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3. Patient Experience of the Acute Post-Surgical Period Following Total Laryngectomy during the COVID-19 Era

Author

Watson, Laura-Jayne, Hamilton, David, and Patterson, Joanne M.

Abstract

Background: Total laryngectomy (TL) results in permanent functional changes requiring rapid development of complex new skills. A significant portion of this learning happens in the acute post-surgical stage. There is increasing interest in enhanced recovery after surgery (ERAS) protocols in TL; however, implementation has been difficult. COVID-19 has placed significant pressures on acute services, requiring rapid service changes for TL patients. Aims: To understand the acute patient experience of having a TL both before and during COVID-19. Methods & Procedures: Semi-structured interviews using a pre-designed topic guide were conducted with 10 people who had undergone a TL within the last 2 years. Participants were recruited by their speech and language therapists using purposive sampling. Braun and Clarke's iterative approach to data collection and thematic analysis was used to generate key themes from the data. Outcomes & Results: Thematic analysis identified four main themes: (1) pre-operative information-giving: 'it was just words'; (2) decision-making influences: 'I just wanted them to get it all out and get it over with'; (3) coping with adjustment to the new normal: 'this is part of me now'; and (4) the importance of relationship-building: 'when you've had something like this, you need some care and understanding'. Conclusions & Implications: The need for an individualized approach to TL intervention which incorporates medical and psycho-social approaches from pre-treatment to acute discharge is vital. ERAS models should be reviewed to shift beyond the medical model alone. Rapid service changes due to COVID-19 did not contribute any major changes to the acute patient-reported experience.

Published
2022
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4. Trauma Laparotomy in the UK: A Prospective National Service Evaluation

Author

Nnajiuba, Henry Obinna, Perkins, Zane, Pearce, Phillip, Yalamanchili, Seema, Malik, Nabeela S., Tai, Nigel, Sim, Tony, Kaye, Callum T., Gourgiotis, Stavros, Lunevicius, Raimundas, Akhtar, Adeel, Finnegan, Chris, Ezidi, Francis, McGeown, Daniel, Gowdy, Adam, Sains, Parv, Bull, Charles, Pegna, Victoria, Florence, Charlotte, O’Reilly, David, Roberts, Bryony, Davies, Emma, Bassett-Davies, Maria, Hardwicke, Joseph, Smith, Michael, Briggs, Christopher, Mossadegh, Somayyeh, Enemosah, Ibrahim, Stubbs, Ben, West, Charles, Wilson, Michael, Vaughan, Elizabeth, McKechnie, Stuart, Graham, Alice, Chandarana, Mihir, Dorrance, Helen, Gall, Lewis, McGuigan, Mari-Claire, Cowlam, Tom, Bell, Alexander, Hardcastle, Christine, Bew, Duncan, Prior, Kate REJ., Winstanley, Mark, Moore, Jon, Parker, Emma Stewart, Jones, Jonathan, Smith, Stella Ruth, Varley, Rebecca, Paterson, Johanna, Evans, Laura, Lipscombe, Nicola, Griffiths, Ben, Watson, Laura Jayne, Brooks, Adam, Moody, Nick, Kourdouli, Amar, Blackburn, Lauren, Bond-Smith, Giles, Muthusami, Anitha, Shivakumar, Natesh, Griffiths, Ewen A., Bergin, Colin, Challen, Kirsty, Daley, Michael, Smith, Iain M., Williams, Gethin L., Rutka, Olga, Ross, Jennifer, Thaventhiran, Anthony J., Hancorn, Kate, Rossetto, Andrea, Badminton, Rebecca, Moreno-Camacho, Esau, Farrelly, Paul, Harrison, Oliver, Maytham, Gary, Alfa-Wali, Maryam, Farrah, Helen, Owen, Harriet, Navein, Jack, Kodakadath, Harsha, Khan, Mansoor, Troller, Rebekka, Thompson, Julian, Thompson, Michael, Thompson, Charlotte, Bailey, Ian, Manson, Jo, Sharrock, Anna, Greenway, Michael, Chesworth, Alexandra, Shrestha, Ashish, Mehta, Disha, Watts, Alan, Cronin, Una, Maoileannaigh, Lorcan o, Docherty, Sam, Marsden, Max E.R., Vulliamy, Paul E.D., Carden, Rich, Naumann, David N., and Davenport, Ross A.

Published
2021
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7. Patient experience of telehealth appointments in head and neck cancer services during the COVID‐19 pandemic.

