Mueller, Simon Andreas; Riggauer, Julia; Eliçin, Olgun; Blaser, Daniela; Trelle, Sven; Giger, Roland (2019). Patients' preferences concerning follow-up after curative head and neck cancer treatment: A cross-sectional pilot study. Head & neck - journal for the sciences and specialties of the head and neck, 41(7), pp. 2174-2181. J. Wiley 10.1002/hed.25686
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BACKGROUND
Evidence of the oncological benefit of scheduled follow-up in head and neck squamous cell carcinoma is weak; symptom-oriented self-referral may be an alternative. Patients' preferences regarding follow-up remain poorly investigated.
METHODS
We conducted a cross-sectional survey among patients undergoing follow-up at a tertiary outpatient clinic, focusing on their preferences, correlating factors, fear of recurrence, and willingness for participation in a randomized trial on follow-up.
RESULTS
Of 101 patients, 89.1% preferred scheduled follow-up to self-referral, 57% favored fewer visits than the current standard, and 85.1% endorsed regular imaging. Recurrence or second primary was associated with preference of intensive follow-up schedules (P = 0.02). There were trends for women and patients with high fear of recurrence score to favor intensive follow-up. Two-third of the participants declared willingness to participate in a randomized controlled trial.
CONCLUSIONS
Patients' preferences only partially correspond to current follow-up guidelines. Recruitment for randomized controlled studies evaluating the value of follow-up seems feasible.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Department of Clinical Research (DCR) 04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) 04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Radiation Oncology |
UniBE Contributor: |
Eliçin, Olgun, Blaser, Daniela, Trelle, Sven, Giger, Roland |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1043-3074 |
Publisher: |
J. Wiley |
Language: |
English |
Submitter: |
Beatrice Scheidegger |
Date Deposited: |
05 Mar 2019 15:10 |
Last Modified: |
20 Feb 2024 14:16 |
Publisher DOI: |
10.1002/hed.25686 |
PubMed ID: |
30723984 |
Uncontrolled Keywords: |
fear of recurrence follow-up head and neck cancer patients’ preference self-referral |
BORIS DOI: |
10.7892/boris.126361 |
URI: |
https://boris.unibe.ch/id/eprint/126361 |
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