A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients

The objective was to examine the social impacts of treatment and rehabilitation on patients with head and neck cancer (HNC). Following a comprehensive search of OVID (Embase, Medline, Pubmed, PsycINFO) and Web of Science, the Mixed Methods Appraisal Tool (MMAT) was used to assess the methodological...

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Main Authors: Rebecca T. Bernstein, Aphra Garner-Purkis, Jennifer E. Gallagher, Sasha Scambler
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Advances in Oral and Maxillofacial Surgery
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667147624000359
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author Rebecca T. Bernstein
Aphra Garner-Purkis
Jennifer E. Gallagher
Sasha Scambler
author_facet Rebecca T. Bernstein
Aphra Garner-Purkis
Jennifer E. Gallagher
Sasha Scambler
author_sort Rebecca T. Bernstein
collection DOAJ
description The objective was to examine the social impacts of treatment and rehabilitation on patients with head and neck cancer (HNC). Following a comprehensive search of OVID (Embase, Medline, Pubmed, PsycINFO) and Web of Science, the Mixed Methods Appraisal Tool (MMAT) was used to assess the methodological quality of all included studies. The findings were reported using Preferred Reporting Items of Systematic review and Meta-Analyses (PRISMA) checklist. From 14,661 papers identified, 46 were eligible for inclusion of which 25 were quantitative, 14 qualitative and 7 mixed methods. Most papers focussed on the theme of eating and swallowing impacts (n = 16), with the next most frequent group using general quality-of-life measures (n = 11). Methodological inadequacy concerned small sample sizes and relatively short follow-up times. Qualitative studies revealed a wide range of social impacts which affect patients relating to the cancer, therapeutic education, and the negative impact of treatment side effects over time. The literature suggests that HNC patients experience a range of social impacts linked to identity, relationships, activities undertaken, and cultural issues. This review concludes that more in-depth larger scale prospective research as well as qualitative research is urgently needed to ascertain how to optimize care for HNC patients.
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spelling doaj-art-7d921dba1dc34f7b9a499362d5228f972025-02-04T04:10:40ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762025-03-0117100513A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patientsRebecca T. Bernstein0Aphra Garner-Purkis1Jennifer E. Gallagher2Sasha Scambler3Corresponding author.; Faculty of Dentistry, Oral & Craniofacial Science, King’s College London, UKFaculty of Dentistry, Oral & Craniofacial Science, King’s College London, UKFaculty of Dentistry, Oral & Craniofacial Science, King’s College London, UKFaculty of Dentistry, Oral & Craniofacial Science, King’s College London, UKThe objective was to examine the social impacts of treatment and rehabilitation on patients with head and neck cancer (HNC). Following a comprehensive search of OVID (Embase, Medline, Pubmed, PsycINFO) and Web of Science, the Mixed Methods Appraisal Tool (MMAT) was used to assess the methodological quality of all included studies. The findings were reported using Preferred Reporting Items of Systematic review and Meta-Analyses (PRISMA) checklist. From 14,661 papers identified, 46 were eligible for inclusion of which 25 were quantitative, 14 qualitative and 7 mixed methods. Most papers focussed on the theme of eating and swallowing impacts (n = 16), with the next most frequent group using general quality-of-life measures (n = 11). Methodological inadequacy concerned small sample sizes and relatively short follow-up times. Qualitative studies revealed a wide range of social impacts which affect patients relating to the cancer, therapeutic education, and the negative impact of treatment side effects over time. The literature suggests that HNC patients experience a range of social impacts linked to identity, relationships, activities undertaken, and cultural issues. This review concludes that more in-depth larger scale prospective research as well as qualitative research is urgently needed to ascertain how to optimize care for HNC patients.http://www.sciencedirect.com/science/article/pii/S2667147624000359Head and neck cancerCancer of head and neckTreatmentRehabilitationHealth-related quality of life
spellingShingle Rebecca T. Bernstein
Aphra Garner-Purkis
Jennifer E. Gallagher
Sasha Scambler
A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
Advances in Oral and Maxillofacial Surgery
Head and neck cancer
Cancer of head and neck
Treatment
Rehabilitation
Health-related quality of life
title A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
title_full A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
title_fullStr A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
title_full_unstemmed A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
title_short A systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
title_sort systematic review of social impacts of treatment and rehabilitation of head and neck cancer patients
topic Head and neck cancer
Cancer of head and neck
Treatment
Rehabilitation
Health-related quality of life
url http://www.sciencedirect.com/science/article/pii/S2667147624000359
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