Author

Ewers, Caroline, Patterson, Jo, and Watson, Laura‐Jayne

Subjects
CANCER treatment, RESEARCH funding, HEAD & neck cancer, QUESTIONNAIRES, QUANTITATIVE research, EMOTIONS, CANCER patients, DESCRIPTIVE statistics, TELEMEDICINE, MEDICAL appointments, RESEARCH methodology, COVID-19 pandemic, PATIENTS' attitudes, SPECIALTY hospitals, HEALTH care teams
Abstract

Background: The COVID‐19 pandemic resulted in rapid changes to head and neck cancer (HNC) services. Multidisciplinary team (MDT) face‐to‐face appointments were converted to telehealth appointments (telephone and video‐call) to reduce the risk of COVID‐19 transmission. The literature exploring HNC patient experience of these appointment types is limited. Aims: To explore patient experience of telehealth appointments at one UK centre during the COVID‐19 pandemic, as well as the variables that may influence patient preference for virtual or face‐to‐face appointments. Methods & Procedures: A survey‐based study design was used, with closed questions and open text options to capture the views of the participants. Quantitative data were analysed using descriptive statistics. Open text data was used to add depth to the findings. Outcomes & Results: A total of 23 participant surveys were returned. Six categories were identified: Usability; Information receiving & giving; Satisfaction; Emotions and comfort; Rapport; and Travel time and cost. Overall, participants gave positive responses to each category and indicated that telehealth appointments met their needs. Areas for clinical consideration are highlighted. Variables such as age, travel distance from hospital site, fear of COVID‐19 and information technology (IT) access did not appear to influence patient preference for appointment type. Conclusions & Implications: Going forward, telehealth may be considered for use in combination with face‐to‐face appointments in the HNC pathway. Areas for further development include a 'telehealth screening tool' that may help to identify those patients most appropriate for these appointment types, or who require support to access them. WHAT THIS PAPER ADDS: What is already known on this subject: The COVID‐19 pandemic resulted in major disruption to HNC centres across the world. Services adapted to meet the needs of patients with many implementing telehealth into pathways. Studies exploring telehealth in speech and language therapy (SLT) services with the HNC population indicate positive results. It is clear telehealth has a role in modern healthcare and should not be viewed as a temporary solution to the pandemic. It is, however, recognized that embedding telehealth into pathways is not straightforward and requires ongoing review and evaluation, which includes patient and clinician perceptions. What this study adds to the existing knowledge: The service evaluation gives insight into HNC patient experience of telehealth appointments for MDT clinics (led by SLT, dietician and clinical nurse specialist) during the COVID‐19 pandemic. Overall, patients report a positive experience of telehealth in the HNC pathway and are willing to accept this platform into their healthcare. Areas for clinical consideration are highlighted. What are the actual and clinical implications of this work?: This findings of this service evaluation can be used to support the co‐design of HNC pathways which embed telehealth as an option for patients. Areas that were important to the participants are highlighted; this includes the timing of telehealth appointments in the pathway, the need to meet the MDT face to face and the positive benefit of cost savings. The authors suggest a telehealth appointment screening tool as an area for future development. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Patient experience of the acute post‐surgical period following total laryngectomy during the COVID‐19 era

Author

Watson, Laura-Jayne, Hamilton, David, and Patterson, Joanne M

Subjects
Patient Outcome Assessment, Speech and Hearing, Linguistics and Language, Adaptation, Psychological, COVID-19, Humans, Laryngectomy, Language and Linguistics
Abstract

Total laryngectomy (TL) results in permanent functional changes requiring rapid development of complex new skills. A significant portion of this learning happens in the acute post-surgical stage. There is increasing interest in enhanced recovery after surgery (ERAS) protocols in TL; however, implementation has been difficult. COVID-19 has placed significant pressures on acute services, requiring rapid service changes for TL patients.To understand the acute patient experience of having a TL both before and during COVID-19.Semi-structured interviews using a pre-designed topic guide were conducted with 10 people who had undergone a TL within the last 2 years. Participants were recruited by their speech and language therapists using purposive sampling. Braun and Clarke's iterative approach to data collection and thematic analysis was used to generate key themes from the data.Thematic analysis identified four main themes: (1) pre-operative information-giving: 'it was just words'; (2) decision-making influences: 'I just wanted them to get it all out and get it over with'; (3) coping with adjustment to the new normal: 'this is part of me now'; and (4) the importance of relationship-building: 'when you've had something like this, you need some care and understanding'.The need for an individualized approach to TL intervention which incorporates medical and psycho-social approaches from pre-treatment to acute discharge is vital. ERAS models should be reviewed to shift beyond the medical model alone. Rapid service changes due to COVID-19 did not contribute any major changes to the acute patient-reported experience.What is already known on the subject We know that ERAS protocols have the potential to improve patient outcomes following TL. However, the research does not consider anything other than the early oral feeding debate and it has therefore been difficult to implement ERAS protocols in current service models. COVID19 required head and neck cancer services to make quick changes to surgical pathways, with the potential that some ERAS protocols had been adopted inadvertently. In order to understand the impact of this, we need to understand the patient experience following TL both before and during COVID19. What this paper adds to existing knowledge This paper used qualitative interviews to understand the acute patient experience following TL both during and before COVID19. Findings from these interviews highlighted that people were on the most part, well prepared for the functional changes they would experience after surgery. However, people felt there were gaps in service delivery at the pre-treatment and early discharge home period. Overall, the gaps identified were from a more psycho-social need suggesting that future ERAS models of care should consider both medical and psycho-social principles to enhance patient experience and outcome. What are the potential or actual clinical implications of this work? Pre-treatment services provided to people who have a TL could be reviewed to help maximize long-term adjustment to life. Areas which could be reviewed include the method and mode of information delivery. Further work needs to be done in partnership with community services to improve the immediate discharge home experience.

