RESUMO
Answer questions and earn CME/CNE The American Cancer Society Head and Neck Cancer Survivorship Care Guideline was developed to assist primary care clinicians and other health practitioners with the care of head and neck cancer survivors, including monitoring for recurrence, screening for second primary cancers, assessment and management of long-term and late effects, health promotion, and care coordination. A systematic review of the literature was conducted using PubMed through April 2015, and a multidisciplinary expert workgroup with expertise in primary care, dentistry, surgical oncology, medical oncology, radiation oncology, clinical psychology, speech-language pathology, physical medicine and rehabilitation, the patient perspective, and nursing was assembled. While the guideline is based on a systematic review of the current literature, most evidence is not sufficient to warrant a strong recommendation. Therefore, recommendations should be viewed as consensus-based management strategies for assisting patients with physical and psychosocial effects of head and neck cancer and its treatment. CA Cancer J Clin 2016;66:203-239. © 2016 American Cancer Society.
Assuntos
Assistência ao Convalescente , Neoplasias de Cabeça e Pescoço/terapia , Sobreviventes , Doenças do Nervo Acessório/diagnóstico , Doenças do Nervo Acessório/terapia , American Cancer Society , Ansiedade/diagnóstico , Ansiedade/psicologia , Ansiedade/terapia , Bursite/diagnóstico , Bursite/terapia , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/terapia , Assistência Odontológica , Cárie Dentária/diagnóstico , Cárie Dentária/terapia , Depressão/diagnóstico , Depressão/psicologia , Depressão/terapia , Gerenciamento Clínico , Distonia/diagnóstico , Distonia/terapia , Fadiga/diagnóstico , Fadiga/terapia , Refluxo Gastroesofágico/diagnóstico , Refluxo Gastroesofágico/terapia , Neoplasias de Cabeça e Pescoço/psicologia , Promoção da Saúde , Humanos , Hipotireoidismo/diagnóstico , Hipotireoidismo/terapia , Linfedema/diagnóstico , Linfedema/terapia , Músculos do Pescoço , Osteonecrose/diagnóstico , Osteonecrose/terapia , Periodontite/diagnóstico , Periodontite/terapia , Doenças do Sistema Nervoso Periférico/diagnóstico , Doenças do Sistema Nervoso Periférico/terapia , Aspiração Respiratória/diagnóstico , Aspiração Respiratória/terapia , Síndromes da Apneia do Sono/diagnóstico , Síndromes da Apneia do Sono/terapia , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/terapia , Estresse Psicológico/diagnóstico , Estresse Psicológico/psicologia , Estresse Psicológico/terapia , Distúrbios do Paladar/diagnóstico , Distúrbios do Paladar/terapia , Trismo/diagnóstico , Trismo/terapiaRESUMO
Implementing an oral health/systemic health wellness plan for patients can be an important part of a dental practice's proactive approach to healthcare that emphasizes early detection and treatment of disease. As an adjunct to clinical observations, medical history, and patient information gathered and assessed by the practitioner, utilization of screening and diagnostic technology, including oral cancer screening devices, salivary diagnostic tests, and caries detection devices, can aid in the early detection of disease. These tests, which are usually billable, can aid in providing timely, effectual wellness services to patients by enabling practitioners to supply these services more effectively and at an early stage to the benefit of the patient's overall health.