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Addressing Perioperative Needs in Head and Neck Cancer: Piloting a Nurse Practitioner-Led Preoperative Virtual Visit
Rebecca W Gao1, Abdullah Adil1, Kaitlin Vance1
1Department of Otolaryngology-Head and Neck Surgery University of Michigan East Lansing Michigan USA.
OTO Open
|April 8, 2026
Summary
A virtual visit before surgery improved head and neck cancer patients' understanding of postoperative care needs. This intervention helped address socioeconomic challenges and enhanced patient preparedness for recovery.
Area of Science:
- Oncology
- Surgical Care
- Health Services Research
Background:
- Head and neck cancer patients face significant postoperative care challenges.
- Preoperative understanding of surgical and care needs is often inadequate.
- Socioeconomic hardships frequently impact recovery and require attention.
Purpose of the Study:
- To understand postoperative care challenges in head and neck cancer patients.
- To develop and test a preoperative intervention addressing patient needs.
- To improve perioperative care and patient preparedness.
Main Methods:
- Qualitative study involving interviews with 28 head and neck cancer patients.
- Development of a virtual visit intervention focused on socioeconomic and perioperative needs.
- Process testing with 50 virtual visits conducted by advanced practice providers.
Main Results:
- Before intervention, 73% of patients lacked postoperative care plans and comfort.
- 55% reported unaddressed socioeconomic hardship.
- Post-intervention visits identified significant, previously unrecognized care concerns in 62% of cases.
Conclusions:
- An advanced practice provider-led preoperative virtual visit can enhance patient expectations.
- This intervention better prepares patients and caregivers for perioperative needs.
- Addressing socioeconomic and care concerns preoperatively is crucial for head and neck cancer recovery.
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