Evidence map›Paper›PMID 39957530›Full record

ReviewPalliative & supportive care2025

Non-curative care options for patients with advanced-stage head and neck cancer: Current state of the science and future opportunities.

Melissa C White, Julia E Canick, Yvonne M Mowery, Daniel J Rocke, Katherine Ramos, Nosayaba Osazuwa-Peters

Abstract readReview
In one paragraph

Review in Palliative & supportive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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.

Melissa C WhiteSchool of Medicine, Duke University, Durham, NC, USA.
Julia E CanickDepartment of Otolaryngology - Head and Neck Surgery, NYU Langone Medical Center, New York, NY, USA.
Yvonne M MoweryDepartment of Radiation Oncology, Duke University Medical Center, Durham, NC, USA.
Daniel J RockeDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Katherine RamosDurham Center of Innovation to Accelerate Discover and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC, USA.ORCID https://orcid.org/0000-0002-7584-3040
Nosayaba Osazuwa-PetersDuke Cancer Institute, Durham, NC, USA.ORCID https://orcid.org/0000-0002-1390-9753

Funding

Suicide risk detection and mitigation in patients with head and neck cancerK01DE030916 · NIDCR · DUKE UNIVERSITY · PI OSAZUWA-PETERS, NOSAYABA · 2021 to 2025
$821k
A Patient-Caregiver Behavioral Intervention for Older Adults with Cancer and Mild Cognitive ImpairmentK08CA258947 · NCI · DUKE UNIVERSITY · PI Katherine Ramos · 2022 to 2026
$809k
Long-term Opioid Therapy, Depression and Suicide Mortality Risk in Patients with Head and Neck CancerR21DE032531 · NIDCR · DUKE UNIVERSITY · PI OSAZUWA-PETERS, NOSAYABA · 2022 to 2022
$448k
NCI NIH HHS K08 CA258947NIDCR NIH HHS K01 DE030916NIDCR NIH HHS R21 DE032531
6 · The paper itself

Abstract

objectivesHead and neck cancer (HNC) often requires complex management and care. While the primary goal of treatment is curative, some advanced cases require consideration of non-curative pathways to optimize patients' quality of life (QOL) and survival. This narrative review describes important aspects of palliative care and highlights strategies for employing these non-curative options in HNC.

methodsWe identified peer-reviewed articles on the state of palliative care in HNC and its implementation. We searched for articles using terms including "palliative care," "non-curative care," "comfort care," "head and neck cancer," and "head and neck squamous cell carcinoma."

resultsHNC is associated with a high disease burden; patients report high levels of pain, and both disease and treatment often compromise ability to carry out activities of daily living. There exist several non-curative routes of treatment, including palliation of symptoms, acute end-of-life (EOL) care, and hospice and home care. These care options provide comfort and optimize QOL of patients. Unfortunately, non-curative care could be misconstrued as withdrawal of treatment, or the provider team "giving up" on patient; these misconception can discourage patients from embracing palliative measures designed to alleviate symptom burden. Proper physician-patient communication, normalization, and early incorporation of these non-curative strategies into mainstream treatment could potentially ease patient concerns, and, eventually in EOL cases, help patients achieve dignified deaths. SIGNIFICANCE OF

resultsPatients with HNC have unique palliative care needs due to their complex treatment and symptom burden. Early incorporation of non-curative plans such as palliative care alongside active treatment could help reduce symptom burden. Clinicians should strive to build trusting relationships with patients with HNC and effectively communicate with them about palliative care options. Guidelines that include such recommendations can help physicians regularly introduce palliation into the realm of active HNC treatment for advanced/incurable disease.

Indexed as

Head and Neck NeoplasmsPalliative CareHumansQuality of LifeTerminal Carea good deathend-of-life (EOL) carehead and neck cancer (HNC)home and hospice careNon-curative intentpalliative care

Identifiers

PMID39957530
PMCPMC12217641

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.