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Assessing patient-reported symptom burden of long-term head and neck cancer survivors at annual surveillance in survivorship clinic

Head & Neck Mar 11, 2020

Townes TG, Navuluri S, Pytynia KB, et al. - Researchers describe patient-reported symptoms of long-term head and neck cancer (HNC) using the MD Anderson Symptom Inventory Head and Neck Cancer Module (MDASI-HN) in a large cohort of HNC survivors. From an institutional survivorship database, MDASI-HN results were prospectively collected. Participants in the study were 928 patients. Data reported that 46% had oropharyngeal primary tumors and 82% had squamous cell carcinoma. It was noted that 56% of patients had ablative surgery and 81% had radiation therapy as a component of treatment. Xerostomia and dysphagia were the most severe symptoms. The authors discovered that patients treated with chemoradiation or surgery followed by radiation ± chemotherapy reported the worst symptoms whereas the patient treated with surgery plus radiation ± chemotherapy reported the worst interference. HNC survivors describe their burden of long-term symptoms and inform efforts to enhance survival care for many years.
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