AHNS Series--Do you know your guidelines? Guideline recommended follow-up and surveillance of head and neck cancer survivors.

Benjamin R Roman, David Goldenberg, Babak Givi

Journal: Head & neck 2016;38(2):168-74

PMID: 25916656

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Abstract

In this first article of the "Do You Know Your Guidelines" series, we review National Comprehensive Cancer Network (NCCN) recommendations and underlying evidence for the follow-up and surveillance of head and neck cancer survivors. The goals of follow-up and surveillance care are (1) to maximize long-term oncologic outcomes of therapy with appropriate evaluation for recurrence, (2) to maximize functional and quality of life outcomes, and (3) minimizing unnecessary and harmful low-value care. Finding the right balance of testing and surveillance is a challenge for providers and patients. Herein, we review all NCCN recommendations for head and neck cancer survivors. We pay particular attention to an area of controversy: the use of ongoing surveillance imaging, in particular, PET/CT scans.

Address: The Education Committee of American Head and Neck Society (AHNS) and Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, New York.; The Education Committee of American Head and Neck Society (AHNS) and Division of Otolaryngology-Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.; The Education Committee of American Head and Neck Society (AHNS) and Department of Otolaryngology, New York University Langone Medical Center, New York, New York.

DOI: 10.1002/hed.24100

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MeSH Terms: DNA, Viral, Dental Care, Depression, Diagnostic Imaging, Evidence-Based Practice, Head and Neck Neoplasms, Hearing Tests, Herpesvirus 4, Human, Humans, Nutrition Assessment, Physical Examination, Population Surveillance, Smoking Cessation, Societies, Medical, Speech Production Measurement, Survivors, Thyrotropin