TY - JOUR
T1 - Identifying unmet needs and limitations in physical health in survivors of Head and Neck Cancer
AU - van Hinte, Gerben
AU - Leijendekkers, Ruud A.
AU - Merkx, Matthias A.W.
AU - Takes, Robert P.
AU - Nijhuis-van der Sanden, Maria W.G.
AU - Speksnijder, Caroline M.
N1 - Funding Information:
This study was funded by the ‘Michel Keijzer Fonds’ of the Dutch patient federation for head and neck cancer survivors. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript.
Publisher Copyright:
© 2021 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.
© 2021 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.
PY - 2021/9
Y1 - 2021/9
N2 - Objective: To gain insight into the level of unmet needs and limitations in physical health experienced by survivors of head and neck cancer, and to evaluate whether unmet needs in physical health and limitations in physical performance are associated. Materials and methods: In this cross-sectional study, unmet needs were measured with Supportive Care Needs Surveys (SCNS-SF34, SCNS-HNC). Limitations in physical health were measured for maximal mouth opening, neck and shoulder function, hand grip strength and lower body strength, level of mobility and walking ability. Results: The SCNSs showed that 48% had a cancer generic unmet need and 46% had at least one HNC-specific unmet need. In total, 76% of sHNC had a cancer generic limitation in physical health and that 58% had an HNC-specific limitation in the mobility of neck and shoulders or maximum mouth opening. The domain of physical and daily living needs showed a weak association with lateral flexion of the neck to the left (R = −0.319; p = 0.024). Conclusion: Survivors of HNC might benefit from the use of both SCNSs and physical performance measurements during usual care follow-up for early and optimal identification of unmet needs and limitations in physical health.
AB - Objective: To gain insight into the level of unmet needs and limitations in physical health experienced by survivors of head and neck cancer, and to evaluate whether unmet needs in physical health and limitations in physical performance are associated. Materials and methods: In this cross-sectional study, unmet needs were measured with Supportive Care Needs Surveys (SCNS-SF34, SCNS-HNC). Limitations in physical health were measured for maximal mouth opening, neck and shoulder function, hand grip strength and lower body strength, level of mobility and walking ability. Results: The SCNSs showed that 48% had a cancer generic unmet need and 46% had at least one HNC-specific unmet need. In total, 76% of sHNC had a cancer generic limitation in physical health and that 58% had an HNC-specific limitation in the mobility of neck and shoulders or maximum mouth opening. The domain of physical and daily living needs showed a weak association with lateral flexion of the neck to the left (R = −0.319; p = 0.024). Conclusion: Survivors of HNC might benefit from the use of both SCNSs and physical performance measurements during usual care follow-up for early and optimal identification of unmet needs and limitations in physical health.
KW - Cross-Sectional Studies
KW - Hand Strength
KW - Head and Neck Neoplasms/therapy
KW - Health Services Needs and Demand
KW - Humans
KW - Survivors
UR - https://www.scopus.com/pages/publications/85102318774
U2 - 10.1111/ecc.13434
DO - 10.1111/ecc.13434
M3 - Article
C2 - 33709466
AN - SCOPUS:85102318774
SN - 0961-5423
VL - 30
SP - 1
EP - 12
JO - European Journal of Cancer Care
JF - European Journal of Cancer Care
IS - 5
M1 - e13434
ER -