Family Medicine Physician Understanding and Management of Head and Neck Cancer Survivorship Care: A National Assessment.
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| Title: | Family Medicine Physician Understanding and Management of Head and Neck Cancer Survivorship Care: A National Assessment. |
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| Authors: | Lin, Matthew E. (AUTHOR), Ayo-Ajibola, Oluwatobiloba O. (AUTHOR), Davis, Ryan J. (AUTHOR), Castellanos, Carlos X. (AUTHOR), West, Jonathan D. (AUTHOR), Kokot, Niels C. (AUTHOR) |
| Source: | Annals of Otology, Rhinology & Laryngology. Dec2025, Vol. 134 Issue 12, p879-888. 10p. |
| Subjects: | Suicide risk factors, Prevention of drug side effects, Prevention of surgical complications, Cardiovascular disease related mortality, Substance abuse prevention, Mortality risk factors, Mental depression risk factors, Medical protocols, Cancer survivors, Cross-sectional method, American Medical Association, Female reproductive organ diseases, Risk assessment, Scale analysis (Psychology), Self-evaluation, Head & neck cancer, Presumptions (Law), Medical care, Human sexuality, Thyroid diseases, Radiation injuries, Confidence, Descriptive statistics, Medical societies, Hospital medical staff, Professions, Longitudinal method, Discussion, Male reproductive organ diseases, Cancer chemotherapy, Sexual dysfunction, Lung tumors, Health behavior, Quality of life, Counseling, Medical screening, Data analysis software, Pituitary diseases, Otolaryngology, Health care teams |
| Geographic Terms: | United States, North America |
| Abstract: | Objectives: To understand United States family medicine physicians' and trainees' awareness, understanding, and confidence in following HNC survivorship guidelines. Methods: Cross-sectional survey regarding FM provider awareness of HNC survivorship guidelines. The survey was distributed to FM mailing lists and national forums. Descriptive statistics were used to characterize responses. Results: Eighty-six-physician cohort of majority attending physicians (86.1%) reporting an average of 20.0 years in practice working in non-rural (75.6%) outpatient community medical centers (41.9%). Respondents rarely cared for HNC survivors – 4.9% of patients per provider on average. They were largely unaware of the updated AHNS guidelines (8.1%). Physicians were least aware of the importance of discussing sexual intimacy/dysfunction (29%), considering pituitary dysfunction among patients with prior skull base radiation (29.1%), and evaluating for thyroid dysfunction (54.65%). Physicians were generally aware of cardiovascular disease's impact on mortality risk (64.0%) and higher prevalence of lung cancer (60.5%) among HNC patients but were less aware of their increased risk of depression (45.4%) and suicide (39.5%). On a 5-point Likert scale, physicians endorsed high confidence in counseling about substance use cessation (mean = 3.67), screening for thyroid dysfunction (mean = 3.65), and low confidence in managing long-term effects of chemotherapy (mean = 1.48), radiotherapy (mean = 1.48), and surgery (mean = 1.47). Physicians endorsed moderate overall confidence in managing HNC patients (mean = 2.38). Conclusions: FM physicians are critical to HNC survivorship care but have a variable understanding of HNC survivorship guidelines. Increasing FM physicians' awareness and understanding of survivorship care will help to continue improvement in HNC survivors' quality of care and life. [ABSTRACT FROM AUTHOR] |
| Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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