Published
2022

12. Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study

Author

Patterson, Joanne M., primary, Lu, Liya, additional, Watson, Laura‐Jayne, additional, Harding, Sam, additional, Ness, Andy R., additional, Thomas, Steve, additional, Waylen, Andrea, additional, Pring, Miranda, additional, Waterboer, Tim, additional, and Sharp, Linda, additional

Published
2021
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14. Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study.

Author

Patterson, Joanne M., Lu, Liya, Watson, Laura‐Jayne, Harding, Sam, Ness, Andy R., Thomas, Steve, Waylen, Andrea, Pring, Miranda, Waterboer, Tim, and Sharp, Linda

Subjects
HEAD & neck cancer, SOCIAL skills, LONELINESS, THYROID cancer, SALIVARY gland cancer, SOCIAL contact
Abstract

Objective: To investigate associations between markers of social functioning (trouble with social eating and social contact), depression and health‐related quality of life (QOL) among head and neck cancer survivors. Methods: This cross‐sectional analysis included individuals with oral cavity, oropharynx, larynx, salivary gland and thyroid cancers from Head and Neck 5000 alive at 12 months. Trouble with social eating and social contact were measured using items from EORTC QLQ‐H&N35 and QOL using EORTC QLQ‐C30; responses were converted into a score of 0–100, with a higher score equalling more trouble or better QOL. A HADS subscale score of ≥8 was considered significant depression. Associations between tertiles of trouble with social eating and social contact and depression and QoL were assessed using multivariable logistic and linear regression (with robust errors), respectively. Results: Of 2561 survivors, 23% reported significant depression. The median QOL score was 75.0 (interquartile range 58.3–83.3). For trouble with social eating, after confounder adjustment, those in the intermediate and highest tertiles had higher odds of depression (intermediate: OR = 4.5, 95% CI 3.19–6.45; high: OR = 21.8, 15.17–31.18) and lower QOL (intermediate:β = −8.7, 95% CI −10.35 to −7.14; high: β = −24.8, −26.91 to −22.77). Results were similar for trouble with social contact. Conclusion: We found strong clinically important associations between markers of social functioning and depression and QOL. More effective interventions addressing social eating and contact are required. These may help survivors regain their independence, reduce levels of isolation and loneliness, and depression, and improve QOL outcomes generally. [ABSTRACT FROM AUTHOR]

Published
2022
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16. Students' participation in collaborative research should be recognised

