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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Head and neck cancer patient's preparedness for radiation therapy: a patient survey before and after implementation of a prehabilitation education class.

Vanessa Di Lalla, Minette Lagman, Haley Patrick, Kyra Blair, Polly Cooper, Christina Cumayas, Aneil Dhaliwal, Stefanie Del Gobbo, Erika Facchin, Emma Gilchrist and 8 more

Abstract read
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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Predictors of aspiration pneumonia in oral cavity cancer patients undergoing radiation therapy: A focus on skeletal muscle index.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

18 authors.

Vanessa Di LallaBC Cancer Agency, Vancouver, British Columbia, Canada.
Minette LagmanBC Cancer Agency, Vancouver, British Columbia, Canada.
Haley PatrickBC Cancer Agency, Vancouver, British Columbia, Canada.
Kyra BlairBC Cancer Agency, Vancouver, British Columbia, Canada.
Polly CooperBC Cancer Agency, Vancouver, British Columbia, Canada.
Christina CumayasBC Cancer Agency, Vancouver, British Columbia, Canada.
Aneil DhaliwalBC Cancer Agency, Vancouver, British Columbia, Canada.
Stefanie Del GobboBC Cancer Agency, Vancouver, British Columbia, Canada.
Erika FacchinBC Cancer Agency, Vancouver, British Columbia, Canada.
Emma GilchristBC Cancer Agency, Vancouver, British Columbia, Canada.
Sheri GrahameBC Cancer Agency, Vancouver, British Columbia, Canada.
Alex GuytingcoBC Cancer Agency, Vancouver, British Columbia, Canada.
Aissa KeulenBC Cancer Agency, Vancouver, British Columbia, Canada.
Victoria LauBC Cancer Agency, Vancouver, British Columbia, Canada.
Nahal NamdaranBC Cancer Agency, Vancouver, British Columbia, Canada.
Christine RodgersonBC Cancer Agency, Vancouver, British Columbia, Canada.
Sarah Buddingh SmithBC Cancer Agency, Vancouver, British Columbia, Canada.
Sarah HamiltonBC Cancer Agency, Vancouver, British Columbia, Canada. shamilton7@bccancer.bc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGiven the toxicity of radiation treatment for head and neck cancers, prehabilitation occurring between the time of diagnosis and treatment can improve patient health and reduce future morbidity. We developed a prehabilitation class to improve patient preparedness in reducing and managing acute radiation side effects. The study also aimed to improve patient knowledge of availability and access to support services offered at our institution.

methodsWe included head and neck cancer patients that underwent radical radiotherapy at our institution. The prehabilitation class was an interactive, multi-disciplinary virtual format focusing on patients' nutritional needs, symptom management, exercise, and psychosocial support. Patients were invited to fill out a survey at their 4-6-week post-treatment follow-up appointment. Descriptive statistics were used to determine differences in survey responses between the groups, and qualitative responses were analyzed.

resultsFrom 2020 to 2024, we surveyed 51 patients prior to implementation of a prehabilitation class (control group, n = 51) and 51 patients who attended the class (prehab group, n = 51). In both groups, patients reported a high level of preparedness in managing common radiation side effects. Qualitative responses indicated patient praise for the multidisciplinary team and available resources. Respondents highlighted the need for more patient education on dysgeusia and xerostomia.

conclusionsOur study demonstrates the feasibility of implementing a prehabilitation class for head and neck cancer patients. Patient responses highlight gratitude for the care received and the need for more focus on specific side effects. This data continues to inform changes in the ongoing prehabilitation classes.

Indexed as

Head and Neck NeoplasmsPatient Education as TopicRadiation InjuriesAdultAgedFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSurveys and QuestionnairesCancer prehabilitationHead and neck cancersMultidisciplinaryPatient educationRadiation therapySupportive care

Identifiers

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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.