Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck Experts
SummaryThe algorithm of follow-up in patients with head and neck cancer (HNC) has been prepared by a board of Polish Head Neck and Oncology Experts. The aim of this research is to focus on the specificity of HNC monitoring, to review the current trends in follow-up, and to adapt the evidence-based m...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1298541/full |
| _version_ | 1827586501363367936 |
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| author | Małgorzata Wierzbicka Małgorzata Wierzbicka Małgorzata Wierzbicka Jarosław Markowski Wioletta Pietruszewska Paweł Burduk Bogusław Mikaszewski Marek Rogowski Krzysztof Składowski Piotr Milecki Jacek Fijuth Dariusz Jurkiewicz Kazimierz Niemczyk Adam Maciejczyk |
| author_facet | Małgorzata Wierzbicka Małgorzata Wierzbicka Małgorzata Wierzbicka Jarosław Markowski Wioletta Pietruszewska Paweł Burduk Bogusław Mikaszewski Marek Rogowski Krzysztof Składowski Piotr Milecki Jacek Fijuth Dariusz Jurkiewicz Kazimierz Niemczyk Adam Maciejczyk |
| author_sort | Małgorzata Wierzbicka |
| collection | DOAJ |
| description | SummaryThe algorithm of follow-up in patients with head and neck cancer (HNC) has been prepared by a board of Polish Head Neck and Oncology Experts. The aim of this research is to focus on the specificity of HNC monitoring, to review the current trends in follow-up, and to adapt the evidence-based medicine international standards to the capabilities of the local healthcare service.Materials and methodsThe first methodological step was to categorize HNCs according to the estimated risk of failure after the adequate first-line treatment and according to the possibility of effective salvage treatment, resulting in improved overall survival. The final method used in this work was to prepare an authors’ original monitoring algorithm for HNC groups with a high, moderate, and low risk of recurrence in combination with a high or low probability of using an effective salvage.ResultsFour categories were established: Ia. low risk of recurrence + effective organ preservation feasible; Ib. low risk of recurrence + effective salvage feasible; II. moderate risk of recurrence + effective salvage feasible; III. high risk of recurrence + effective salvage feasible; and IV. high risk of recurrence + no effective salvage feasible. Follow-up visit consisting of 1. ENT examination + neck ultrasound, 2. imaging HN tests, 3. chest imaging, 4. blood tests, and 5. rehabilitation (speech and swallowing) was scheduled with a very different frequency, at the proposed monthly intervals, tailored to the needs of the group. The number of visits for individual groups varies from 1 to 8 in the first 2 years and from 1 to 17 in the entire 5-year monitoring period. Group IV has not been included in regular follow-up, visits on own initiative of the patient if symptomatic, or supportive care needs, having in mind that third-line therapy and immune checkpoint inhibitors are available.ConclusionUniversal monitoring algorithm for HNC four groups with a high, moderate, and low risk of recurrence after the adequate treatment in combination with a high or low probability of using an effective salvage is an innovative approach to redeploying system resources and ensuring maximum benefit for patients with HNC. |
| first_indexed | 2024-03-09T00:03:31Z |
| format | Article |
| id | doaj.art-f15499074b1a449cbab3b1a1d48f5230 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-03-09T00:03:31Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-f15499074b1a449cbab3b1a1d48f52302023-12-12T15:48:44ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-12-011310.3389/fonc.2023.12985411298541Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck ExpertsMałgorzata Wierzbicka0Małgorzata Wierzbicka1Małgorzata Wierzbicka2Jarosław Markowski3Wioletta Pietruszewska4Paweł Burduk5Bogusław Mikaszewski6Marek Rogowski7Krzysztof Składowski8Piotr Milecki9Jacek Fijuth10Dariusz Jurkiewicz11Kazimierz Niemczyk12Adam Maciejczyk13Department of Otolaryngology, Regional Specialist Hospital Wroclaw, Research & Development Centre, Wroclaw, PolandFaculty of Medicine, Wroclaw University of Science and Technology, Wroclaw, PolandInstitute of Human Genetics, Polish Academy of Sciences, Poznan, PolandDepartment of Laryngology, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Otolaryngology Head Neck Oncology, Medical University of Lodz, Lodz, PolandDepartment of Otolaryngology Phoniatrics and Audiology, Nicolaus Copernicus University