{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:40:25Z","timestamp":1792086025744,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,11,21]],"date-time":"2018-11-21T00:00:00Z","timestamp":1542758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Michel Keijzer Fund"},{"name":"Dutch Patients' Association for Laryngectomees"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to investigate unmet supportive care needs in patients treated with total laryngectomy and its associated factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study, 283 patients who underwent total laryngectomy completed questions on supportive care needs (Supportive Care Needs Survey [SCNS]). Median time since total laryngectomy surgery was 7 years (range 0\u201037 years). The prevalence of unmet supportive care needs and its associated factors were investigated using logistic regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Unmet supportive care needs were highest for the head and neck cancer\u2010specific functioning domain (53%), followed by the psychological (39%), physical and daily living (37%), health system, information, and patient support (35%), sexuality (23%), and lifestyle (5%) domains. Seventy\u2010one percent reported at least one low, moderate, or high unmet need. Female sex, living alone, and having a voice prosthesis were positively associated with unmet needs on 1 domain (<jats:italic>P<\/jats:italic> &lt; .05). A worse health\u2010related quality of life was associated with unmet needs on all domains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The majority of patients who underwent total laryngectomy report at least one low, moderate, or high unmet supportive care need.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25358","type":"journal-article","created":{"date-parts":[[2018,11,21]],"date-time":"2018-11-21T20:03:40Z","timestamp":1542830620000},"page":"2633-2641","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Unmet supportive care needs in patients treated with total laryngectomy and its associated factors"],"prefix":"10.1002","volume":"40","author":[{"given":"Femke","family":"Jansen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery, Cancer Center Amsterdam (CCA) VU University Medical Center  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone Elisabeth Jacoba","family":"Eerenstein","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery, Cancer Center Amsterdam (CCA) VU University Medical Center  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgit Ilja","family":"Lissenberg\u2010Witte","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics VU University Medical Center  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia Foekje","family":"van Uden\u2010Kraan","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Faculty Behavioural and Movement Sciences, Amsterdam Public Health Research Institute Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles Ren\u00e9","family":"Leemans","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery, Cancer Center Amsterdam (CCA) VU University Medical Center  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4507-4607","authenticated-orcid":false,"given":"Irma Maria","family":"Verdonck\u2010de Leeuw","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery, Cancer Center Amsterdam (CCA) VU University Medical Center  Amsterdam The Netherlands"},{"name":"Department of Clinical Psychology, Faculty Behavioural and Movement Sciences, Amsterdam Public Health Research Institute Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-12-150"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24411"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951513000771"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12370"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2514-7"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0b013e3181b14e94"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2009.06.002"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0b013e3181d0b5ef"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3126"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2015.11.007"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2012.12.005"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2009.01.001"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2016.12.019"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113002478"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-008-9189-5"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/jrr\/rru093"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20900"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000441251"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3307-y"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2008.01057.x"},{"key":"e_1_2_6_22_1","unstructured":"McElduffP BoyesAW ZuccaA GirgisA.Supportive Care Needs Survey: a guide to administration scoring and analysis Centre for Health Research and Psycho\u2010oncology. 2004.https:\/\/swscs.med.unsw.edu.au\/publication\/supportive-care-needs-survey-guide-administration-scoring-and-analysis. 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