{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:23:41Z","timestamp":1787696621106,"version":"build-2784847793"},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T00:00:00Z","timestamp":1582934400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study reports long\u2010term head and neck cancer (HNC) patient\u2010reported symptoms using the MD Anderson Symptom Inventory Head and Neck Cancer Module (MDASI\u2010HN) in a large cohort of HNC survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>MDASI\u2010HN results were prospectively collected from an institutional survivorship database. Associations with clinicopathologic data were analyzed using <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>, Mann\u2010Whitney, and univariate regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine hundred and twenty\u2010eight patients were included. Forty\u2010six percent had oropharyngeal primary tumors. Eighty\u2010two percent had squamous cell carcinoma. Fifty\u2010six percent of patients had ablative surgery and 81% had radiation therapy as a component of treatment. The most severe symptoms were xerostomia and dysphagia. Symptom scores were worst for hypopharynx and varied by subsite. Patients treated with chemoradiation or surgery followed by radiation\u2009\u00b1\u2009chemotherapy reported the worst symptoms while patient treated with surgery plus radiation\u2009\u00b1\u2009chemotherapy reported the worst interference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>HNC survivors describe their long\u2010term symptom burden and inform efforts to improve care many years into survivorship.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26119","type":"journal-article","created":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T12:09:27Z","timestamp":1582978167000},"page":"1919-1927","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Assessing patient\u2010reported symptom burden of long\u2010term head and neck cancer survivors at annual surveillance in survivorship clinic"],"prefix":"10.1002","volume":"42","author":[{"given":"Thomas 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