TY - JOUR
T1 - Unmet supportive care needs in patients treated with total laryngectomy and its associated factors
AU - Jansen, Femke
AU - Eerenstein, Simone Elisabeth Jacoba
AU - Lissenberg-Witte, Birgit Ilja
AU - van Uden-Kraan, Cornelia Foekje
AU - Leemans, Charles René
AU - Leeuw, Irma Maria Verdonck de
PY - 2018/12/1
Y1 - 2018/12/1
N2 - BACKGROUND: The purpose of this study was to investigate unmet supportive care needs in patients treated with total laryngectomy and its associated factors.METHODS: In this cross-sectional study, 283 patients who underwent total laryngectomy completed questions on supportive care needs (Supportive Care Needs Survey [SCNS]). Median time since total laryngectomy surgery was 7 years (range 0-37 years). The prevalence of unmet supportive care needs and its associated factors were investigated using logistic regression analyses.RESULTS: Unmet supportive care needs were highest for the head and neck cancer-specific functioning domain (53%), followed by the psychological (39%), physical and daily living (37%), health system, information, and patient support (35%), sexuality (23%), and lifestyle (5%) domains. Seventy-one percent reported at least one low, moderate, or high unmet need. Female sex, living alone, and having a voice prosthesis were positively associated with unmet needs on 1 domain (P < .05). A worse health-related quality of life was associated with unmet needs on all domains.CONCLUSION: The majority of patients who underwent total laryngectomy report at least one low, moderate, or high unmet supportive care need.
AB - BACKGROUND: The purpose of this study was to investigate unmet supportive care needs in patients treated with total laryngectomy and its associated factors.METHODS: In this cross-sectional study, 283 patients who underwent total laryngectomy completed questions on supportive care needs (Supportive Care Needs Survey [SCNS]). Median time since total laryngectomy surgery was 7 years (range 0-37 years). The prevalence of unmet supportive care needs and its associated factors were investigated using logistic regression analyses.RESULTS: Unmet supportive care needs were highest for the head and neck cancer-specific functioning domain (53%), followed by the psychological (39%), physical and daily living (37%), health system, information, and patient support (35%), sexuality (23%), and lifestyle (5%) domains. Seventy-one percent reported at least one low, moderate, or high unmet need. Female sex, living alone, and having a voice prosthesis were positively associated with unmet needs on 1 domain (P < .05). A worse health-related quality of life was associated with unmet needs on all domains.CONCLUSION: The majority of patients who underwent total laryngectomy report at least one low, moderate, or high unmet supportive care need.
KW - head and neck cancer
KW - laryngeal cancer
KW - quality of life
KW - supportive care needs
KW - total laryngectomy
UR - http://www.scopus.com/inward/record.url?scp=85056815411&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056815411&partnerID=8YFLogxK
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056815411&origin=inward
U2 - https://doi.org/10.1002/hed.25358
DO - https://doi.org/10.1002/hed.25358
M3 - Article
C2 - 30462875
SN - 1043-3074
VL - 40
SP - 2633
EP - 2641
JO - Head & neck
JF - Head & neck
IS - 12
ER -
