Evidence map›Paper›PMID 34359793›Full record

ArticleCancers2021

'I Didn't Even Recognise Myself': Survivors' Experiences of Altered Appearance and Body Image Distress during and after Treatment for Head and Neck Cancer.

Chandrika Gibson, Moira O'Connor, Rohen White, Melanie Jackson, Siddhartha Baxi, Georgia K B Halkett

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
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  8. Review
  9. Physical activity in people affected by head and neck cancers: gender-specific barriers and preferences-ORLAPA survey results.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Article
  11. Article
  12. Psychosocial consequences of head and neck cancer symptom burden after chemoradiation: a mixed-method study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  13. Article
  14. Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  15. Article
  16. Barriers and facilitators to physical activity participation in patients with head and neck cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  17. "My life's not my own": A qualitative study into the expectations of head and neck cancer carers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Chandrika GibsonCurtin School of Nursing, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia.ORCID 0000-0002-1147-6608
Moira O'ConnorWA Cancer Prevention Research Unit (WACPRU), School of Population Health, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia.
Rohen WhiteDepartment of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, WA 6845, Australia.
Melanie JacksonGenesisCare Perth Radiation Oncologist, Wembley, WA 6014, Australia.
Siddhartha BaxiGenesisCare Gold Coast Radiation Oncologist, John Flynn Hospital, Tugun, QLD 4224, Australia.
Georgia K B HalkettCurtin School of Nursing, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia.ORCID 0000-0003-4065-4044
Curtin University · AUGold Coast Hospital · AUSir Charles Gairdner Hospital · AU

Funding

Curtin University of Technology RTSSolaris Cancer Care na
6 · The paper itself

Abstract

purposePreparation for head and neck cancer treatment is focused on practicalities of treatment. Little or no time is spent prior to treatment discussing aesthetic results of treatment or the psychosocial impact of living with an altered appearance after treatment. The objective of this study was to explore the experiences of survivors of head and neck cancers, with a focus on the psychosocial impact of altered appearance.

methodsA qualitative research approach based on social constructionist theory was used. Twenty-one semi-structured interviews were conducted with survivors of head and neck cancer who had been diagnosed in the previous six years. Thematic analysis was used to identify themes.

resultsPeople diagnosed with HNC reported feeling rushed into treatment, with adequate procedural preparation but little or no preparation related to appearance. The main themes included: Preparation (sub-themes: Decision-making; and Preparation for Altered Appearance); Altered Appearance (sub-themes: Weight Loss; Face, Skin and Hair Changes; and Reconstructive Surgery); and Consequences (sub-themes Reactions from Others; Adapting to Altered Appearance).

conclusionsBody image distress related to altered appearance, contributed to psychosocial issues for many people diagnosed with head and neck cancer. Current practice provides information pre-treatment about many aspects of coping; however, the subject of appearance is not routinely addressed. Communication skills training for health professionals that improves their comfort and sensitivity in discussing and conveying compassion around issues of altered appearance, body image, and trauma, is needed to decrease suffering for survivors, support healthy adaptation to living with altered appearance, and increase their satisfaction with health care.

Indexed as

altered appearancebody imagecancer survivorshipcommunication skillscompassiondisfigurementhead and neck cancerpsychological adaptationtrauma

Identifiers

PMID34359793
PMCPMC8345413
OpenAlexW3189774470

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.