Author

Borakati, Aditya, McLean, Kenneth, Drake, Thomas M., Harrison, Ewen M., Kamarajah, Sivesh K., Khatri, Chetan, Nepogodiev, Dmitri, Abbas, Minaam, Abdalkoddus, Muhammad, Abdel-Fattah, Areej, Abdelgalil, Reem, Abdikadir, Haweya, Adams, Ryan, Adams, Sarah, Adelaja, Inioluwa, Adeogun, Abiola, Adjei, Helena, Adlan, Amirul, Adwan, Hussamuddin, Aeyad, Sara, Aftab, Raiyyan, Afzul, Amir, Agarwal, Vani, Aglan, Hosam, Agrawal, Medha, Agrawal, Rishi, Ahmed, Fiza, Akhtar, Sobia, Akpenyi, Onyinye, Al-Attar, Maithem, Al-Ausi, Muhammed, Al-Khyatt, Waleed, Al-Mousawi, Alia, Al-Nasser, Zainab, Alagappan, Anand, Alberts, Justin, Alfa-Wali, Maryam, Ali, Abdulmajid, Ali, Adnan, Ali, Tamara, Alkhaffaf, Bilal, Allen, Rachael, Alubaidi, Kassem, Andah, Edemanwan, Anderson, Richard, Andrew, Kirstine, Ang, Andrew, Ang, Eshen, Anyomih, Theophilus, Archer, James, Archer, Matt, Arnell, Steven, Arnold, Matthew, Arora, Esha, Ashraf, Nadeem, Ashraf, Raees, Ashwood, Jordan, Asif, Usama, Atayi, Andrew, Auckburally, Sameera, Austin, Ralph, Azam, Sultana, Yahaya, Aishah Azri, Babatunde, Fiyin, Bach, Simon, Bachar, Roudi, Badran, Abdul, Baillie, Caroline, Balai, Edward, Baldwin, Alexander, Balian, Vartan, Banfield, Danielle, Bannard-Smith, Jonathan, Barker, Connor, Barmayehvar, Behrad, Barnfield, Jane, Bartlett, David, Bartlett, Richard, Baryeh, Kwaku, Basetti, Siddharth, Bateman, Kellie, Bath, Michael, Beamish, Andrew, Beasley, William, Beecroft, Simon, Begaj, Ardit, Beghal, Gurpreet, Belchos, Jessica, Bera, Katarzyna, Bergara, Tara, Betts, Anna, Bhangu, Aneel, Bhaskaran, Gayathri, Bhatti, Amina, Bica, Mihai, Billyard, Caitlin, Birkin, Emily, Blazeby, Jane, Blege, Harry, Blencowe, Natalie, Blore, Christopher, Boddy, Alex, Boissaud-Cooke, Matthew, Bolina, Anita, Bolton, William, Bosanquet, David, Bowley, Doug, Boyce, Kathryn, Branagan, Graham, Brayley, Jessica, Brecher, Joanna, Bresges, Kristina, Briggs, Emily, Broll, Ryan, Brown, Damien, Brown, Elliot, Brown, Leo, Brown, Robin, Brown, Rory, Bruce, Connor, Bruce, Pepa, Buckle, Rory, Budd, Emily, Buka, Richard, Burke, Dermot, Burke, Joshua, Burman, Alisha, Burney, Laura, Burrows, Amy, Bux, Mohammed, Cahill, Ronan, Calabria, Clementina, Camilleri-Brennan, Julian, Campbell, Amy, Campbell, Bill, Cant, Matthew, Cao, Yun, Carlson, Sophie, Carr, Grace, Carr, Luke, Carr, Rebecca, Carr, Richard, Cartwright, Eleanor, Castle, Alice, Cattle, Kirsty, Cave, Daniel, Chapman, Stephen, Charalabopoulos, Alexandros, Chaudhri, Sanjay, Chaudhry, Ahmad, Chauhan, Paresh, Chauhan, Priyesh, Chebbout, Ryad, Chen, Yunzi, Chenciner, Louisa, Cheng, Jingjie, Cheng, Natalie, Chew, Lin, China, Zenab, Chitnis, Abhishek, Chitsabesan, Praminthra, Choi, Paul, Choi, Sarah, Choudhry, Mariam, Choy, Chern, Ciurleo, Claudia, Claireaux, Henry, Coe, Peter, Cole, Simon, Concannon, Katy, Cope, Edward, Corbridge, Olivia, Court, Jessica, Cox, Louise, Craig-Mcquaide, Anna, Cresswell, Ben, Crozier, Lauren, Cruickshank, Neil, Cuckow, Lucy, Cui, Helen, Cumber, Elspeth, Cumming, Sarah, Cundy, Olivia, Cunha, Melissa, Cunha, Pedro, Cunliffe, Laura, Dada, Jazleen, Daliya, Prita, Dalli, Jeffrey, Daniels, Ian, Daniels, James, Daoub, Ahmed, Dar, Sabeera, Das, Emma, Das, Kaustuv, Davies, Emily, Davies, Gareth, Davies, Kirsty, Davies, Kristen, Davies, Rachel, Dawe, Victoria, Lucas de Carvalho, Joshua, De Jong, Katie, Deasy, Katherine, Deekonda, Praveena, Deepak, Sahil, Desai, Henal, Desai, Karishma, Devlin, Ryan, Dewan, Nishat, Dhillon, Akashdeep, Dhillon, Priya, Dhir, Tanya, Di Saverio, Salomone, Diamond, Julia, Dib, Peter, Dimitriadis, Panagiotis