Is it feasible to routinely include holistic assessment using an item prompt list in surgical consultations following treatment for oral cancer

Simon Rogers, Sefaakor Ahiaku, Derek Lowe

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    Abstract

    The head and neck cancer Patients' Concerns Inventory (PCI-HN), is a holistic, self-reported item prompt list that help patients disclose needs and concerns during their routine follow-up consultations. The aim of this study was to report the frequency of PCI use in the first three years of follow-up following oral cancer treatment and to reflect on the type of issues they raised. The sample comprised consecutive oral cancer patients treated over a 3-year period with curative intent. All clinic attendances were reviewed until October 2015 or until one of the following events occurred: recurrence, a subsequent primary, metastases, discharge, the start of palliative care, or discharge to peripheral follow-up. 92 patients were identified with data available for 88. Median (IQR) age at treatment was 65 (57-76) years, and 55% (48) were male. Reviews alternate between surgeon and oncologist and there were on average 4.4 surgical review consultations in year one, 2.8 in year two and 1.6 in year three, with a total of 157 PCIs completed by the cohort. At least one PCI was completed for 71% of attendees during year one, 57% during year two and 37% during year three. Nearly half (41%, 7/17) of those not completing a PCI died within 12 months and another 6 were over 80 years of age. In conclusion, the diversity of concerns highlights the importance of holistic needs assessment as part of follow-up care. By integrating this approach into routine consultations, the majority of patients have the opportunity to repeated intervention.
    Original languageEnglish
    JournalBritish Journal of Oral and Maxillofacial Surgery
    Volume56
    Issue number1
    Early online date23 Nov 2017
    DOIs
    Publication statusPublished - 31 Jan 2018

    Keywords

    • Patient Concerns Inventory
    • Holistic Needs Assessment
    • Oral Cancer
    • Follow-up

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