Head and neck cancer survivorship consensus statement from the American Head and Neck Society
Laryngoscope investigative otolaryngology
consensus statement; head and neck cancer; survivorship
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.
Goyal, Neerav; Day, Andrew; Epstein, Joel; Goodman, Joseph; Graboyes, Evan; Jalisi, Scharukh; Kiess, Ana P.; Ku, Jamie A.; Miller, Matthew C.; Panwar, Aru; Patel, Vijay A.; Sacco, Assuntina; Sandulache, Vlad; Williams, Amy M.; Deschler, Daniel; Farwell, D Gregory; Nathan, Cherie-Ann; Fakhry, Carole; and Agrawal, Nishant, "Head and neck cancer survivorship consensus statement from the American Head and Neck Society" (2022). GW Authored Works. Paper 404.