{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T01:13:18Z","timestamp":1752282798550,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T00:00:00Z","timestamp":1556755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The current exploratory cross\u2010sectional study was designed to examine and characterize survivorship issues among patients treated with radiation for head and neck cancer with regard to dental health, shoulder\u2010neck dysfunction, and overall quality of life (QOL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients (N\u2009=\u200958) being seen for follow\u2010up at a radiation oncology clinic at least 1\u2009year beyond the end of treatment completed three survey questionnaires regarding general QOL as well as dental health issues and shoulder\u2010neck dysfunction. The questionnaires were scored and univariate analyses were performed using the variables of age, radiation dosage, definitive radiation\u2009+\u2009neck dissection versus definitive surgery\u2009+\u2009postoperative radiation, and chemotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median follow\u2010up was 2.5\u2009years. Of 58 patients, 35% reported having more problems with their general dental health as compared to before treatment and 38% reported having pain at night in the neck\/shoulder after treatment. With regard to pretreatment counseling, 79% of patients reported being counseled about their dental health prior to treatment, while 31% reported being counseled about possible shoulder\u2010neck dysfunction. Patients younger than 65, patients receiving higher doses of radiation, and patients undergoing definitive surgery\u2009+\u2009postoperative radiation reported more functional and symptomatic issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients treated with radiation for head and neck cancer face a number of survivorship issues, including problems with dental health and shoulder\u2010neck dysfunction, and are not necessarily thoroughly counseled about these issues prior to treatment. Patients younger than 65, patients receiving higher doses of radiation, and patients undergoing definitive surgery\u2009+\u2009postoperative radiation may experience more survivorship issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.262","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T14:19:48Z","timestamp":1556806788000},"page":"300-306","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Patient\u2010reported outcomes for dental health, shoulder\u2010neck dysfunction, and overall quality of life after treatment with radiation for head and neck cancer"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7301-1817","authenticated-orcid":false,"given":"Neha","family":"Verma","sequence":"first","affiliation":[{"name":"University of North Carolina School of Medicine  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianming","family":"Tan","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Knowles","sequence":"additional","affiliation":[{"name":"University of North Carolina Department of Radiation Oncology  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Bernard","sequence":"additional","affiliation":[{"name":"University of North Carolina Department of Hematology\/Oncology  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhishamjit","family":"Chera","sequence":"additional","affiliation":[{"name":"University of North Carolina Department of Radiation Oncology  Chapel Hill North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2009-0289"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.61.4115"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-009-0615-5"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2006.07.005"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/0975-5950.154812"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2016.10.026"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-015-1470-8"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3809-0"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00066-002-0902-2"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3808-1"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(98)00224-7"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/85.5.365"},{"volume-title":"The EORTC QLQ\u2010C30 Scoring Manual","year":"2001","author":"Fayers PM","key":"e_1_2_6_14_1"},{"key":"e_1_2_6_15_1","unstructured":"National Comprehensive Cancer Network (NCCN).National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology: Head and Neck Cancers. 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