Head and neck cancer survivorship consensus statement from the American Head and Neck Society

Neerav Goyal, Department of Otolaryngology-Head and Neck Surgery The Pennsylvania State University, College of Medicine Hershey Pennsylvania USA.
Andrew Day, Department of Otolaryngology-Head and Neck Surgery University of Texas Southwestern Medical Center Dallas Texas USA.
Joel Epstein, Department of Surgery Cedars Sinai Los Angeles California USA.
Joseph Goodman, Ear, Nose and Throat Center George Washington University Washington District of Columbia USA.
Evan Graboyes, Department of Otolaryngology-Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA.
Scharukh Jalisi, Department of Otolaryngology Beth Israel Deaconess Boston Massachusetts USA.
Ana P. Kiess, Department of Radiation Oncology and Molecular Radiation Sciences Johns Hopkins Medicine Baltimore Maryland USA.
Jamie A. Ku, Head and Neck Institute Cleveland Clinic Cleveland Ohio USA.
Matthew C. Miller, Department of Otolaryngology University of Rochester Medical Center Rochester New York USA.
Aru Panwar, Department of Head and Neck Surgical Oncology, Methodist Estabrook Cancer Center Nebraska Methodist Hospital Omaha Nebraska USA.
Vijay A. Patel, Department of Otolaryngology University of Pittsburgh Pittsburgh Pennsylvania USA.
Assuntina Sacco, Department of Medical Oncology University of California San Diego La Jolla California USA.
Vlad Sandulache, Department of Otolaryngology-Head and Neck Surgery Baylor College of Medicine Houston Texas USA.
Amy M. Williams, Department of Otolaryngology-Head and Neck Surgery Henry Ford Health System Detroit Michigan USA.
Daniel Deschler, Department of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Boston Massachusetts USA.
D Gregory Farwell, Department of Otolaryngology-Head and Neck Surgery University of California Davis Davis California USA.
Cherie-Ann Nathan, Department of Otolaryngology-Head and Neck Surgery Louisiana State University Shreveport Louisiana USA.
Carole Fakhry, Department of Otolaryngology-Head and Neck Surgery Johns Hopkins School of Medicine Baltimore Maryland USA.
Nishant Agrawal, Department of Surgery, Section of Otolaryngology-Head and Neck Surgery University of Chicago Pritzker School of Medicine Chicago Illinois USA.

Document Type

Journal Article

Publication Date

2-1-2022

Journal

Laryngoscope investigative otolaryngology

Volume

7

Issue

1

DOI

10.1002/lio2.702

Keywords

consensus statement; head and neck cancer; survivorship

Abstract

Objectives: To provide a consensus statement describing best practices and evidence regarding head and neck cancer survivorship. Methods: Key topics regarding head and neck cancer survivorship were identified by the multidisciplinary membership of the American Head and Neck Society Survivorship, Supportive Care & Rehabilitation Service. Guidelines were generated by combining expert opinion and a review of the literature and categorized by level of evidence. Results: Several areas regarding survivorship including dysphonia, dysphagia, fatigue, chronic pain, intimacy, the ability to return to work, financial toxicity, lymphedema, psycho-oncology, physical activity, and substance abuse were identified and discussed. Additionally, the group identified and described the role of key clinicians in survivorship including surgical, medical and radiation oncologists; dentists; primary care physicians; psychotherapists; as well as physical, occupational, speech, and respiratory therapists. Conclusion: Head and neck cancer survivorship is complex and requires a multidisciplinary approach centered around patients and their caregivers. As survival related to head and neck cancer treatment improves, addressing post-treatment concerns appropriately is critically important to our patient's quality of life. There continues to be a need to define effective and efficient programs that can coordinate this multidisciplinary effort toward survivorship.

Department

Surgery

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