A., Dindyal, Shiva, Doe, Matthew, Doehrty, Ciaran, Dogra, Tara, Doshi, Arpan, Downey, Alison, Doyle, Joseph, Draper, Ashleigh, Duff, Sarah, Duncumb, Joseph, Dupre, Sophie, Durno, Justine, Dzieweczynski, Michal, Eardley, Nicola, Easby, Sarah, Easdon, Sam, Ebdewi, Hamdi, Eccles, Lydon, Edwards, Jacob, Eedarapalli, Padma, Elbuzidi, Mohamed, Elder, Patrick, Elliott, Lucy, Elsaddig, Malaz, Embury-Young, Ysabelle, Emesih, Sophie, Engledow, Alec, English, William, Episkopos, Christos, Epstein, Jonathan, Esmail, Rahim, Fatayer, Taher, Favero, Nicolò, Fearnhead, Nicola, Feldman, Maxine, Fennelly, Evelyn, Fenwick, Stephen, Ferguson, Lucie, Fergusson, Stuart, Fessas, Petros, FitzGerald, Isabel, Fitzgerald, J. Edward, Fitzpatrick, Harry, Fletcher, Daniel, Forjoe, Tonia, Forte, Beniamino, Fowler, Alex, France, Benjamin, Francis, Abraham, Francis, Niroshan, Francis, Sunil, Freeman, Sam, Fretwell, Vicky, Fung, Teresa, Furness, Hugh, Gallagher, Michael, Gallagher, Stuart, Gao, Chuanyu, Garard, Lothaire, Gardner, Shona, Gaukroger, Andrew, George, Daniel, George, Simi, Ghaddar, Jamal, Ghaffar, Ali, Ghouse, Shamira, Gilbert, Amanda, Gill, Ashveen, Giovinazzo, Francesco, Girling, Carey, Giwa, Lolade, Glasbey, James, Glen, Paul, Goble, Mary, Godfrey, Jenna, Goel, Shreya, Goh, Wenn, Gohil, Kajal, Gokani, Shyam, Gold, David, Golding, David, Gonzalez-Ciscar, Andrea, Goodson, Ross, Gough, Melissa, Govil, Shubhangi, Gower, Thomas, Graham, Christopher, Gray, Sam, Green, Patrick, Greenhalgh, Samuel, Gregoriou, Kyriacos, Gribbell, Rhiannon, Gribbon, Mary Catherine, Grieco, Charlotte, Griffiths, Emma, Griffiths, Ewen, Griffiths, Nathan, Griffiths, Sara, Grossart, Cathleen, Guerero, Daniel, Guillotte, Christianne, Gupta, Rishi, Guy, Claire, Gwozdz, Adam, Haddow, James, Hafiz, Shazia, Halkias, Constantine, Hall, Elisabeth, Hamid, Hasseb, Hamilton, Emma, Harbhajan Singh, Gurvinder Singh, Hardman, John, Harries, Rhiannon, Harris, Rhydian, Harrogate, Suzanne, Harty, Megan, Harvey, Jessica, Hashemi, Rahima, Hassane, Ahmed, Hawkins, Helen, Hawthorne, Thomas, Hayes, John, Hazenberg, Phoebe, Heath, Harry, Hebbar, Madhusoodhana, Heer, R., Hegarty O'Dowd, Roisin, Henshall, David, Herrod, Philip, Hester, Elizabeth, Heywood, Emily, Heywood, Nick, Hill, Frances, Hill, James, Hill, Kirsty, Ho, May, Hollyman, Marianne, Holroyd, David, Home, Joseph, Hornby, Steve, Horne, Laura, Horseman, Charlotte, Hosamuddin, Huma, Hough, Amy, Hourston, George, Hudson-Peacock, Nathan, Hughes, Belinda, Hughes, Katie, Huppatz, Isabel, Hurst, Penelope, Hussain, Mahrukh, Hussain, Shoaib Fahad, Hussain, Syeda, Hutchings, Imogen, Ibrahim, Bilal, Imam, Lema, Ingham, Rory, Ingleton, Rose, Iqbal, Rizwan, Isherwood, Jenny, Islim, Abdurrahman, Ismail, Omar, Iyer, Shashank, Jackman, Toby, Jain, Prashant, Jamal, Nadeem, Jamal, Sabine, James, Ellen, Jayaratne, Nirmitha, Jeffreys, Nathan, Jhala, Hiral, Johnson, Courtney, Johnston, Zoe, Jones, Conor, Jones, Emma-Jane, Jones, Keaton, Jones, Victor, Joseph, Roshan, Joshi, Dilan, Joyce, Holly, Joyner, Claire, Kale, Aditya, Kanabar, Sagar, Kanapeckaite, Lina, Kankam, Hadyn, Kaptanis, Sarantos, Karam, Edward, Karponis, Dimitrios, Karunatilleke, Anne, Kasivisvanathan, Veeru, Kaur, Geeta, Kauser, Samina, Keelty, Nigel, Kelly, Denise, Kennett, Jessica, Kerr, Molly, Kerwan, Ahmed, Khajuria, Apoorva, Khalil, Mostafa, Khaliq, Mehnoor, Khan, Ayushah, Khan, Hamzah, Khan, Haroon, Khan, Maaz, Khan, Maria, Khan, Shahab, Khan, Kaywaan, Khaw, Rachel, Kheterpal, Ashni, Khonsari, Parisa, Kiandee, Miraen, Kim, Samuel, Kim, Suji, Kim, Sung-Hee, King, Harry, Kinsella, Anna, Kishore, Ajit, Klimach, Stefan, Kolias, Angelos G., Kolodziejczyk, Anna, Kong, Chia Yew, Kong, Tseun Han James, Kouli, Omar, Kukran, Sebi, Kukran, Sevi, Kumaran, Geev, Kutuzov, Vladislav, Laing, Chris, Laing, Georgina, Lal, Kulvinder, Lalor, Peter, Lambert, Joel, Lambotharan, Sai