title: [Introduction of the Screening Tool OncoFunction for Functional Follow-up of Head and Neck Patients].
abstract: BACKGROUND
  The follow-up for head and neck cancer (HNC) focussed on therapy control. Accessory long term functionality is important. Impairment of function is observed, but a comparable documentation is not established. Additional we frequently see psychooncological comorbidities, what complicates the assessment. This was the reason why Tschiesner et al. developed on the base of the "ICF Core set for head and neck cancer" a guideline for the Assessment of Function in HNC. In consequence of good results in other tumour entities we developed an electronic version (OncoFunction).
  
  
  METHODS
  In a proof of concept study all patients of our follow up consultation from 07/13 to 03/14 were included. OncoFunction was given to patients in a digital form using tablet computers. The results were visible to the physician in a concentrated form before consultation and were supplemented by a physician questionnaire. Furthermore we evaluated the usability in 202 patients.
  
  
  RESULTS
  We had 682 patient contacts. 530 patient contacts (77, 7%) used the questionnaire. The physician questionnaire was answered in 470 times. Finally there are from 69.8% of the patient contacts full datasets available. Between users and non-users of the questionnaire we see no difference.
  
  
  CONCLUSIONS
  The use of a computer-based screening and feedback system (OncoFunction) in clinical use is feasible and excellent assessed by patients. The patient data are visible in a compact form for the physician and problems can clear addressed to the patient. One more benefit is the standardized follow up documentation and the use of comparable data in research.
authors.affiliation: Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde, Universitätsklinikum Leipzig AöR, Leipzig.
authors.forename: V
authors.initials: V
authors.lastname: Zebralla
authors.affiliation: Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Leipzig, Leipzig.
authors.forename: N
authors.initials: N
authors.lastname: Pohle
authors.affiliation: Institute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Centre Mainz, Mainz.
authors.forename: S
authors.initials: S
authors.lastname: Singer
authors.affiliation: Scientific Director, BMBF-Innovation Center Computer Assisted Surgery ICCAS, Leipzig.
authors.forename: T
authors.initials: T
authors.lastname: Neumuth
authors.affiliation: Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Plastische Operationen, Universität Leipzig, Leipzig.
authors.forename: A
authors.initials: A
authors.lastname: Dietz
authors.affiliation: Lehrstuhl für Public Health und Versorgungsforschung - IBE, Ludwig-Maximilians-Universität, München.
authors.forename: M
authors.initials: M
authors.lastname: Stier-Jarmer
authors.affiliation: Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Leipzig, Leipzig.
authors.forename: A
authors.initials: A
authors.lastname: Boehm
mesh_terms: D000328:Adult; D000359:Aftercare / Q000458:organization & administration*; D000368:Aged; D004185:Disability Evaluation; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D008501:Medical Records, Problem-Oriented; D008875:Middle Aged; D009367:Neoplasm Staging; D010039:Otorhinolaryngologic Neoplasms / Q000473:pathology / Q000628:therapy*; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000175:diagnosis*; D011788:Quality of Life; D012984:Software; D011795:Surveys and Questionnaires; D009626:Terminology as Topic