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Which Head and Neck Cancer Patients Are Most at Risk of High Levels of Fear of Cancer Recurrence. | LitMetric

AI Article Synopsis

  • Fear of cancer recurrence (FCR) is a significant concern for patients with head and neck cancer (HNC), with 11% of patients reporting high levels of anxiety about their cancer coming back.
  • The study analyzed demographic and clinical factors related to high FCR using the Patient Concerns Inventory (PCI) and focused on variables like gender, age, and financial status.
  • Key findings revealed that female patients under 55 were especially vulnerable, with one in three experiencing high FCR, indicating a need for targeted support and potential intervention trials for this group.

Article Abstract

Fear of cancer recurrence (FCR) is recognized as a common concern for patients with head and neck cancer (HNC). The aim of this study is to describe in greater detail the demographic and clinical characteristics of HCN patients who indicate a high level of FCR in their review consultation. A pragmatic cluster-controlled trial was conducted between January 2017 and December 2018 at two UK HNC centers (Leeds and Liverpool) to test the efficacy of a prompt tool called the Patient Concerns Inventory (PCI). Patients completed the PCI and the UW-QOLv4 which included a single 5 category rating of FCR. Secondary statistical analyses focused on variables associated with high FCR. Two hundred and eighty-eight trial patients were recruited in this trial. At a median of 194 days after diagnosis and 103 days after the end of treatment 8% stated ( = 24) "I get a lot of fears of recurrence and these can really preoccupy my thoughts" and 3% ( = 8) "I am fearful all the time that my cancer might return, and I struggle with this." Thus, 11% ( = 32) responded in the worst two categories, 95% Confidence interval 7.7-15.3% for high FCR. Stepwise logistic regression resulted in female gender ( < 0.001), age ( = 0.007), and receiving financial benefits ( = 0.01) as independent predictors. Around one in ten HNC patients attending routine outpatient follow-up consultations report high FCR, however for female patients under the age of 55 the rate was one in three. This group requires specialist attention and could be the focus of a multicenter intervention trial.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322117PMC
http://dx.doi.org/10.3389/fpsyg.2021.671366DOI Listing

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