*therapy
MH  - Health Services Needs and Demand
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Needs Assessment
MH  - Palliative Care/*methods/statistics & numerical data
MH  - Prevalence
MH  - Prospective Studies
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Head and neck cancer
OT  - Oncology
OT  - Post-treatment
OT  - Supportive care needs
OT  - Survivorship
EDAT- 2020/03/20 06:00
MHDA- 2020/12/15 06:00
CRDT- 2020/03/20 06:00
PHST- 2019/11/01 00:00 [received]
PHST- 2020/02/19 00:00 [accepted]
PHST- 2020/03/20 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
PHST- 2020/03/20 06:00 [entrez]
AID - 10.1007/s00520-020-05368-2 [pii]
AID - 10.1007/s00520-020-05368-2 [doi]
PST - ppublish
SO  - Support Care Cancer. 2020 Nov;28(11):5557-5567. doi: 10.1007/s00520-020-05368-2. 
      Epub 2020 Mar 18.