Skip to main content
SpringerLink
Log in

Psychoonkologische Versorgung von Patienten mit Kopf-Hals-Tumoren

Psycho-oncological care of patients with head and neck cancer

  • Leitthema
  • Published:
Der MKG-Chirurg Aims and scope

Zusammenfassung

Hintergrund

Patienten mit Tumoren im Kopf-Hals-Bereich sind hohen psychischen Belastungen ausgesetzt. Neben der Konfrontation mit einer potenziell lebensbegrenzenden Erkrankung verursachen intensive multimodale Therapieverfahren funktionelle und optische Veränderungen. Dies führt zu einer erhöhten Rate an pathologischen Bewältigungsstrategien, Depressionen und Suizidalität in dieser Patientengruppe und reduziert die Lebensqualität wesentlich. Eine Sonderrolle nehmen mit dem humanen Papillomavirus assoziierte Tumoren ein.

Ziel

Ziel ist es, spezifische Belastungsfaktoren dieser Patienten zu analysieren, um gezielte psychoonkologische Unterstützungsangebote zu entwickeln.

Ergebnisse

Die einzelnen Krankheitsphasen von Diagnosestellung bis zur Nachsorge verursachen spezifische psychologische Belastungen in unterschiedlicher Intensität. Diese sollten innerhalb der multidisziplinären Teams bekannt sein und in die Betreuung integriert werden. Psychoonkologische Gespräche sollten unabhängig von Screening-Instrumenten regelmäßig angeboten werden. Depressionen müssen rechtzeitig erkannt und behandelt werden.

Schlussfolgerungen

Die Integration psychoonkologischer Betreuungsangebote in die Therapie von Patienten mit Kopf-Hals-Tumoren kann zu einer Reduktion psychosozialer Störungen und pathologischer Bewältigungsstrategien führen. Sie bedarf der kontinuierlichen Bereitschaft aller Mitglieder des Behandlungsteams. Damit werden die Lebensqualität, die Patientenzufriedenheit und die Langzeitergebnisse der Tumortherapie verbessert.

Abstract

Background

Patients with tumors in the head and neck are exposed to high levels of psychological stress. In addition to confrontation with a potentially life-limiting disease, intensive multimodal treatment concepts cause functional and visual changes. This leads to an increased rate of pathological coping strategies, depression, and suicidality in this patient group and significantly reduces quality of life. Human papillomavirus (HPV)-associated tumors play a special role.

Objective

The aim of this work is to analyze specific stress factors of these patients in order to develop targeted psycho-oncological support offers.

Results

The individual phases of the disease from diagnosis to follow-up care cause specific psychological stresses of varying intensity. These should be known within the multidisciplinary teams and integrated into the supervision. Regular psycho-oncological discussions should be offered independently of screening instruments. Depression must be recognized and treated in good time.

Conclusion

The integration of psycho-oncological care offers during treatment of patients with head and neck cancer can lead to a reduction in psychosocial disorders and pathological coping strategies. It requires the continuous readiness of all members of the treatment team. This not only improves quality of life, but also patient satisfaction and long-term results of cancer treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Ringash J (2015) Survivorship and quality of life in head and neck cancer. J Clin Oncol 33(29):3322–3327

    Article  Google Scholar 

  2. Djan R, Penington A (2013) A systematic review of questionnaires to measure the impact of appearance on quality of life for head and neck cancer patients. J Plast Reconstr Aesthet Surg 66(5):647–659

    Article  Google Scholar 

  3. Williams C (2017) Psychosocial distress and distress screening in multidisciplinary head and neck cancer treatment. Otolaryngol Clin North Am 50(4):807–823

    Article  Google Scholar 

  4. Rieke K, Schmid KK, Lydiatt W et al (2017) Depression and survival in head and neck cancer patients. Oral Oncol 65:76–82

    Article  Google Scholar 

  5. Pandey M, Devi N, Thomas BC et al (2007) Distress overlaps with anxiety and depression in patients with head and neck cancer. Psychooncology 16(6):582–586

    Article  Google Scholar 

  6. Batty GD, Russ TC, Stamatakis E, Kivimäki M (2017) Psychological distress in relation to site specific cancer mortality: pooling of unpublished data from 16 prospective cohort studies. BMJ 356:j108

    Article  Google Scholar 

  7. Handschel J, Naujoks C, Hofer M, Krüskemper G (2013) Psychological aspects affect quality of life in patients with oral squamous cell carcinomas. Psychooncology 22(3):677–682

    Article  Google Scholar 

  8. Calver L, Tickle A, Moghaddam N, Biswas S (2018) The effect of psychological interventions on quality of life in patients with head and neck cancer: a systematic review and meta-analysis. Eur J Cancer Care. https://doi.org/10.1111/ecc.12789