Geethan, Lancaster, Eve, Latter, Jasmine, Latter, Michelle, Lau, Kenny, Lazarou, Alexa, Leadon, Madeline, Lee, Gabriel, Lee, Jeyoung, Lee, Kathryn, Lee, Matthew, Lee, Samuel, Lee, Zong, Leung, Edward, Lewis, Thomas, Li, Hansen, Li, Mimi, Liew, Wan Jane, Liew, Yao Ren, Light, Alexander, Lilis, Lydia, Lim, Diana, Lim, Hui, Lim, Joseph, Lim, Zhi, Liu, Siyin, Lloyd, James, Logan, Andrew, Loganathan, Priya, Long, M., Longstaff, Lydia, Rojas, Luisa Lopez, Lovegrove, Richard, Lowe-Zinola, Jack, Morrell, Byron Lu, Luck, Joshua, Luhmann, Andreas, Lunawat, Surabhika, Lund, Jon, Luo, Cong, Luo, Lorna, Lyell, Iona, Lykoudis, Panagis, Macdonald, Jonathan, Mackenzie, Aliya, Magee, Conor, Mahankali-Rao, Pooja, Mahawar, Kamal, Mahfooz, Mehreen, Mahmood, Faisal, Makwana, Samir, Malik, Tom, Mallick, Sohaib, Manalayil, Jyothis, Mandishona, Tinaye, Mangam, Sudhakar, Manimaran, Maniragav, Manimaran, Natarajan, Manson, Chris, Mansoor, Sufyan, Mansour, Fatima, Marcos Rodrigo, Alejandro, Markham, Nicholas, Marks, Maria, Marriott, Paul, Marsden, Hannah, Martin, Laura, Martins, Tiago, Mason, John, Mason, Luke, Masood, Mariam, Math, Nikhil, Mathew, Ginimol, Matthews, Jacob, Mayes, Jonathan, Mc Gee, Ursula, Mcallister, Ross, Mcallister, Sandra, Mccain, Scott, Mccann, Conor, Mccann, Emmet, McCarthy, Cathal, Mccoll, Gillian, Mcconaghie, Greg, Mcdermott, Ace, McDermott, Frank, Mcdougall, Rachel, McDowell, Mark, McFarlane, Gordon, McGregor, Richard, McKechnie, Doug, McKenna, Jillian, McKinstry, Scott, Mclachlan, Georgia, Mclean, E., McLennan, Elizabeth, McNair, Angus, Mealy, Kenneth, Mecia, Lauren, Mehta, Alexander, Mellan, Aidan, Menon, Arathi, Menzies, Donald, Mesbah, Zhubene, Messenger, David, Miller, George, Mishra, Aseem, Mistry, Sona, Mohamed, Tahira, Mushaini, Nisha Mohamed, Mohan, Midhun, Mohd Azmilssss, Ameerah, Mohite, Ajay, Moorthy, Krishna, Moradzadeh, Jalal, Morgan, Richard, Morley, Gabriella, Mortimer, Alice, Mownah, Hannah, Moxey, Paul, Mudalige, Gagira, Muhammad, Umarah, Munday, Samuel, Murphy, Ben, Murphy, Ciaran, Murray, Caoimhe, Murray, Hannah, Murray, Michael, Murtaza, Mohammed Ibrar, Mushtaq, Jameel, Mustafa, Ameer, Mustafa, Shams, Myers, Laura, Myers, Sam, Naasan, Adeeb, Nadeem, Kiran, Naeem, Hanzla, Naik, Prashant, Nair, Arun, Nambiar, Keshav K., Naqi, Muhammad, Naqvi, Zehra, Neo, Yan Ning, Neophytou, Georgia Irene, Neville, Jonathan, Newman, Tom, Ng, Benjamin, Ng, Guat, Ng, Jing Qi, Ng, Vincent, Ng, Zhan Herr, Ni Bhoirne, Maire, Nicholas, James, Nicholson, Gary, Ninkovic-Hall, George, Nixon, Gemma, Norwood, Mike, Noton, Toby, Nourzaie, Romman, Novell, Richard, Nyanhongo, Donald, O'Brien, James, O'Kane, Rory, O'Neill, Stephen, O'Sullivan, Hugh, Oakley, Thomas, Ogbuokiri, Chinomso, Ogunleye, Oluwafunto, Oh, Su, Okorocha, Emezie, Olivier, James, Ologunde, Rele, Omara, Sharif, Ormrod, Alice, Osborne, Caroline, Osmanska, Joanna, Owasil, Raisah, Owczarek, Sebastian, Ozcan, Ezgi, Palaniappan, Sri, Palazzo, Francesco, Palkhi, Abbas, Pandey, Gargi, Park, James, Parker, Jennifer, Parry, Anna, Parsonage, James, Passby, Lauren, Patel, Bhavi, Patel, Bhavik, Patel, Chantal, Patel, Dinisha, Patel, Kirtan, Patel, Panna, Patel, Pratiksha, Patel, Trupesh, Pathmarajah, Mariasoosai, Patil, Amogh, Patil, Pradeep, Patrick, Yusuf, Pearce, Jessica, Pearce, Lyndsay, Peirce, Colin, Peiris, Bryony, Pendrill, Amy, Periketi, Sreelata, Perry, Michael, Petrov, George, Phillips, Charlotte, Pike, Grace, Pinho-Gomes, Ana Catarina, Polly, Parhana, Ponweera, Arachchige, Poolovadoo, Yanish, Poonawala, Raunak, Popova, Petya, Pournaras, Dimitri, Powell, Brooke, Prabakaran, Praveena, Prakash, Esha, Pratumsuwan, Tapani, Prem Kumar, Anusha, Puddy, Helen, Pullinger, Michael, Punjabi, Nikita, Putt, Oliver