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Bereavement Practices Among Head and Neck Cancer Surgeons.

Roberto N Solis¹, Nicole I Farber¹, Nathan Fairman²

¹Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, California, U.S.A.

The Laryngoscope

|January 29, 2022

Summary

Head and neck cancer surgeons vary in their bereavement practices. Higher empathy scores predict more frequent follow-up with families of deceased patients, indicating a need for standardized support.

Keywords:

Bereavement cancer death head and neck survey

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Area of Science:

Oncology
Surgical Oncology
Palliative Care

Background:

Head and neck cancer surgeons frequently encounter terminally ill patients and their families.
Little is known about the bereavement practices of these surgeons following a patient's death.

Purpose of the Study:

To determine the frequency of common bereavement practices among head and neck cancer surgeons.
To identify barriers to performing bereavement practices.
To find physician factors predicting increased bereavement practices.

Main Methods:

A 20-item survey was distributed to 827 surgeons from the American Head and Neck Society.
The survey assessed demographics, bereavement practices, empathy, and barriers.
Multiple linear regression identified physician factors associated with bereavement follow-up.

Main Results:

156 surgeons responded (18.9% response rate).
Calling (48.5%) and sending letters (42.4%) were common; attending funerals (0%) and referring to counseling (7.7%) were less common.
Lack of awareness of patient death (67.3%) and insufficient mentorship/training (51.3%) were key barriers. Higher empathy scores correlated with more frequent bereavement follow-up (P ≤ .001).

Conclusions:

Significant variation exists in surgeons' bereavement practices, suggesting a lack of consensus.
Surgeon empathy is a key predictor of engagement in bereavement follow-up.