title: The "HPV Discussion": Effective Use of Data to Deliver Recommendations to Patients Impacted by HPV.
abstract: OBJECTIVE
  The dramatic rise in oropharyngeal squamous cell carcinoma associated with the human papilloma virus (HPV) has brought significant change to the interaction between patients and head and neck oncologists. HPV-induced cancers are generally the result of elements from the patient's sexual history, and otolaryngologists are generally less experienced than primary care physicians in addressing patient questions relating to sexual history and practices. This article addresses questions commonly posed by patients relating to HPV-induced head and neck cancers, issues related to HPV vaccination, and surveillance of HPV-related lesions. Supporting data are provided such that physicians may be better equipped to sufficiently address patient queries on this topic.
  
  
  METHODS
  Available peer-reviewed literature and clinical practice guidelines.
  
  
  METHODS
  Assessment and discussion of specific topics by authors selected from the Head and Neck Surgery Education Committee of the American Academy of Otolaryngology-Head and Neck Surgery Foundation.
  
  
  RESULTS
  An educational "miniseminar" resulted in a notable increase in attendee knowledge and comfort regarding oropharyngeal squamous cell carcinoma counseling for patients in the setting of HPV-positive disease.
  
  
  CONCLUSIONS
  The dramatic increase in HPV-associated head and neck cancers has resulted in a changed paradigm of the physician-patient interaction. Care providers in today's environment must be prepared to counsel patients regarding sexually transmitted diseases and high-risk sexual behaviors. Examination of the existing data provides the foundation with which to construct a framework in which physicians can effectively communicate information and recommendations as they pertain to HPV-related carcinoma.
authors.affiliation: Department Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA khari001@umn.edu.
authors.forename: Samir S
authors.initials: SS
authors.lastname: Khariwala
authors.affiliation: Department Otolaryngology-Head and Neck Surgery, Indiana University, Indianapolis, Indiana, USA.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Moore
authors.affiliation: Department Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Malloy
authors.affiliation: Department Otolaryngology-Head and Neck Surgery, Dartmouth Medical Center, Manchester, New Hampshire, USA.
authors.forename: Benoit
authors.initials: B
authors.lastname: Gosselin
authors.affiliation: Department Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, New York, USA.
authors.forename: Richard V
authors.initials: RV
authors.lastname: Smith
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000209:etiology*; D006801:Humans; D009959:Oropharyngeal Neoplasms / Q000209:etiology*; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000150:complications* / Q000517:prevention & control / Q000628:therapy / Q000635:transmission; D053918:Papillomavirus Vaccines; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D014611:Vaccination
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV; head and neck cancer; human papilloma virus; oropharyngeal cancer; patient counseling