Palliative care outcome measures used in head and neck cancer: A scoping review.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-08-16 DOI:10.1002/hed.27920

Shreya Sriram, Deborah Xie, Rebecca A Gersten, Christine G Gourin

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Abstract

Background: The palliative care (PC) needs of patients with head and neck cancer (HNC) are complex, due to high and unique symptom burdens. Uniform outcome measures are critical to assessing the impact of PC interventions in HNC.

Methods: A scoping review of outcome measures used in patients with HNC receiving PC was performed using PubMed, Embase, and Web of Science from 1980 to 2022.

Results: Of 20 eligible studies, 19 unique instruments were identified which assessed 22 physical, 5 mental, 4 social, 7 related quality of life, and 9 advanced care planning outcomes. Instruments were underutilized, with a larger number of outcomes measurable for instruments used than were reported. The average instrument assessed three domains whereas the average study only reported outcomes from two domains.

Conclusions: Comparison across studies is limited due to heterogeneity in outcome measures. Future work is needed to develop core PC outcome measures for use in HNC care.

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头颈癌中使用的姑息治疗结果测量方法：范围综述。

背景：头颈部癌症（HNC）患者的姑息治疗（PC）需求非常复杂，因为他们的症状负担很高且独特。统一的结果测量方法对于评估PC干预对HNC的影响至关重要：方法：利用PubMed、Embase和Web of Science对1980年至2022年接受PC治疗的HNC患者所使用的结果测量方法进行了范围界定：结果：在 20 项符合条件的研究中，发现了 19 种独特的工具，分别评估了 22 项身体、5 项精神、4 项社会、7 项相关生活质量和 9 项晚期护理规划结果。工具的使用率较低，所使用的工具可测量的结果数量多于所报告的结果。工具平均评估了三个领域，而研究平均只报告了两个领域的结果：结论：由于结果测量的异质性，各研究之间的比较是有限的。今后需要开展工作，制定用于 HNC 护理的核心 PC 结果测量方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.