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Unmet supportive care needs among head and neck cancer survivors beyond 5 years after diagnosis: a multinational cohort study

Background - This study investigates unmet supportive care needs (SCNs) among head and neck cancer (HNC) survivors beyond 5 years after diagnosis and examines the association with sociodemographic, clinical and lifestyle factors, and differences in European and non-European regions and healthcare sy...

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Hauptverfasser: Jansen, Femke (VerfasserIn) , Eerenstein, Simone EJ. (VerfasserIn) , Taylor, Katherine J. (VerfasserIn) , Amdal, Cecilie D. (VerfasserIn) , Bjordal, Kristin (VerfasserIn) , Astrup, Guro L. (VerfasserIn) , Herlofson, Bente B. (VerfasserIn) , Duprez, Fréderic (VerfasserIn) , Gama, Ricardo R. (VerfasserIn) , Jacinto, Alexandre A. (VerfasserIn) , Hammerlid, Eva (VerfasserIn) , Scricciolo, Melissa (VerfasserIn) , Fanetti, Giuseppe (VerfasserIn) , Guntinas-Lichius, Orlando (VerfasserIn) , Inhestern, Johanna (VerfasserIn) , Dragan, Tatiana (VerfasserIn) , Fabian, Alexander (VerfasserIn) , Boehm, Andreas (VerfasserIn) , Wöhner, Ulrike (VerfasserIn) , Kiyota, Naomi (VerfasserIn) , Krüger, Maximilian (VerfasserIn) , Bonomo, Pierluigi (VerfasserIn) , Pinto, Monica (VerfasserIn) , Nuyts, Sandra (VerfasserIn) , Silva, Joaquim Castro (VerfasserIn) , Stromberger, Carmen (VerfasserIn) , Specenier, Pol (VerfasserIn) , Tramacere, Francesco (VerfasserIn) , Bushnak, Ayman (VerfasserIn) , Perotti, Pietro (VerfasserIn) , Plath, Michaela (VerfasserIn) , Paderno, Alberto (VerfasserIn) , Stempler, Noa (VerfasserIn) , Kanellopoulou, Antonia (VerfasserIn) , Singer, Susanne (VerfasserIn) , Verdonck-de Leeuw, Irma M. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: December 2025
In: The lancet. Regional health
Year: 2025, Jahrgang: 59, Pages: 1-11
ISSN:2666-7762
DOI:10.1016/j.lanepe.2025.101495
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.lanepe.2025.101495
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S266677622500287X
Volltext
Verfasserangaben:Femke Jansen, Simone EJ. Eerenstein, Katherine J. Taylor, Cecilie D. Amdal, Kristin Bjordal, Guro L. Astrup, Bente B. Herlofson, Fréderic Duprez, Ricardo R. Gama, Alexandre A. Jacinto, Eva Hammerlid, Melissa Scricciolo, Giuseppe Fanetti, Orlando Guntinas-Lichius, Johanna Inhestern, Tatiana Dragan, Alexander Fabian, Andreas Boehm, Ulrike Wöhner, Naomi Kiyota, Maximilian Krüger, Pierluigi Bonomo, Monica Pinto, Sandra Nuyts, Joaquim Castro Silva, Carmen Stromberger, Pol Specenier, Francesco Tramacere, Ayman Bushnak, Pietro Perotti, Michaela Plath, Alberto Paderno, Noa Stempler, Antonia Kanellopoulou, Susanne Singer, and Irma M. Verdonck-de Leeuw
Beschreibung
Zusammenfassung:Background - This study investigates unmet supportive care needs (SCNs) among head and neck cancer (HNC) survivors beyond 5 years after diagnosis and examines the association with sociodemographic, clinical and lifestyle factors, and differences in European and non-European regions and healthcare systems. - Methods - In this cross-sectional study, 1097 HNC survivors from 11 countries completed the Short-Form Supportive Care Needs Survey (SCNS-SF34) and HNC-specific module (SCNS-HNC), encompassing physical and daily living, psychological, sexuality, HNC-specific and lifestyle domains. Scores were dichotomized per domain and across domains into moderate-high unmet SCNs (yes/no). Logistic regression analyses were used to investigate associated factors. - Findings - Half (50%, proportion 100/200) of HNC survivors had unmet SCNs (overall), especially unmet HNC-specific (40%, 40/100), psychological (25%, 25/100), and physical and daily living (22%, 22/100) needs. Personal (women, lower age), lifestyle (smoking, alcohol consumption) and clinical factors (advanced tumor stage, second primary tumor, multimodality treatment [versus single surgery], poor Karnofsky performance score and comorbidities) were associated with unmet SCNs. Physical and daily living, HNC-specific and overall unmet SCNs were more likely among survivors from Northern Europe compared to Southern and Western Europe. Unmet psychological, sexuality and lifestyle needs were more likely among non-European countries. All unmet SCNs (except psychological) were more likely among survivors with a national health system compared to a social and/or etatist health insurance system. - Interpretation - Half of HNC survivors have unmet SCNs. Insight into healthcare utilization may provide insights how to improve care. - Funding - European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Group.
Beschreibung:Online verfügbar: 16. Oktober 2025
Gesehen am 02.01.2026
Beschreibung:Online Resource
ISSN:2666-7762
DOI:10.1016/j.lanepe.2025.101495

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