TY - JOUR
T1 - Changes in supportive care needs over time from diagnosis up to two years after treatment in head and neck cancer patients
T2 - A prospective cohort study
AU - Molenaar, Dominique
AU - Verdonck-de Leeuw, Irma M.
AU - Lissenberg-Witte, Birgit I.
AU - Takes, Robert P.
AU - Terhaard, Chris H.J.
AU - Langendijk, Johannes A.
AU - Leemans, C. René
AU - Jansen, Femke
N1 - Funding Information: This project is granted by the Dutch Cancer Society, grant number VU 2013-5930 and the Dutch Cancer Society, Alpe Young Investigator Grant, grant number 12820. The funding body had no role in the design of the study and collection, analysis, and interpretation of data nor in writing the manuscript.The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Verdonck-de Leeuw reports a research grant from the Dutch Cancer Society (VU 2013-5930). Takes reports payment by MSD for consultation on a study on the patient journey of head and neck cancer patients from first consultation of GP onwards (institute). Langendijk reports research contracts with IBA, RaySearch, Siemens, Elekta, Leoni, and Mirada; to be memberMember of Global Scientific Advisory Board of IBA and RayCare International Advisory Board of RaySearch; and to have received payment or honoraria for presentations for local scientific meetings for IBA (all institute). Jansen reports a research grant from the Dutch Cancer Society, Alpe Young Investigator Grant (12820). Funding Information: This project is granted by the Dutch Cancer Society , grant number VU 2013-5930 and the Dutch Cancer Society, Alpe Young Investigator Grant, grant number 12820 . The funding body had no role in the design of the study and collection, analysis, and interpretation of data nor in writing the manuscript. Publisher Copyright: © 2023 The Authors
PY - 2023/6
Y1 - 2023/6
N2 - Objectives: To investigate changes in supportive care needs (SCNs) over time from diagnosis up to 2 years after treatment among head and neck cancer (HNC) patients, in relation to demographic, personal, clinical, psychological, physical, social, lifestyle, and cancer-related quality of life factors. Materials and methods: Data of the longitudinal NETherlands QUality of Life and Biomedical Cohort study (NET-QUBIC) was used. SCNs were measured using the Supportive Care Needs Survey (SCNS-SF34) and HNC-specific module (SCNS–HNC) before treatment, three, six, 12 and 24 months after treatment. Linear mixed model analyses were used to study SCNs on the physical & daily living (PDL), psychological (PSY), sexuality (SEX), health system, information and patient support (HSIPS), HNC-functioning (HNC-Function), and lifestyle (HNC-Lifestyle) domain, in relation to demographic, personal, clinical, psychological, physical, social, lifestyle, and cancer-related symptoms as measured at baseline. Results: In total, 563 patients were included. SCNs changed significantly over time. At baseline, 65% had ≥1 moderate/high SCN, versus 42.8% at 24 months. Changes in PDL needs were associated with gender, tumor location, smoking, fear of cancer recurrence, oral pain, and appetite loss, changes in PSY with tumor location, fear of recurrence, social support, emotional functioning, physical functioning, coughing, and use of painkillers, changes in SEX with treatment, changes in HSIPS with muscle strength, changes in HNC-Function with tumor stage, location, social support, physical functioning, fatigue, nausea and vomiting, and speech problems, and changes in HNC-Lifestyle with smoking and alcohol use. Conclusion: SCNs diminish over time, but remain prevalent in HNC patients.
AB - Objectives: To investigate changes in supportive care needs (SCNs) over time from diagnosis up to 2 years after treatment among head and neck cancer (HNC) patients, in relation to demographic, personal, clinical, psychological, physical, social, lifestyle, and cancer-related quality of life factors. Materials and methods: Data of the longitudinal NETherlands QUality of Life and Biomedical Cohort study (NET-QUBIC) was used. SCNs were measured using the Supportive Care Needs Survey (SCNS-SF34) and HNC-specific module (SCNS–HNC) before treatment, three, six, 12 and 24 months after treatment. Linear mixed model analyses were used to study SCNs on the physical & daily living (PDL), psychological (PSY), sexuality (SEX), health system, information and patient support (HSIPS), HNC-functioning (HNC-Function), and lifestyle (HNC-Lifestyle) domain, in relation to demographic, personal, clinical, psychological, physical, social, lifestyle, and cancer-related symptoms as measured at baseline. Results: In total, 563 patients were included. SCNs changed significantly over time. At baseline, 65% had ≥1 moderate/high SCN, versus 42.8% at 24 months. Changes in PDL needs were associated with gender, tumor location, smoking, fear of cancer recurrence, oral pain, and appetite loss, changes in PSY with tumor location, fear of recurrence, social support, emotional functioning, physical functioning, coughing, and use of painkillers, changes in SEX with treatment, changes in HSIPS with muscle strength, changes in HNC-Function with tumor stage, location, social support, physical functioning, fatigue, nausea and vomiting, and speech problems, and changes in HNC-Lifestyle with smoking and alcohol use. Conclusion: SCNs diminish over time, but remain prevalent in HNC patients.
KW - Head and neck cancer
KW - Lifestyle needs
KW - Physical and daily living
KW - Psychological needs
KW - Quality of life
KW - Sexuality needs
KW - Supportive care needs
KW - Survivorship
UR - http://www.scopus.com/inward/record.url?scp=85176753975&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.oor.2023.100047
DO - https://doi.org/10.1016/j.oor.2023.100047
M3 - Article
SN - 2772-9060
VL - 6
JO - Oral Oncology Reports
JF - Oral Oncology Reports
M1 - 100047
ER -