A single item screening question for fear of recurrence in head and neck cancer
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Background: Fear of recurrence (FoR) is the most frequent concern patients wish to discuss in head and neck review clinics. Aim: To design a simple screening question on fear of recurrence to be incorporated into the University of Washington Quality of Life Questionnaire (UW-QOLv4), for use in clinical practice. Methods: A cross-sectional survey comprising 528 patients. Results: 11% selected the two most severe FoR categories. FoR responses correlated strongly (Spearman rs=-0.82) with the mean score of the 7 items of the Fear of Recurrence Questionnaire. There was also a strong association with anxiety and mood dysfunction as measured from the UW-QOL, and with overall QOL. Patients more affected by FoR tended to be younger and post radiotherapy or chemotherapy. Conclusion: The FoR screening question should be bolted on to the UW-QOLv4 in order to help identify patients with significant FoR might benefit from further intervention.
Rogers , S , Cross , B , Talwar , C , Lowe , D & Humphris , G M 2016 , ' A single item screening question for fear of recurrence in head and neck cancer ' European Archives of Oto-Rhino-Laryngology , vol 273 , no. 5 , pp. 1235-1242 . DOI: 10.1007/s00405-015-3585-x
European Archives of Oto-Rhino-Laryngology
Copyright Springer-Verlag Berlin Heidelberg 2015. The final publication is available at Springer via http://dx.doi.org/10.1007/s00405-015-3585-x
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