caa a22 4500 606182497 CHVBK 20210128100816.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00405-014-2971-0 doi (NATIONALLICENCE)springer-10.1007/s00405-014-2971-0 How often do head and neck cancer patients raise concerns related to intimacy and sexuality in routine follow-up clinics? [Elektronische Daten] [S. Rogers, P. Hazeldine, K. O'Brien, D. Lowe, B. Roe] Intimacy and sexuality problems are underreported in head and neck cancer patients. The aim of this study was to collate the various prompts available in a routine follow-up clinic through the use of an intimacy screening question and Patient's Concerns Inventory (PCI), and to identify how often these problems were raised by patients and what possible actions took place as a consequence. 177 patients completed the intimacy screening question, PCI and UW-QOLv.4 at follow-up clinics, from October 2008 to January 2011. Case note review identified if intimacy was mentioned in clinic letters and if referral for support was made. On the intimacy screening question, 15% (26) reported problems of considerable/some concern (24) or selected intimacy/sexuality on the PCI (2). The PCI identified that 9 of the 24 reporting the worst problems wanted the topic discussed in clinic, and clinic letters suggested that 5 of these discussed the issue in clinic with 4 being referred on, 3 to a clinical psychologist and 1 to a clinical nurse specialist. Intimacy problems are underreported in clinic reviews. It is a difficult subject to discuss. It will remain a potential unmet need unless attempts are made to advance the opportunities for patient screening, information leaflets, staff training on how to talk about such sensitive issues and referral for counselling. Springer-Verlag Berlin Heidelberg, 2014 Head and neck cancer nationallicence Intimacy nationallicence Sexuality nationallicence Patient-reported outcomes nationallicence Patient Concerns Inventory nationallicence UW-QOL nationallicence Rogers S. Regional Maxillofacial Unit, University Hospital Aintree, L9 1AE, Liverpool, UK aut Hazeldine P. Liverpool Medical School, University of Liverpool, L69 3BX, Liverpool, UK aut O'Brien K. Faculty of Health and Social Care, Evidence-Based Practice Research Centre (EPRC), Edge Hill University, St Helens Road, L39 4QP, Ormskirk, UK aut Lowe D. Regional Maxillofacial Unit, University Hospital Aintree, L9 1AE, Liverpool, UK aut Roe B. Faculty of Health and Social Care, Evidence-Based Practice Research Centre (EPRC), Edge Hill University, St Helens Road, L39 4QP, Ormskirk, UK aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 207-217 0937-4477 272:1<207 2015 272 405 https://doi.org/10.1007/s00405-014-2971-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-2971-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rogers S. Regional Maxillofacial Unit, University Hospital Aintree, L9 1AE, Liverpool, UK aut NATIONALLICENCE 700 1- Hazeldine P. Liverpool Medical School, University of Liverpool, L69 3BX, Liverpool, UK aut NATIONALLICENCE 700 1- O'Brien K. Faculty of Health and Social Care, Evidence-Based Practice Research Centre (EPRC), Edge Hill University, St Helens Road, L39 4QP, Ormskirk, UK aut NATIONALLICENCE 700 1- Lowe D. Regional Maxillofacial Unit, University Hospital Aintree, L9 1AE, Liverpool, UK aut NATIONALLICENCE 700 1- Roe B. Faculty of Health and Social Care, Evidence-Based Practice Research Centre (EPRC), Edge Hill University, St Helens Road, L39 4QP, Ormskirk, UK aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 207-217 0937-4477 272:1<207 2015 272 405