{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T21:20:08Z","timestamp":1769635208811,"version":"3.49.0"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Understanding quality of life (QOL) after head and neck cancer (HNC) is crucial for service planning. This study explored survivorship experiences in New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study includes clinical records audit (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091277), cross\u2010sectional online survey (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009195), and semi\u2010structured interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922). Audit included all patients presenting to one tertiary cancer center (2012\u20132023). All 750 patients surviving &gt;\u200912 months past primary treatment were invited to complete a survey. All survey respondents were offered follow\u2010up interviews.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients (male: 72%, 51\u201370\u2009years: 45%; oral cavity 32%, oropharynx 21%) were often diagnosed at advanced stages (T3\u20104: 45%) requiring multimodal treatment (71%). Survey respondents reported persisting voice difficulties (25% elevated VHI\u201010) and depression (18% elevated HADS). Fear of negative evaluation was evident in younger survey respondents. Psychological support was the most desired long\u2010term service in surveys and interviews. Interviewees described a paucity of services post\u2010treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study describes challenges accessing long\u2010term support after HNC. Advocating for long\u2010term support may enhance survivorship experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70059","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T09:10:39Z","timestamp":1759396239000},"page":"514-527","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Quality of Life Outcomes After Head and Neck Cancer in New Zealand"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3260-5824","authenticated-orcid":false,"given":"Anna","family":"Miles","sequence":"first","affiliation":[{"name":"Speech Science The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Thompson\u2010Williams","sequence":"additional","affiliation":[{"name":"Speech\u2010Language Therapy, Te Whatu Ora Capital Coast &amp; Hutt Valley\/Speech Science The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ella","family":"Wilson","sequence":"additional","affiliation":[{"name":"Speech Science The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3302-7045","authenticated-orcid":false,"given":"Jacqui","family":"Allen","sequence":"additional","affiliation":[{"name":"Surgery The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415\u2010022\u20105166\u2010x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/10732748231152330"},{"key":"e_1_2_9_4_1","volume-title":"Revolutionary Auckland Cancer Drug Begins Clinical Trial","author":"Macann A.","year":"2022"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21343"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2023.102393"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26589"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2017.180"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.2725"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.92"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2019.02.020"},{"key":"e_1_2_9_12_1","volume-title":"From Cancer Patient to Cancer Survivor Lost in Transition","author":"Hewitt M. 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