+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Improving thyroid function monitoring in head and neck cancer patients: A quality improvement study



Improving thyroid function monitoring in head and neck cancer patients: A quality improvement study



Laryngoscope 2019:



To investigate and improve compliance of thyroid function monitoring in head and neck cancer patients who received radiotherapy to the cervical region before and after instituting quality improvement interventions. Using the Plan, Do, Study, Act (PDSA) methodology, patients with head and neck malignancies who received radiotherapy to the cervical region from 2013-2015 were identified at a tertiary medical center. The status of the patients' thyroid monitoring and related characteristics were recorded. A quality improvement project was subsequently implemented by data sharing and providing feedback to practitioners involved in head and neck cancer care and creating a tracking database for all patients who received radiotherapy to the neck. After implementation of these interventions, data was collected on patients meeting the inclusion criteria from 2015-2017. One hundred fifty-six patients met criteria pre-intervention and ninety-eight patients met criteria post-intervention. Compliance of thyroid monitoring went up from 34% to 80% after interventions (P < .0001). There was a significant increase in thyroid testing performed by radiation oncologists after interventions from 2% to 21%, while medical oncologists and otolaryngologists remained consistent in their compliance rates. It is possible to improve compliance with evidence-based recommendations and improve the quality-of-care for head and neck cancer survivors through simple, cost effective interventions. 2 Laryngoscope, 2019.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 069562742

Download citation: RISBibTeXText

PMID: 31778220


Related references

Assessing and improving quality of life in patients with head and neck cancer. American Society of Clinical Oncology Educational Book. American Society of Clinical Oncology. Annual Meeting 2013:, 2013

Quality of information available via the internet for patients with head and neck cancer: are we improving?. European Archives of Oto-Rhino-Laryngology 272(11): 3499-3505, 2015

Head and neck specific Health Related Quality of Life scores predict subsequent survival in successfully treated head and neck cancer patients: a prospective cohort study. Oral Oncology 47(10): 974-979, 2011

Thyroid function following radiation and surgery in patients with head and neck cancer. Journal of Nuclear Medicine 15(6): 531, 1974

Auditory function and quality of life in patients receiving cisplatin chemotherapy in head and neck cancer: A case series follow-up study. Journal of Cancer Research and Therapeutics 14(5): 1099-1104, 2018

Assessment and Improvement of Quality of Life in Patients Undergoing Treatment for Head and Neck Cancer. Cureus 9(5): E1215, 2017

Assessing quality of life in patients with head and neck cancer: Cross-validation of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Head and Neck Module (QLQ-H&N35). Archives of Otolaryngology Head and Neck Surgery 126(4): 459-467, 2000

Assessing quality of life in patients with head and neck cancer: cross-validation of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Head and Neck module (QLQ-H&N35). Archives of Otolaryngology--Head and Neck Surgery 126(4): 459-467, 2000

Assessing quality of life in patients with head and neck cancer Cross-validation of the European Organization for Research and Treatment of Cancer Quality of Life Head and Neck Module. Archives of Otolaryngology Head and Neck Surgery 126(4): 459-467, 2000

Long Term Monitoring of Nutritional, Clinical Status and Quality of Life in Head and Neck Cancer Patients. Klinicka Onkologie 28(3): 200-214, 2015

Association Between Cognitive Function and Quality of Life in Patients With Head and Neck Cancer. JAMA Otolaryngology-- Head and Neck Surgery 143(12): 1228-1235, 2017

Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial. Bmc Cancer 18(1): 444, 2018

Effect of application of honey in chemoradiation-induced mucositis and to assess its clinical benefits in improving quality of life in patients of head and neck cancer. International Journal of Oral and Maxillofacial Surgery 46: 248-249, 2017

Monitoring treatment of head and neck cancer patients using 18F-Fluorodeoxyglucose PET A prospective study. Journal of Nuclear Medicine 42(5 Suppl.): 289P-290P, 2001

Quality of life related to oral function in edentulous head and neck cancer patients posttreatment. International Journal of Prosthodontics 20(5): 469-477, 2007