Nurse-Led Consultation and Symptom Burden in Patients with Head and Neck Cancer: A Comparative Analysis of Routine Clinical Data.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_CAA0E94D9DB3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Nurse-Led Consultation and Symptom Burden in Patients with Head and Neck Cancer: A Comparative Analysis of Routine Clinical Data.
Journal
Cancers
Author(s)
Luta X., Colomer-Lahiguera S., Martins Cardoso R.J., Hof F., Savoie M., Schuler C., Wicht J., Fucina N., Debarge P., Ninane F., Bourhis J., Eicher M.
ISSN
2072-6694 (Print)
ISSN-L
2072-6694
Publication state
Published
Issued date
26/02/2022
Peer-reviewed
Oui
Volume
14
Number
5
Pages
1227
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Head and neck cancer (HNC) patients experience distressing symptoms that can significantly impact their health-related quality of life (HRQoL). We analyzed the implementation of a nurse-led consultation (NLC) and explored potential associations with symptom burden in HNC patients.
We retrospectively analyzed routinely collected data to describe the implementation of the nurse-led interventions and the evolution of the M.D. Anderson Symptom Inventory scores as patient-reported outcome measures (PROMs). Patients who received routine care (n = 72) were compared with patients in the NLC group (n = 62) at a radiation oncology unit between 2017 and 2019. PROMs were measured at T0 (between simulation and the first week of radiotherapy), T1 (week 3-4), and T2 (week 5-6).
Screening for nutrition, smoking, oral cavity status, and capacity for swallowing/chewing, but not for pain, was applied in >80% of patients in the NLC group from T0 to T1. Education (16%) and care coordination (7%) were implemented to a lesser extent. Symptom burden increased over time with no significant differences between groups.
The nurse-led consultation was not associated with symptom burden over time. A larger implementation study including a detailed process evaluation, larger sample size, and a focus on long-term effects is needed.
Keywords
cancer rehabilitation, head and neck cancer-related symptoms, patient-reported outcomes, radiotherapy
Pubmed
Web of science
Open Access
Yes
Create date
08/03/2022 12:02
Last modification date
23/11/2022 7:15
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