{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T16:16:28Z","timestamp":1773332188631,"version":"3.50.1"},"reference-count":28,"publisher":"Index Copernicus","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol Pol"],"published-print":{"date-parts":[[2025,3,14]]},"abstract":"<jats:p>&lt;b&gt;Introduction:&lt;\/b&gt;  The  Ready  for  Safe  Cancer  Treatment  (RESET)  tool  is  a  structured,  multimodal  program  designed  to  optimize  hospitalization  and  enhance  the  quality  of  perioperative  care  for  oncological  patients.  While  RESET  has  been  developed  as  a  general  framework  for  surgical  oncology,  its  adaptation  to  Head  and  Neck  Cancer  (HNC)  patients  remains  unexplored  despite  their  unique  physiological  and  psychological  needs.  HNC  patients  frequently  face  severe  functional  impairments  affecting  speech,  swallowing,  and  respiration,  as  well  as  heightened  nutritional deficiencies, sarcopenia, and psychological distress. This study explores the feasibility of tailoring the RESET tool to meet the specialized requirements of HNC patients. &lt;br&gt;&lt;br&gt;&lt;b&gt;Aim:&lt;\/b&gt;  The  aim  of  this  study  is  to  assess  the  feasibility  of  adapting  the  RESET  to  the  specific  needs  of  HNC  patients.  The  research  focuses  on  identifying  key  areas requiring  modification  to  optimize  perioperative  care,  including  prehabilitation, nutritional support, functional rehabilitation, and psychological care. Epidemiological analysis,  patient  needs  assessment,  and  a  review  of  the  core  RESET  modules  will  help  determine  effective  strategies  for  improving  treatment  quality  and  recovery outcomes in this patient group. The ultimate goal is to develop a more personalized, evidence-based approach that could be implemented in oncology centers to enhance treatment outcomes for HNC patients. &lt;br&gt;&lt;br&gt;&lt;b&gt;Methods:&lt;\/b&gt; RESET  is  structured  into  four  modules:  pre-admission  prehabilitation,  advanced   communication   and   need   assessment   upon   admission,   intra-hospital   recovery   optimization,   and   transitional   care   planning   at   discharge.   This   study   includes a cross-sectional epidemiological assessment of HNC patient representation at  two  oncological  centers  in  Poland,  an  analysis  of  prehabilitation  requirements,  a  comparative  evaluation  of  core  RESET  modules,  and  a  gap  analysis  identifying  necessary     protocol     enhancements.     The     proposed     methodological     approach     integrates both quantitative and qualitative assessments to ensure a comprehensive evaluation of RESET\u2019s adaptation to HNC patients. &lt;br&gt;&lt;br&gt;&lt;b&gt;Results:&lt;\/b&gt;  Data  from  2023\u20132024  indicate  that  HNC  patients  constitute  11\u201325%  of  the   total   oncological   population   at   the   studied   centers,   demonstrating   distinct demographic   characteristics   such   as   younger   age   distribution   and   extended   hospitalization   periods.   Prehabilitation   needs  analysis  underscores  the  importance  of  structured  nutritional  support,  targeted  muscle  preservation  strategies,  and  psychological interventions, including cognitive behavioral therapy. Additionally, core RESET module evaluations highlight the  necessity  of  enhanced  post-discharge  transitional  care,  particularly  for  patients  requiring  tracheostomy  or  prolonged  enteral nutrition support. The gap analysis identifies critical areas requiring reinforcement, such as comprehensive sarcopenia screening, specialized dysphagia management protocols, and a multidisciplinary approach to psychosocial rehabilitation. &lt;br&gt;&lt;br&gt;&lt;b&gt;Discussion:&lt;\/b&gt; HNC patients present unique challenges that demand tailored modifications to the RESET framework. Unlike other oncological cohorts, HNC patients are predisposed to functional impairments, high nutritional deficits, and significant psychosocial burdens. The inclusion of dedicated nutritional strategies, prehabilitation exercises, and psychological support within the RESET protocol may significantly improve treatment outcomes, reduce postoperative complications, and enhance the quality of life. Despite its structured approach, the main limitation of the RESET adaptation for HNC remains the need for dedicated funding and further validation through prospective clinical trials. &lt;br&gt;&lt;br&gt;&lt;b&gt;Conclusions:&lt;\/b&gt;  Adapting  the  RESET  tool  to  the  needs  of  HNC  patients  has  the  potential  to  optimize  perioperative  care,  ensuring a more individualized, evidence-based approach. The proposed modifications emphasize enhanced nutritional, physical, and psychological support, aligning RESET with the specific challenges faced by HNC patients. Further research and implementation studies are required to validate the effectiveness of this adapted framework in improving patient outcomes within oncological network hospitals.<\/jats:p>","DOI":"10.5604\/01.3001.0055.0006","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T11:52:10Z","timestamp":1741348330000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["The Ready for Safe Cancer Treatment (RESET) tool: enhancing quality and optimizing timely and safe discharge with transitional care adjustments for Head and Neck Cancer patients"],"prefix":"10.5604","volume":"79","author":[{"given":"Ma\u0142gorzata","family":"Wierzbicka","sequence":"first","affiliation":[{"name":"Department of Clinical Surgical Sciences, Faculty of Medicine, Wroclaw University of Science and Technology, Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariusz","family":"Kiszka","sequence":"additional","affiliation":[{"name":"Clinical Research Support Centre, 4th Military Clinical Hospital, Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szczepan","family":"Barna\u015b","sequence":"additional","affiliation":[{"name":"Department of Clinical Surgical Sciences, Faculty of Medicine, Wroclaw University of Science and Technology, Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mateusz","family":"Jeziorny","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Regional Specialist Hospital in Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Zaj\u0105c","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Regional Specialist Hospital in Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariola","family":"Dwornikowska-D\u0105browska","sequence":"additional","affiliation":[{"name":"Medical University of Silesia, Faculty of Health Sciences, Department of Public Health, Wroclaw, Poland, Research and Development Centre, Regional Specialist Hospital in Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"J\u0119druchniewicz","sequence":"additional","affiliation":[{"name":"Research and Development Centre, Regional Specialist Hospital in Wroclaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"627730r1","doi-asserted-by":"crossref","unstructured":"Loewen I., Jeffery C.C., Rieger J., Constantinescu G.: Prehabilitation in head and neck cancer patients: a literature review. 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