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- Farnebo, Lovisa, et al.
(författare)
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Early death among head and neck cancer patients
- 2016
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Ingår i: Current Opinion in Otolaryngology & Head and Neck Surgery. - : Lippincott Williams & Wilkins. - 1068-9508 .- 1531-6998. ; 24:2, s. 115-120
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Forskningsöversikt (refereegranskat)abstract
- Purpose of reviewManagement of advanced head and neck cancer (HNC) is characterized by high mortality. Furthermore, the treatment involves significant burden to patients and high costs to healthcare systems. Recognizing the risks of early death in patients with a high probability of noncurable disease is important for each individual treatment decision-making. It is thus critical to consider the benefits and side-effects of the planned treatment in relation to the expected survival and to discuss these factors with the patient. However, only few studies have documented early death in HNC patients, that is, during the first posttreatment 6 months. We performed a systematic literature review to find the incidence of this phenomenon and to outline the probable cause.Recent findingsEarly mortality in patients with HNC can be explained either by direct effect of malignant disease, may be related to comorbidities, or secondary to the treatment. These factors act together resulting in expected or unexpected early death.SummaryThe present review provides information on the mechanisms leading to early phase mortality (<6 months) after management of HNC. It also reports the incidence of this phenomenon among Finnish and Swedish patient populations.
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- Petersson, Göran
(författare)
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Allergy practice and the otolaryngologist
- 1995
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Ingår i: Current Opinion in Otolaryngology & Head and Neck Surgery. - 1068-9508 .- 1531-6998. ; 3, s. 218-223
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 8. |
- Westin, Tomas, 1955, et al.
(författare)
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Tumour boards/multidisciplinary head and neck cancer meetings: are they of value to patients, treating staff or a political additional drain on healthcare resources?
- 2008
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Ingår i: Current opinion in otolaryngology & head and neck surgery. - 1531-6998. ; 16:2, s. 103-7
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE OF REVIEW: This article reviews the literature on the management of head and neck cancer using multidisciplinary team meetings as well as addressing the question of whether or not this organization is of benefit to the patients and treating staff and if it is cost efficient. RECENT FINDINGS: The multidisciplinary team has developed because of the complexity of clinical workup and treatment of head and neck cancer for which no single physician can claim to master all the training and skills necessary to treat the patients. The multidisciplinary team ensures that the professional efforts are coordinated and timely, thus ensuring the best results for patients. The multidisciplinary team usually involves a centralization of care with specialization, which benefits the outcome of treatment as well as enabling the development of clinical pathways to minimize complications, and improving on cost effectiveness. SUMMARY: The multidisciplinary team has become more and more an integral part of the clinical pathway for a patient with head and neck cancer in many European countries. This is cost effective and benefits patient outcomes.
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