Charles, Qadir, Omar, Qamar, Mubasher, Quinn, Patrick, Qureshi, Arham, Rabie, Mohamed, Radford, Angus, Radhakrishnan, Anand, Radotra, Ansh, Rafiq, Nasir, Rahem, Aria, Rahman, Nahim, Rahman, Syed, Rajagopal, Ramesh, Rajan, Nick, Rajaraman, Nikitha, Rajendran, Sumetha, Ramachenderam, Liandra, Ramakrishnan, Divya, Ramjas, Denisha, Rammell, James, Rampal, Ritika, Ramsay, George, Randhawa, Ratan, Rea, Ellis, Rees, Stephanie, Rehman, Saad, Rehman, Salwah, Rehnnuma, Nabila, Rejayee, Melina, Rob, Zakaria, Roberts, Charlotte, Roberts, Grace, Roberts, Ben, Robinson, Harry, Robinson, Stephen, Rogers, Ailin, Rogers, Alex, Rook, William, Ross, Talisa, Roy, Chloe, Rushd, Azelea, Rutherford, Duncan, Saat, Michael, Sadanand, Kaushik, Sagar, Rebecca, Sagoo, Harkiran, Saha, Arin, Sahnan, Kapil, Sait, Mohammed Salik, Sait, Saif, Salekin, Damien, Salem, Mostafa, Salloum, Nadia, Sanders, Emma, Sandhu, Jasmesh, Sandhu, N., Sandison, Lorna, Sandland-Taylor, Laura, Sangal, Ron, Sanghera, Chandan, Saramunda, Josephine, Satterthwaite, Lauren, Schramm, Moritz, Scott, Rupert, Searle, Chloe, Seehra, Harkiran, Segura-Sampedro, Juan Jose, Sekhon Inderjit Singh, Harpreet Kaur, Seraj, Shaikh Sanjid, Seth, Ishani, Sethi, Rajiv, Shah, Apar, Shaid, Mario, Shaikh, Shafaque, Shamali, Awad, Sharkey, Elizabeth, Sharma, Abhi, Sharma, Neil, Sharma, Sachin, Shenoy, Aniruddh, Shergill, Maleasha, Shirazi, Shahram, Siddiqui, Imran, Sim, Raykal, Simmonds, Lucy, Simon, Andrew, Simpson, William, Singh, Bharpoor, Singh, J., Singh, Prashant, Sinha, Anant, Sinha, Sidhartha, Sinnerton, Robert, Sivakumar, Chaamanti, Skelly, Brendan, Slater, Richard, Small, Samuel, Smart, Neil, Smart, Yat Wing, Smith, Alexander, Smith, Charlotte, Smith, Jason, Smith, Rebecca, Smith, Scott, Sodde, Peter, Soh, Zhi Min, Sonsale, Aniket, Soualhi, Ahmed, Spearman, John, Spencer, Robert, Spiers, Harry, Stather, Philip, Stoddart, Michael, Storey, Bradley, Stringer, Howard, Stringfellow, Thomas, Stubbs, Ben, Sukir, Niv, Sukirthan, Nivian, Suleman, Yasir, Sureshkumar, Aparnah, Suri, Ashwin, Swartbol, Timen, Tahir, Hyder, Tan, E. Tian, Tan, Huai Ling, Tan, Laura, Tang, Alethea, Taribagil, Priyal, Tay, Yao Zong, Taylor, Beth, Taylor, Zara, Thatcher, Alexandra, Thavayogan, Rachel, Thomaa, Michael, Thomas, Daniah, Thomas, Jenny, Thomas, Paul, Pinkney, Thomas, Thompson, Chris, Ting, Mag, Toner, Ethan, Tong, Godwin, Torkington, Jared, Traish, Molly, Triniman, Miles, Trotter, John, Tsang, Kwong, Turaga, Sanchit, Turley, Hannah, Turner, James, Urbonas, Tomas, Urquhart, Alexandra, Vadgama, Nimai, Vaidya, Aashay, van Boxel, Gijs, Vara, Swati, Varcada, Massimo, Varley, Rebecca, Varma, Dee, Vella-Baldacchino, Martinique, Venturini, Sara, Verma, Naina, Verma, Saurabh, Vernet, Gabrielle, Vipond, Mark, von Roon, Alex, Wadood, Qasim, Waite, Kathryn, Walker, Lewis, Walker, Nathan, Wan, Jonathan C.M., Wang, Liyang, Wang, Xue, Ward, Alex, Ward, Thomas, Warnaar, Nienke, Warren, Lloyd, Warren, Oliver, Waters, Sam, Watson, Angus, Watson, Laura Jayne, Waugh, Dominic, Weinberg, Daniel, West, Malcolm, White, Carla, White, Tim, Whitehurst, Katharine, Whitham, Robert, Wijekoon, Tharindri, Wijeyaratne, Manuk, Wilkin, Richard, Wilkins, Alex, Williams, Adam, Williams, Gethin, Williams, Luke, Williams, Robert, Williamson, Andrew, Willson, Jacinthe, Wilson, Andrew, Wilson, Holly, Wilson, James, Wilson, Lizzie, Wilson, Megan, Wilson, Michael, Wilson, Rebekah, Wilson, Tim, Woin, Evelina, Wright, Esther, Wright, Jenny, Wroe, Nicholas, Wylie, Joanne, Xu, Yiwang, Yalamarthi, Satheesh, Yan, Angela, Yang, Narisu, Yardimci, Eda, Yasin, Ibrahim, Yasin, Ismael, Yasin, Noor, Yates, Joseph, Yau, Jih Dar, Yeoh, Tricia, Yip, Joshua, Yong, Cissy, Zaver, Vasudev, Zhelezniakova, Tatiana, and Zulkifli, Adreana

