Supportive Care Needs From Mid-to Long-Term Follow-Up Among Head and Neck Cancer Survivors: A Longitudinal Cohort Study.

IF 3.5 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-09-01 DOI:10.1002/pon.70276

Femke Jansen, Dominique Molenaar, Öykü Zarsat, Birgit I Lissenberg-Witte, Robert P Takes, Remco de Bree, Johannes A Langendijk, Jose A Hardillo, Femke Lamers, C René Leemans, Irma M Verdonck-de Leeuw

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引用次数: 0

Abstract

Background: There is limited knowledge on the supportive care needs (SCNs) of head and neck cancer (HNC) survivors during long-term survivorship.

Aims: To investigate SCNs from 2 to 5 years after treatment among HNC survivors, and its association with demographic, personal, clinical, physical, psychological, social and lifestyle, and cancer-related quality of life factors.

Methods: SCNs were measured at 2, 3, 4 and 5 years using the supportive care needs survey (SCNS-SF34 and SCNS-HNC) in 403 HNC survivors. Linear mixed model analyses were performed to investigate changes in SCNs (continuous outcome) over time and factors associated with SCNs (continuous). Also, the proportion of unmet moderate-high SCNs (dichotomous) was calculated.

Results: SCNs on the health system, information and patient support and lifestyle domain decreased from 2 to 5 years, whereas physical and daily living, psychological, sexuality and HNC-function needs were stable. At 5 years, 33% of HNC survivors had unmet SCNs, in particular lack of energy/tiredness (9.2%) and dry mouth/sticky mucus (8.1%). Demographic (male, higher education), personal (personality, coping, self-efficacy), clinical (advanced tumor stage, tumor recurrence), physical (low handgrip strength), psychological (anxiety, depression, fear of cancer recurrence (FCR)), lifestyle (smoking, drinking, being underweight) and cancer-related factors (lower levels of functioning, lower levels of nausea and vomiting, higher levels of fatigue, constipation, financial, speech, social eating, dry mouth and sexuality problems, and painkiller usage) were associated with SCNs. Specifically FCR and painkillers usage were very consistently associated with higher SCNs.

Conclusions: SCNs of HNC survivors decrease over time. A third experiences SCNs at long-term follow-up.

Abstract Image

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头颈癌幸存者中长期随访的支持性护理需求：一项纵向队列研究

背景：关于头颈癌（HNC）幸存者在长期生存期间的支持性护理需求（scn）的知识有限。目的：调查HNC幸存者治疗后2 - 5年的scn及其与人口统计学、个人、临床、生理、心理、社会和生活方式以及癌症相关生活质量因素的关系。方法：采用支持性护理需求调查（SCNs - sf34和SCNs -HNC）对403例HNC幸存者在2、3、4和5年时进行SCNs测量。进行线性混合模型分析，以调查SCNs（连续结果）随时间的变化以及与SCNs（连续）相关的因素。同时，计算未满足中高scn的比例（二分类）。结果：从2 ~ 5年，健康系统、信息、患者支持和生活方式领域的scn下降，而身体和日常生活、心理、性和hnc功能需求稳定。在5年时，33%的HNC幸存者有未满足的scn，特别是缺乏能量/疲倦（9.2%）和口干/黏液（8.1%）。人口统计（男性，高等教育）、个人（个性、应对、自我效能）、临床（肿瘤晚期、肿瘤复发）、身体（握力低）、心理（焦虑、抑郁、对癌症复发的恐惧（FCR））、生活方式（吸烟、饮酒、体重过轻）和癌症相关因素（功能低下、恶心和呕吐程度较低、疲劳程度较高、便秘、财务、言语、社交饮食、口干和性问题），和止痛药的使用)与SCNs有关。特别是FCR和止痛药的使用与高scn非常一致。结论：HNC幸存者的scn随着时间的推移而减少。三分之一的患者在长期随访中出现SCNs。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.