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Exploring Transitions in Care Among Patients With Head and Neck Cancer: A Scoping Review.
1Department of Community Health Sciences & O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
This scoping review highlights gaps in understanding head and neck cancer care transitions, particularly during active treatment. Future research should focus on improving these transitions to enhance patient outcomes.
Area of Science:
- Oncology
- Healthcare Management
- Patient Care
Background:
- Individuals with head and neck cancer (HNC) face numerous care transitions (TiC) involving multidisciplinary teams and varied settings.
- These transitions can lead to medical errors, decreased patient satisfaction, and inefficient healthcare resource utilization.
Purpose of the Study:
- To map and characterize existing evidence on transitions in care (TiC) for individuals living with and beyond head and neck cancer (HNC).
Main Methods:
- A comprehensive scoping review of five medical databases was conducted.
- Evidence sources were screened for eligibility, and data were analyzed using descriptive statistics and thematic analysis.
Main Results:
- 57 studies were included from over 26,000 sources, primarily from the US (2001-2024).
- Most research focused on transitions from diagnosis to treatment and from surgery to radiation.
- A majority of studies reported system-level outcomes, with limited focus on patient-level outcomes or interventions.
Conclusions:
- Significant gaps exist in evidence regarding transitions during active HNC treatment and the evaluation of interventions.
- Future research is needed to address these gaps and improve TiC for better patient outcomes.
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