Survivorship Care Before Radiotherapy
The Department of Otolaryngology-Head & Neck Surgery posted: What happens after we cure people? Survivorship is no longer a post-treatment footnote. It IS the dominant trajectory of cancer care. For HPV-positive head and neck cancer survivors — often younger, with more favorable long-term survival — the stakes are especially high. Most will live for decades, but studies show many experience late and long-term treatment effects that affect swallowing, voice, pain, sleep, and quality of life. These are the norm, not rare complications. So what can we do earlier? That is what we explored at EUROGIN. Our data show that when patients visit a multidisciplinary survivorship clinic *before* radiotherapy begins:
They are 52% less likely to have non-adherent radiation completion (OR 0.48)
They report significantly higher physical and social-emotional QOL at one year
They experience less depression, anxiety, dysphagia, insomnia, and neck disability.
Swallowing prehabilitation and exercise rehabilitation during treatment show similar promise.
The opportunity is clear. The gap in access is just as clear. Structured survivorship care remains out of reach for far too many. Future work must prioritize equity, scalable models, and prospective designs to ensure all HNC survivors have a chance to not just survive — but live well.
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