Abstract
Background: Fear of recurrence (FoR) is the most frequent concern patients wish to discuss in head and neck review clinics.
Aim: To design a simple screening question on fear of recurrence to be incorporated into the University of Washington Quality of Life Questionnaire (UW-QOLv4), for use in clinical practice.
Methods: A cross-sectional survey comprising 528 patients.
Results: 11% selected the two most severe FoR categories. FoR responses correlated strongly (Spearman rs=-0.82) with the mean score of the 7 items of the Fear of Recurrence Questionnaire. There was also a strong association with anxiety and mood dysfunction as measured from the UW-QOL, and with overall QOL. Patients more affected by FoR tended to be younger and post radiotherapy or chemotherapy.
Conclusion: The FoR screening question should be bolted on to the UW-QOLv4 in order to help identify patients with significant FoR might benefit from further intervention.
Original language | English |
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Pages (from-to) | 1235-1242 |
Journal | European Archives of Oto-Rhino-Laryngology |
Volume | 273 |
Issue number | 5 |
Early online date | 7 Mar 2015 |
DOIs | |
Publication status | Published - May 2016 |
Keywords
- Fear of recurrence
- Patient reported outcomes
- Health related quality of life
- Head and neck cancer
- UW-QOL