Nurse-Led Consultation and Symptom Burden in Patients with Head and Neck Cancer: A Comparative Analysis of Routine Clinical Data.
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26 février 2022
- doi: 10.3390/cancers14051227
- issn: 2072-6694
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info:eu-repo/semantics/altIdentifier/doi/10.3390/cancers14051227
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info:eu-repo/semantics/altIdentifier/pmid/35267536
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info:eu-repo/semantics/altIdentifier/pissn/2072-6694
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_CAA0E94D9DB32
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Carcinoma Cancers Malignancy (Cancer) Malignant tumorsCiter ce document
X. Luta et al., « Nurse-Led Consultation and Symptom Burden in Patients with Head and Neck Cancer: A Comparative Analysis of Routine Clinical Data. », Serveur académique Lausannois, ID : 10.3390/cancers14051227
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Résumé
Head and neck cancer (HNC) patients experience distressing symptoms that can significantly impact their health-related quality of life (HRQoL). We analyzed the implementation of a nurse-led consultation (NLC) and explored potential associations with symptom burden in HNC patients. We retrospectively analyzed routinely collected data to describe the implementation of the nurse-led interventions and the evolution of the M.D. Anderson Symptom Inventory scores as patient-reported outcome measures (PROMs). Patients who received routine care (n = 72) were compared with patients in the NLC group (n = 62) at a radiation oncology unit between 2017 and 2019. PROMs were measured at T0 (between simulation and the first week of radiotherapy), T1 (week 3-4), and T2 (week 5-6). Screening for nutrition, smoking, oral cavity status, and capacity for swallowing/chewing, but not for pain, was applied in >80% of patients in the NLC group from T0 to T1. Education (16%) and care coordination (7%) were implemented to a lesser extent. Symptom burden increased over time with no significant differences between groups. The nurse-led consultation was not associated with symptom burden over time. A larger implementation study including a detailed process evaluation, larger sample size, and a focus on long-term effects is needed.