Letter to Editor
Pilot Telephone Intervention to Improve Survivorship – Letter to Editor
Thanh P Ho, Mary Jewison, Kathryn J Ruddy and Katharine AR Price*
Division of Medical Oncology, Mayo Clinic, Minnesota, USA
*Corresponding author: Katharine Price, Division of Medical Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA
Published: 01 Dec, 2017
Cite this article as: Ho TP, Jewison M, Ruddy KJ, Price
KAR. Pilot Telephone Intervention to
Improve Survivorship – Letter to Editor.
Clin Surg. 2017; 2: 1794.
Keywords
Head and neck cancer; Survivorship; Dysphagia; Lymphedema; Fatigue
Letter to Editor
Multimodality Head and Neck Cancer (HNC) treatment results in significant long-term side
effects making coordination of care challenging. We conducted a pilot phone intervention to identify
and improve management of common problems: neck pain, dysphagia, fatigue, psychological
distress, lymphedema, financial concerns, and nicotine dependency. A nurse called patients who
had completed definitive therapy for HNC one month before an upcoming appointment and
offered services or coordinated referrals as needed.
Forty-eight patients (38 males, median age 60 years, 92% squamous cell carcinoma) were
contacted with conversations ranging from 3 to 30 minutes. Symptoms were identified as follows:
neck pain (52% of calls), dysphagia (46%), fatigue (33%), psychological concerns (27%), lymphedema
(19%), financial concerns (10%) and nicotine dependency (4%). Psychological concerns resulted in
the highest number of referrals (Table 1). Ultimately, 31% of conversations led to interventions
(educational resources, prescriptions, subspecialty/social work referrals). Proactive calls can identify
patients needing resources and potentially improve survivorship care.
Acknowledgement
The authors thank Julie Schutte, R.N., O.C.N.; Pearl Pham, P.A.-C.; Jessica Brandt, R.N., O.C.N. and Sadie Flatt, R.N. for their assistance with clinical and coordination of care on this study. Funding was institutional.