Palliative care needs of patients with head and neck cancer

Background Palliative care is an essential component in the treatment of patients with head and neck cancer (HNC). ENT physicians are required to recognize the need for palliative care in a timely manner and to provide the indication for this care. This study determines the need for palliative medical care and compares it with the actual care situation.

Methods The survey of HNC patients was conducted during regular follow-up care. 123 patients were included in the study. The patients were given a specially developed questionnaire to record the frequency and characteristics of any connection. The assessment of palliative care needs (PMVB) was carried out by the study physician using the "Surprise Question (SQ)" and a validated questionnaire.

Results The patient survey revealed that 6 patients (4.8%) were already connected (General palliative care: n=3; 2.4% / Specialized outpatient care: n=2; 1.6% / Specialized inpatient care: n=1; 0.8%). The screening tool revealed a PMVB in 13 patients (10.6%), but only one patient was already connected. The "SQ" was answered negatively by the physician in 4.1% of cases (n=5) ("I would not be surprised if the patient died"). Among them, the screening tool revealed a PMVB in 3 cases (60%). In the group with a positive "SQ", 9.9% (n=8) had a PMVB. In 37 patients, the "SQ" had not been determined, but the screening had been performed. Here, a PMVB was found in 5.4% (n=2).

Summary The study shows a recognizable gap between the identified need for palliative care and the actual involvement of patients with HNC.

Publication History

Article published online:
19 April 2024