AHNS Series--Do you know your guidelines? Guideline recommended follow-up and surveillance of head and neck cancer survivors.
In this first article of the "Do You Know Your Guidelines" series, we review National Comprehensive Cancer Network (NCCN) recommendations and underlying evidence for the follow-up and surveillance of head and neck cancer survivors. The goals of follow-up and surveillance care are (1) to maximize long-term oncologic outcomes of therapy with appropriate evaluation for recurrence, (2) to maximize functional and quality of life outcomes, and (3) minimizing unnecessary and harmful low-value care. Finding the right balance of testing and surveillance is a challenge for providers and patients. Herein, we review all NCCN recommendations for head and neck cancer survivors. We pay particular attention to an area of controversy: the use of ongoing surveillance imaging, in particular, PET/CT scans.
The Education Committee of American Head and Neck Society (AHNS) and Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Benjamin R
BR
Roman
The Education Committee of American Head and Neck Society (AHNS) and Division of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.
David
D
Goldenberg
The Education Committee of American Head and Neck Society (AHNS) and Department of Otolaryngology, New York University Langone Medical Center, New York, New York.
Babak
B
Givi
D004279:DNA, Viral / Q000302:isolation & purification; D003729:Dental Care; D003863:Depression / Q000175:diagnosis; D003952:Diagnostic Imaging; D055317:Evidence-Based Practice; D006258:Head and Neck Neoplasms; D006320:Hearing Tests; D004854:Herpesvirus 4, Human; D006801:Humans; D015596:Nutrition Assessment; D010808:Physical Examination; D011159:Population Surveillance / Q000379:methods*; D016540:Smoking Cessation; D012955:Societies, Medical; D013068:Speech Production Measurement; D017741:Survivors; D013972:Thyrotropin / Q000097:blood
D004279:DNA, Viral; D013972:Thyrotropin
National Comprehensive Cancer Network (NCCN); cancer survivorship; guidelines; head and neck cancer; multidisciplinary; surveillance