title: American Cancer Society Head and Neck Cancer Survivorship Care Guideline.
abstract: Answer questions and earn CME/CNE The American Cancer Society Head and Neck Cancer Survivorship Care Guideline was developed to assist primary care clinicians and other health practitioners with the care of head and neck cancer survivors, including monitoring for recurrence, screening for second primary cancers, assessment and management of long-term and late effects, health promotion, and care coordination. A systematic review of the literature was conducted using PubMed through April 2015, and a multidisciplinary expert workgroup with expertise in primary care, dentistry, surgical oncology, medical oncology, radiation oncology, clinical psychology, speech-language pathology, physical medicine and rehabilitation, the patient perspective, and nursing was assembled. While the guideline is based on a systematic review of the current literature, most evidence is not sufficient to warrant a strong recommendation. Therefore, recommendations should be viewed as consensus-based management strategies for assisting patients with physical and psychosocial effects of head and neck cancer and its treatment. CA Cancer J Clin 2016;66:203-239. © 2016 American Cancer Society.
authors.affiliation: Medical Oncologist, Moores Cancer Center, University of California at San Diego, La Jolla, CA.
authors.forename: Ezra E W
authors.initials: EE
authors.lastname: Cohen
authors.affiliation: Retired Head and Neck Surgeon, Former Associate Professor of Otolaryngology and Head and Neck Surgery, Louisiana State University Health and Science Center, New Orleans, LA.
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: LaMonte
authors.affiliation: Program Manager, National Cancer Survivorship Resource Center, American Cancer Society, Atlanta, GA.
authors.forename: Nicole L
authors.initials: NL
authors.lastname: Erb
authors.affiliation: Research Analyst-Survivorship, American Cancer Society, Atlanta, GA.
authors.forename: Kerry L
authors.initials: KL
authors.lastname: Beckman
authors.affiliation: Professor of Surgery, Division of Otolaryngology-Head and Neck Cancer Surgery, and Director of Head and Neck Surgical Oncology, George Washington University, Washington, DC.
authors.forename: Nader
authors.initials: N
authors.lastname: Sadeghi
authors.affiliation: Associate Professor, Department of Head and Neck Surgery, Section of Speech Pathology and Audiology, The University of Texas MD Anderson Cancer Center, Houston, TX.
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Hutcheson
authors.affiliation: Medical Director for Cancer Rehabilitation, Kessler Institute for Rehabilitation, West Orange, NJ.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Stubblefield
authors.affiliation: Chief Executive Officer, Dental Oncology Professionals, Garland, TX.
authors.forename: Dennis M
authors.initials: DM
authors.lastname: Abbott
authors.affiliation: Clinical Instructor of Otolaryngology and Nurse, Miller School of Medicine, Department of Otolaryngology, Division of Head and Neck Surgery, University of Miami, Miami, FL.
authors.forename: Penelope S
authors.initials: PS
authors.lastname: Fisher
authors.affiliation: Vice President, Behavioral Research, and Director, Behavioral Research Center, American Cancer Society, Atlanta, GA.
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Stein
authors.affiliation: Co-Director, Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Research Center, and Professor of Medicine, University of Washington School of Medicine, Seattle, WA.
authors.forename: Gary H
authors.initials: GH
authors.lastname: Lyman
authors.affiliation: Director, The George Washington University Cancer Institute, Washington, DC.
authors.forename: Mandi L
authors.initials: ML
authors.lastname: Pratt-Chapman
mesh_terms: D020436:Accessory Nerve Diseases / Q000175:diagnosis / Q000628:therapy; D000359:Aftercare; D000570:American Cancer Society; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D002062:Bursitis / Q000175:diagnosis / Q000628:therapy; D003680:Deglutition Disorders / Q000175:diagnosis / Q000628:therapy; D003729:Dental Care; D003731:Dental Caries / Q000175:diagnosis / Q000628:therapy; D003863:Depression / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D019468:Disease Management; D004421:Dystonia / Q000175:diagnosis / Q000628:therapy; D005221:Fatigue / Q000175:diagnosis / Q000628:therapy; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000628:therapy; D006258:Head and Neck Neoplasms / Q000523:psychology / Q000628:therapy*; D006293:Health Promotion; D006801:Humans; D007037:Hypothyroidism / Q000175:diagnosis / Q000628:therapy; D008209:Lymphedema / Q000175:diagnosis / Q000628:therapy; D009334:Neck Muscles; D010020:Osteonecrosis / Q000175:diagnosis / Q000628:therapy; D010518:Periodontitis / Q000175:diagnosis / Q000628:therapy; D010523:Peripheral Nervous System Diseases / Q000175:diagnosis / Q000628:therapy; D053120:Respiratory Aspiration / Q000175:diagnosis / Q000628:therapy; D012891:Sleep Apnea Syndromes / Q000175:diagnosis / Q000628:therapy; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000628:therapy; D013315:Stress, Psychological / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D017741:Survivors; D013651:Taste Disorders / Q000175:diagnosis / Q000628:therapy; D014313:Trismus / Q000175:diagnosis / Q000628:therapy; D020338:Vestibular Neuronitis / Q000175:diagnosis / Q000628:therapy; D014832:Voice Disorders / Q000175:diagnosis / Q000628:therapy; D014987:Xerostomia / Q000175:diagnosis / Q000628:therapy
keywords: care coordination; clinical follow-up care; guidelines; head and neck cancer; late effects; long-term effects; primary care; quality of life; survivorship; survivorship care plan