    Article  Google Scholar 

  9. Reich M, Licitra L, Vermorken JB et al (2014) Best practice guidelines in the psychooncologic aspects of head and neck cancer patients: recommendations from the European head and neck cancer society’s make sense campaign. Ann Oncol 25:2115–2124

    Article  CAS  Google Scholar 

  10. Jansen L, Buttmann-Schweiger N, Listl S et al (2018) Differences in incidence and survival of oral cavity and pharyngeal cancers between Germany and the United States depend on the HPV-association of the cancer site. Oral Oncol 76:8–15

    Article  CAS  Google Scholar 

  11. Harrison J, Maguire P, Pitceathly C (1995) Confiding in crisis: gender differences in pattern of confiding among cancer patients. Soc Sci Med 41:1255–1260

    Article  CAS  Google Scholar 

  12. Tromp DM, Brouha XD, Hordijk GJ et al (2005) Patient factors associated with delay in primary care among patients with head and neck carcinoma: a case-series analysis. Fam Pract 22(5):554–559

    Article  Google Scholar 

  13. Llewellyn CD, McGurk M, Weinman J (2006) How satisfied are head and neck cancer (HNC) patients with the information they receive pre-treatment? Results from the satisfaction with cancer information profile (SCIP). Oral Oncol 42(7):726–734

    Article  CAS  Google Scholar 

  14. Baile WF, Buckman R, Lenzi R et al (2000) SPIKES‑A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist 5(4):302–311

    Article  CAS  Google Scholar 

  15. Panwar A, Rieke K, Burke WJ et al (2018) Identification of baseline characteristics associated with development of depression among patients with head and neck cancer: a secondary analysis of a randomized clinical trial. JAMA Otolaryngol Head Neck Surg 144(11):1004–1010

    Article  Google Scholar 

  16. Ellis MA, Sterba KR, Day TA et al (2019) Body image disturbance in surgically treated head and neck cancer patients: a patient-centered approach. Otolaryngol Head Neck Surg 161(2):278–287

    Article  Google Scholar 

  17. Badr H, Herbert K, Chhabria K et al (2019) Self-management intervention for head and neck cancer couples: results of a randomized pilot trial. Cancer 125(7):1176–1184

    Article  Google Scholar 

  18. Mirosevic S, Thewes B, van Herpen C et al (2019) Prevalence and clinical and psychological correlates of high fear of cancer recurrence in patients newly diagnosed with head and neck cancer. Head Neck 41(9):3187–3200

    Article  Google Scholar 

  19. Nguyen NA, Ringash J (2018) Head and neck cancer survivorship care: a review of the current guidelines and remaining unmet needs. Curr Treat Options Oncol 19(8):44

    Article  Google Scholar 

  20. Baldoman D, Vandenbrink R (2018) Physical therapy challenges in head and neck cancer. Cancer Treat Res 174:209–223

    Article  Google Scholar 

  21. Felser S, Behrens M, Liese J et al (2020) Feasibility and effects of a supervised exercise program suitable for independent training at home on physical function and quality of life in head and neck cancer patients: a pilot study. Integr Cancer Ther 19:1534735420918935

    Article  CAS  Google Scholar 

  22. Nilsen ML, Johnson JT (2017) Potential for low-value palliative care of patients with recurrent head and neck cancer. Lancet Oncol 18(5):e284–e289

    Article  Google Scholar 

  23. Gold D (2012) The psychosocial care needs of patients with HPV-related head and neck cancer. Otolaryngol Clin North Am 45(4):879–897

    Article  Google Scholar 

  24. Reich M, Licitra L, Vermorken JB et al (2016) Best practice guidelines in the psychosocial management of HPV-related head and neck cancer: recommendations from the European head and neck cancer society’s make sense campaign. Ann Oncol 27(10):1848–1854

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Medizinische Klinik III, Hämatologie, Onkologie und Palliativmedizin, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland

    C. Grosse-Thie

Authors
  1. C. Grosse-Thie
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Grosse-Thie.

Ethics declarations

Interessenkonflikt

C. Grosse-Thie erhielt Vortragshonorare folgender Firmen: Novartis, BMS, Amgen, Cellgene, MSD, Merck, Roche.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Additional information

Redaktion

B. Frerich, Rostock

H. Schliephake, Göttingen

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Grosse-Thie, C. Psychoonkologische Versorgung von Patienten mit Kopf-Hals-Tumoren. MKG-Chirurg 14, 23–28 (2021). https://doi.org/10.1007/s12285-020-00278-y

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12285-020-00278-y

Schlüsselwörter

Keywords

Search

Navigation