Abstract
BACKGROUND: The purpose of this study was to investigate unmet supportive care needs in patients treated with total laryngectomy and its associated factors.
METHODS: In this cross-sectional study, 283 patients who underwent total laryngectomy completed questions on supportive care needs (Supportive Care Needs Survey [SCNS]). Median time since total laryngectomy surgery was 7 years (range 0-37 years). The prevalence of unmet supportive care needs and its associated factors were investigated using logistic regression analyses.
RESULTS: Unmet supportive care needs were highest for the head and neck cancer-specific functioning domain (53%), followed by the psychological (39%), physical and daily living (37%), health system, information, and patient support (35%), sexuality (23%), and lifestyle (5%) domains. Seventy-one percent reported at least one low, moderate, or high unmet need. Female sex, living alone, and having a voice prosthesis were positively associated with unmet needs on 1 domain (P < .05). A worse health-related quality of life was associated with unmet needs on all domains.
CONCLUSION: The majority of patients who underwent total laryngectomy report at least one low, moderate, or high unmet supportive care need.
| Original language | English |
|---|---|
| Pages (from-to) | 2633-2641 |
| Number of pages | 9 |
| Journal | Head & Neck |
| Volume | 40 |
| Issue number | 12 |
| Early online date | 21 Nov 2018 |
| DOIs | |
| Publication status | Published - Dec 2018 |
Funding
This study was supported by the Michel Keijzer Fund, a fund from the Dutch Patients' Association for Laryngectomees
| Funders | Funder number |
|---|---|
| Dutch Patients' Association for Laryngectomees | |
| Michel Keijzer Fund |
Keywords
- head and neck cancer
- laryngeal cancer
- quality of life
- supportive care needs
- total laryngectomy
