A single-item screening question for fear of recurrence in head and neck cancer

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• 作者：Simon N. Rogers ; Ben Cross ; Cyrus Talwar…
• 关键词：Fear of recurrence ; Patient ; reported outcomes ; Health ; related quality of life ; Head and neck cancer ; UW ; QOL
• 刊名：European Archives of Oto-Rhino-Laryngology
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：273
• 期：5
• 页码：1235-1242
• 全文大小：426 KB
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• 作者单位：Simon N. Rogers (1) (2)
  Ben Cross (3)
  Cyrus Talwar (3)
  Derek Lowe (1) (2)
  Gerry Humphris (4)
  
  1. Evidence-Based Practice Research Centre (EPRC), Faculty of Health and Social Care, Edge Hill University, St Helens Road, Ormskirk, L39 4QP, UK
  2. Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, L9 1AE, UK
  3. Liverpool University, Cedar House, Ashton Street, Liverpool, L69 3GE, UK
  4. Health Psychology, Bute Medical School, University of St Andrews, Westburn Lane, St Andrews, Fife, Scotland, KY16 8HX, UK
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Otorhinolaryngology
  Neurosurgery
  Head and Neck Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1434-4726

文摘

Fear of recurrence (FoR) is the most frequent concern patients wish to discuss in head and neck review clinics. The aim of the study was to design a simple screening question on fear of recurrence to be incorporated into the University of Washington Quality of Life Questionnaire (UW-QOLv4), for use in clinical practice. A cross-sectional survey comprising 528 patients was conducted. 11 % selected the two most severe FoR categories. FoR responses correlated strongly (Spearman r _s = −0.82) with the mean score of the seven items of the Fear of Recurrence Questionnaire. There was also a strong association with anxiety and mood dysfunction as measured from the UW-QOL, and with overall QOL. Patients more affected by FoR tended to be younger and post-radiotherapy or chemotherapy. The FoR screening question may be a useful addition to the UW-QOLv4 to help identify patients with significant FoR to receive extra support.