{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:45:47Z","timestamp":1789501547969,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T00:00:00Z","timestamp":1584403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Patients with head and neck cancer (HNC) face a unique set of unmet needs. A subset of these patients experience symptom control challenges related to their disease burden and treatments. A multidisciplinary approach involving palliative medicine is underutilized but crucial to identify and address these concerns. There is limited information on palliative integration with head and neck oncology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with planned data collection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic quaternary care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>We provide descriptive analyses of patients with HNC, including psychodiagnostic assessment and validated quality\u2010of\u2010life screening, from patients\u2019 first encounter at outpatient palliative medicine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>HNC (N = 80) contributed the greatest number of palliative referrals (25%) between 2010 and 2012. This cohort was 74% male and 79% Caucasian with a mean age of 53 years (95% CI, 51.1\u201054.9) and with stage IV disease of the oral cavity (28%) or oropharynx (31%). Sixty\u2010three percent of patients had no evidence of disease. Seventy\u2010five percent had a psychological history based on <jats:italic>DSM\u2010IV<\/jats:italic> criteria (<jats:italic>Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition<\/jats:italic>), and 70% had a history of substance use disorder. The most distressing quality\u2010of\u2010life concerns were pain, housing and financial problems, and xerostomia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with HNC who were referred to palliative medicine are burdened by multiple physical, psychological, substance use, and social challenges. We recommend comprehensive cancer\u2010specific screening, such as the James Supportive Care Screening, to triage patients to appropriate supportive care services. Palliative care is one of many services that these patients may need, and it should be utilized at any point of the disease trajectory rather than reserved for end\u2010of\u2010life care.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820912029","type":"journal-article","created":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T04:50:35Z","timestamp":1584420635000},"page":"356-363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Supportive Care Needs of Patients with Head and Neck Cancer Referred to Palliative Medicine"],"prefix":"10.1002","volume":"163","author":[{"given":"Chen","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen Y.","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head 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