{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:22:36Z","timestamp":1793863356212,"version":"4.6.1"},"reference-count":48,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T00:00:00Z","timestamp":1750723200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To understand United States family medicine physicians\u2019 and trainees\u2019 awareness, understanding, and confidence in following HNC survivorship guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Cross-sectional survey regarding FM provider awareness of HNC survivorship guidelines. The survey was distributed to FM mailing lists and national forums. Descriptive statistics were used to characterize responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Eighty-six-physician cohort of majority attending physicians (86.1%) reporting an average of 20.0\u2009years in practice working in non-rural (75.6%) outpatient community medical centers (41.9%). Respondents rarely cared for HNC survivors \u2013 4.9% of patients per provider on average. They were largely unaware of the updated AHNS guidelines (8.1%). Physicians were least aware of the importance of discussing sexual intimacy\/dysfunction (29%), considering pituitary dysfunction among patients with prior skull base radiation (29.1%), and evaluating for thyroid dysfunction (54.65%). Physicians were generally aware of cardiovascular disease\u2019s impact on mortality risk (64.0%) and higher prevalence of lung cancer (60.5%) among HNC patients but were less aware of their increased risk of depression (45.4%) and suicide (39.5%). On a 5-point Likert scale, physicians endorsed high confidence in counseling about substance use cessation (mean\u2009=\u20093.67), screening for thyroid dysfunction (mean\u2009=\u20093.65), and low confidence in managing long-term effects of chemotherapy (mean\u2009=\u20091.48), radiotherapy (mean\u2009=\u20091.48), and surgery (mean\u2009=\u20091.47). Physicians endorsed moderate overall confidence in managing HNC patients (mean\u2009=\u20092.38).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>FM physicians are critical to HNC survivorship care but have a variable understanding of HNC survivorship guidelines. Increasing FM physicians\u2019 awareness and understanding of survivorship care will help to continue improvement in HNC survivors\u2019 quality of care and life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894251349413","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T05:48:47Z","timestamp":1750744127000},"page":"879-888","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Family Medicine Physician Understanding and Management of Head and Neck Cancer Survivorship Care: A National Assessment"],"prefix":"10.1177","volume":"134","author":[{"given":"Matthew E.","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4824-7160","authenticated-orcid":false,"given":"Oluwatobiloba O.","family":"Ayo-Ajibola","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California, Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Davis","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California, Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos X.","family":"Castellanos","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, David Geffen School of Medicine at University of California Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D.","family":"West","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology \u2013 Head &amp; Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels C.","family":"Kokot","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology \u2013 Head &amp; Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21708"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.36.4596"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2015.03.015"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.22015"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0912217"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)01550-6"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.702"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5985"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-020-05368-2"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(20000101)88:1<226::AID-CNCR30>3.0.CO;2-P"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.17064"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.6064\/2012\/432892"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31689"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.834068"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.31675"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2018.11.046"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813496373"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1185\/03007995.2012.746218"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.3747\/co.25.3892"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116000645"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1665-0"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/CEJ.0000000000000020"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-017-1250-3"},{"key":"e_1_3_3_25_2","unstructured":"Cancer of the Oral Cavity and Pharynx - Cancer Stat Facts. 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