in Toruń, Bydgoszcz, PolandDepartment of Otolaryngology, Faculty of Medicine, Medical University of Gdansk, Gdansk, PolandDepartment of Otolaryngology, Medical University of Bialystok, Bialystok, PolandRadiation and Clinical Oncology Department, Maria Skłodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland0Department of Radiotherapy I, The Greater Poland Cancer Centre, Poznan, Poland1Department of Radiation Therapy, Oncology Chair, Medical University of Lodz, Lodz, Poland2Department of Otolaryngology and Laryngological Oncology with Clinical Department of Cranio-Maxillofacial Surgery, Military Institute of Medicine - National Research Institute, Warsaw, Poland3Department of Otorhinolaryngology Head and Neck Surgery, Medical University of Warsaw, Warsaw, Poland4Department of Oncology, Wroclaw Medical University, Wroclaw, PolandSummaryThe algorithm of follow-up in patients with head and neck cancer (HNC) has been prepared by a board of Polish Head Neck and Oncology Experts. The aim of this research is to focus on the specificity of HNC monitoring, to review the current trends in follow-up, and to adapt the evidence-based medicine international standards to the capabilities of the local healthcare service.Materials and methodsThe first methodological step was to categorize HNCs according to the estimated risk of failure after the adequate first-line treatment and according to the possibility of effective salvage treatment, resulting in improved overall survival. The final method used in this work was to prepare an authors’ original monitoring algorithm for HNC groups with a high, moderate, and low risk of recurrence in combination with a high or low probability of using an effective salvage.ResultsFour categories were established: Ia. low risk of recurrence + effective organ preservation feasible; Ib. low risk of recurrence + effective salvage feasible; II. moderate risk of recurrence + effective salvage feasible; III. high risk of recurrence + effective salvage feasible; and IV. high risk of recurrence + no effective salvage feasible. Follow-up visit consisting of 1. ENT examination + neck ultrasound, 2. imaging HN tests, 3. chest imaging, 4. blood tests, and 5. rehabilitation (speech and swallowing) was scheduled with a very different frequency, at the proposed monthly intervals, tailored to the needs of the group. The number of visits for individual groups varies from 1 to 8 in the first 2 years and from 1 to 17 in the entire 5-year monitoring period. Group IV has not been included in regular follow-up, visits on own initiative of the patient if symptomatic, or supportive care needs, having in mind that third-line therapy and immune checkpoint inhibitors are available.ConclusionUniversal monitoring algorithm for HNC four groups with a high, moderate, and low risk of recurrence after the adequate treatment in combination with a high or low probability of using an effective salvage is an innovative approach to redeploying system resources and ensuring maximum benefit for patients with HNC.https://www.frontiersin.org/articles/10.3389/fonc.2023.1298541/fullalgorithmhead and neck cancerfollow-upsalvagerisk of failureprimary location |
| spellingShingle | Małgorzata Wierzbicka Małgorzata Wierzbicka Małgorzata Wierzbicka Jarosław Markowski Wioletta Pietruszewska Paweł Burduk Bogusław Mikaszewski Marek Rogowski Krzysztof Składowski Piotr Milecki Jacek Fijuth Dariusz Jurkiewicz Kazimierz Niemczyk Adam Maciejczyk Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck Experts Frontiers in Oncology algorithm head and neck cancer follow-up salvage risk of failure primary location |
| title | Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck Experts |
| title_full | Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck Experts |
| title_fullStr | Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck Experts |
| title_full_unstemmed | Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck Experts |
| title_short | Algorithms of follow-up in patients with head and neck cancer in relation to primary location and advancement. Consensus of Polish ENT Society Board and Head Neck Experts |
| title_sort | algorithms of follow up in patients with head and neck cancer in relation to primary location and advancement consensus of polish ent society board and head neck experts |
| topic | algorithm head and neck cancer follow-up salvage risk of failure primary location |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1298541/full |
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