Published
2017
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18. Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines, Sixth Edition.

Author

Homer JJ, Winter SC, Abbey EC, Aga H, Agrawal R, Ap Dafydd D, Arunjit T, Axon P, Aynsley E, Bagwan IN, Batra A, Begg D, Bernstein JM, Betts G, Bicknell C, Bisase B, Brady GC, Brennan P, Brunet A, Bryant V, Cantwell L, Chandra A, Chengot P, Chua MLK, Clarke P, Clunie G, Coffey M, Conlon C, Conway DI, Cook F, Cooper MR, Costello D, Cosway B, Cozens NJA, Creaney G, Gahir DK, Damato S, Davies J, Davies KS, Dragan AD, Du Y, Edmond MRD, Fedele S, Finze H, Fleming JC, Foran BH, Fordham B, Foridi MMAS, Freeman L, Frew KE, Gaitonde P, Gallyer V, Gibb FW, Gore SM, Gormley M, Govender R, Greedy J, Urbano TG, Gujral D, Hamilton DW, Hardman JC, Harrington K, Holmes S, Homer JJ, Howland D, Humphris G, Hunter KD, Ingarfield K, Irving R, Isand K, Jain Y, Jauhar S, Jawad S, Jenkins GW, Kanatas A, Keohane S, Kerawala CJ, Keys W, King EV, Kong A, Lalloo F, Laws K, Leong SC, Lester S, Levy M, Lingley K, Madani G, Mani N, Matteucci PL, Mayland CR, McCaul J, McCaul LK, McDonnell P, McPartlin A, Mercadante V, Merchant Z, Mihai R, Moonim MT, Moore J, Nankivell P, Natu S, Nelson A, Nenclares P, Newbold K, Newland C, Nicol AJ, Nixon IJ, Obholzer R, O'Hara JT, Orr S, Paleri V, Palmer J, Parry RS, Paterson C, Patterson G, Patterson JM, Payne M, Pearson L, Poller DN, Pollock J, Porter SR, Potter M, Prestwich RJD, Price R, Ragbir M, Ranka MS, Robinson M, Roe JWG, Roques T, Rovira A, Sainuddin S, Salmon IJ, Sandison A, Scarsbrook A, Schache AG, Scott A, Sellstrom D, Semple CJ, Shah J, Sharma P, Shaw RJ, Siddiq S, Silva P, Simo R, Singh RP, Smith M, Smith R, Smith TO, Sood S, Stafford FW, Steven N, Stewart K, Stoner L, Sweeney S, Sykes A, Taylor CL, Thavaraj S, Thomson DJ, Thornton J, Tolley NS, Turnbull N, Vaidyanathan S, Vassiliou L, Waas J, Wade-McBane K, Wakefield D, Ward A, Warner L, Watson LJ, Watts H, Wilson C, Winter SC, Wong W, Yip CY, and Yip K

Subjects
Humans, United Kingdom, Interdisciplinary Communication, Neoplasm Staging, Head and Neck Neoplasms diagnosis, Head and Neck Neoplasms surgery
Published
2024
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