title: The psychological impact of annual chest X-ray follow-up in head and neck cancer.
abstract: CONCLUSIONS
  Annual post-treatment screening of head and neck squamous cell carcinoma (HNSCC) patients for second primary lung cancer and metastatic recurrence appeared to form no major burden for head and neck cancer patients. A majority of patients regard the annual chest X-ray as a reassurance. Given these results a more intensive screening program seems psychologically justifiable for this group.
  
  
  OBJECTIVE
  To assess the psychological impact of annual post-treatment screening for second primary lung cancer and metastases in HNSCC patients.
  
  
  METHODS
  In a cohort of 106 patients, 68 men and 38 women, with a mean age of 56, the impact of the yearly chest radiograph was evaluated by means of a nine-item questionnaire.
  
  
  RESULTS
  In all, 90% of the patients were in favor of annual post-treatment screening, 2% would not like to receive this screening, and 8% had no preference. A majority (98%) considered the screening as an extra medical check and 76% felt reassured. Although 21% of the patients were very nervous about the outcome of the screening, only 3% wanted to avoid the yearly chest X-ray for this reason.
authors.affiliation: Department of Head and Neck Oncology and Surgery, The Nethelands Cance Institute / Antoine van Leuwenhoek Hospital, Amsterdam, The Netherlands.
authors.forename: T W
authors.initials: TW
authors.lastname: Geurts
authors.forename: A H
authors.initials: AH
authors.lastname: Ackerstaff
authors.forename: N
authors.initials: N
authors.lastname: Van Zandwijk
authors.forename: A A M
authors.initials: AA
authors.lastname: Hart
authors.forename: F J M
authors.initials: FJ
authors.lastname: Hilgers
authors.forename: A J M
authors.initials: AJ
authors.lastname: Balm
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology; D002294:Carcinoma, Squamous Cell / Q000523:psychology* / Q000556:secondary*; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000523:psychology*; D006801:Humans; D008175:Lung Neoplasms / Q000523:psychology* / Q000556:secondary*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D013902:Radiography, Thoracic / Q000523:psychology*; D013315:Stress, Psychological / Q000209:etiology*