ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2020
Temporal Trajectory of Body Image Disturbance in Patients with Surgically Treated Head and Neck Cancer.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 25 citations in OpenAlex.
- Efficacy of a brief cognitive behavioral therapy for head and neck cancer survivors with body image distress: secondary outcomes from the BRIGHT pilot randomized clinical trial.Journal of cancer survivorship : research and practice · 2025Trial
- Efficacy of a Brief Tele-Cognitive Behavioral Treatment vs Attention Control for Head and Neck Cancer Survivors With Body Image Distress: A Pilot Randomized Clinical Trial.JAMA otolaryngology-- head & neck surgery · 2023Trial
- Treatment Priorities in Patients With a History of Laryngeal Cancer: A Conjoint Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Body Image Distress and Depression in Head and Neck Cancer Patients- a Narrative Review.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- "Women's experiences of head and neck cancer: an interpretative phenomenological analysis".BMC women's health · 2025Article
- Patients' experiences in early satiety after total gastrectomy for gastric cancer: a phenomenological study.Frontiers in nutrition · 2024Article
- Efficacy of a Brief Cognitive Behavioral Therapy for Head and Neck Cancer Survivors with Body Image Distress: Secondary Outcomes from the BRIGHT Pilot Randomized Clinical Trial.Research square · 2023Article
- Optimizing Function and Appearance After Head and Neck Reconstruction: Measurement and Intervention.Otolaryngologic clinics of North America · 2023Review
- Body image concerns in long-term head and neck cancer survivors: prevalence and role of clinical factors and patient-reported late effects.Journal of cancer survivorship : research and practice · 2023Article
- Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study.Current oncology (Toronto, Ont.) · 2022Article
- The Psychosocial Role of Body Image in the Quality of Life of Head and Neck Cancer Patients. What Does the Future Hold?-A Review of the Literature.Medicina (Kaunas, Lithuania) · 2021Review
- Evaluation of a novel telemedicine-based intervention to manage body image disturbance in head and neck cancer survivors.Psycho-oncology · 2020Article
- The Evolution of Care of Cancers of the Head and Neck Region: State of the Science in 2020.Cancers · 2020Review
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo characterize the temporal trajectory of body image disturbance (BID) in patients with surgically treated head and neck cancer (HNC). STUDY
designProspective cohort study.
settingAcademic medical center. SUBJECTS AND
methodsPatients with HNC who were undergoing surgery completed the Body Image Scale (BIS), a validated patient-reported outcome measure of BID, pretreatment and 1, 3, 6, 9, and 12 months posttreatment. Changes in BIS scores (ΔBIS) relative to pretreatment (primary endpoint) were analyzed with a linear mixed model. Associations between demographics, clinical characteristics, psychosocial attributes, and persistently elevated BIS scores and increases in BIS scores ≥5 points relative to pretreatment (secondary endpoints) were analyzed through logistic regression.
resultsOf the 68 patients, most were male (n = 43), had oral cavity cancer (n = 37), and underwent microvascular reconstruction (n = 45). Relative to baseline, mean ΔBIS scores were elevated at 1 month postoperatively (2.9; 95% CI, 1.3-4.4) and 3 (3.2; 95% CI, 1.5-4.9) and 6 (1.8; 95% CI, 0.02-3.6) months posttreatment before returning to baseline at 9 months posttreatment (0.9; 95% CI, -0.8 to 2.5). Forty-three percent of patients (19 of 44) had persistently elevated BIS scores at 9 months posttreatment relative to baseline, and 51% (31 of 61) experienced an increase in BIS scores ≥5 relative to baseline.
conclusionsIn this cohort of patients surgically treated for HNC, BID worsens posttreatment before returning to pretreatment (baseline) levels at 9 months posttreatment. However, 4 in 10 patients will experience a protracted course with persistent posttreatment body image concerns, and half will experience a significant increase in BIS scores relative to pretreatment levels.
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