title: French Society of ENT (SFORL) guidelines for care pathway organization in head and neck oncology (short version). Early management of head and neck cancer.
abstract: Early management in oncology is based on coordination and high-quality exchange between the various health-care partners. The present guidelines are based on a literature search with levels of evidence. Treatment waiting time can be optimized by performing assessment as early as possible (Expert opinion), to limit the interval (ideally, less than 4 weeks) between first consultation and data collection. In the first specialist consultation, diagnostic work-up should be scheduled and the data required for management should be determined (Grade B). Work-up may be conducted on a day-care basis or with conventional admission (Expert opinion). The patient's medico-social context should be taken into account from the outset, with social work involvement whenever necessary (Expert opinion). Pain and nutritional management should be planned for (Grade A) and realistic therapeutic education be provided (Expert opinion). Community-hospital teamwork for supportive care should be optimized (Expert opinion). Management should be early and multidisciplinary, to shorten delay between diagnosis and treatment initiation.
authors.affiliation: Inserm U1086 cancers et prévention, service d'ORL et chirurgie cervico-faciale, CHU, avenue de la Côte-de-Nacre, 14000 Caen, France. Electronic address: flocuny@aol.com.
authors.forename: F
authors.initials: F
authors.lastname: Cuny
authors.affiliation: Inserm U1086 cancers et prévention, service d'ORL et chirurgie cervico-faciale, CHU, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: E
authors.initials: E
authors.lastname: Babin
authors.affiliation: Service d'ORL, hôpital Tenon, 4, rue de la Chine, 75018 Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Lacau-Saint-Guily
authors.affiliation: Service d'ORL, hôpital Tenon, 4, rue de la Chine, 75018 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Baujat
authors.affiliation: Service de radiothérapie, centre Antoine-Lacassagne, 33, avenue Valombrose, 06100 Nice, France.
authors.forename: R
authors.initials: R
authors.lastname: Bensadoun
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, centre Antoine-Lacassagne, 33, avenue Valombrose, 06100 Nice, France.
authors.forename: A
authors.initials: A
authors.lastname: Bozec
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, hôpital Claude-Huriez, CHRU, rue Michel Polonovski, 59037 Lille cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Chevalier
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, hôpital Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France.
authors.forename: O
authors.initials: O
authors.lastname: Choussy
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, CRLCC centre Léon-Bérard, 28, promenade Léa-et-Napoléon-Bullukian, 69008 Lyon, France.
authors.forename: S
authors.initials: S
authors.lastname: Deneuve
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, hôpital de la Conception, CHU, 147, boulevard Baille, 13005 Marseille, France.
authors.forename: N
authors.initials: N
authors.lastname: Fakhry
authors.affiliation: Unité de cancérologie médicale en cancérologie cervico-faciale, centre Antoine-Lacassagne, 33, avenue Valombrose, 06100 Nice, France.
authors.forename: J
authors.initials: J
authors.lastname: Guigay
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, hopital Robert-Debré, CHU, avenue du Général-Koenig, 51100 Reims, France.
authors.forename: M
authors.initials: M
authors.lastname: Makeieff
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, hopital Robert-Debré, CHU, avenue du Général-Koenig, 51100 Reims, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Merol
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, hôpital Claude-Huriez, CHRU, rue Michel Polonovski, 59037 Lille cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Mouawad
authors.affiliation: Service d'oncologie médicale, CHU de Grenoble, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France.
authors.forename: J
authors.initials: J
authors.lastname: Pavillet
authors.affiliation: Service social, CHU, avenue de la Côte-de-Nacre, 14000 Caen, France.
authors.forename: C
authors.initials: C
authors.lastname: Rebiere
authors.affiliation: Clinique universitaire d'ORL, pôle TCCR, CHU de Grenoble Site Nord, Pavillon Dauphiné, 38043 Grenoble cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Righini
authors.affiliation: Service social, hôpital Tenon, 4, rue de la Chine, 75018 Paris, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Sostras
authors.affiliation: Service social, CLCC François-Baclesse, avenue du Général-Harris, 14000 Caen, France.
authors.forename: M
authors.initials: M
authors.lastname: Tournaille
authors.affiliation: Service d'ORL et chirurgie cervico-faciale, pôle voies respiratoires, hôpital Larrey, 24, chemin de Pouvourville, 31400 Toulouse, France.
authors.forename: S
authors.initials: S
authors.lastname: Vergez
mesh_terms: D019091:Critical Pathways; D005602:France; D006258:Head and Neck Neoplasms / Q000628:therapy*; D006801:Humans; D059408:Pain Management; D010348:Patient Care Team; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D012017:Referral and Consultation; D061665:Time-to-Treatment
keywords: Head and neck cancer; Imaging; Recurrence; Screening; Second location