Evidence map›Paper›PMID 41891359›Full record

ArticleCancer medicine2026

Enhancing Quality of Life in Head and Neck Cancer: A Scoping Review on the Role of Physical Prehabilitation.

Alice Maria Santagostino, Mauro Parozzi, Giovanni Cangelosi, Sara Morales Palomares, Stefano Mancin, Giulia De Pasquale, Fabio Petrelli, Marco Sguanci, Beatrice Mazzoleni

Abstract readScoping Review
In one paragraph

Article in Cancer medicine, 2026. 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. Article
  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

9 authors.

Alice Maria SantagostinoIRCCS Humanitas Research Hospital, Milan, Italy.
Mauro ParozziSchool of Nursing, "San Paolo" Campus, Asst Santi Paolo e Carlo, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0003-4164-2790
Giovanni CangelosiUnits of Diabetology, ASUR Marche, Marche, Italy.ORCID https://orcid.org/0000-0002-8523-6906
Sara Morales PalomaresDepartment of Pharmacy, Health and Nutritional Sciences (DFSSN), University of Calabria, Rende, Italy.ORCID https://orcid.org/0009-0003-3884-4823
Stefano MancinIRCCS Humanitas Research Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-4988-4391
Giulia De PasqualeIRCCS Humanitas Research Hospital, Milan, Italy.
Fabio PetrelliSchool of Pharmacy, Polo Medicina Sperimentale e Sanità Pubblica "Stefania Scuri", Marche, Italy.
Marco SguanciA.O. Polyclinic San Martino Hospital, Genova, Italy.
Beatrice MazzoleniDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.ORCID https://orcid.org/0000-0002-3870-1238

Funding

BIBLIOSAN
6 · The paper itself

Abstract

BACKGROUND/

aimHead and neck cancer presents a significant challenge for patients. Beyond the direct impact of the disease, chemotherapy and radiotherapy, while essential for cancer control, can further compromise patients' quality of life (QoL) and emotional well-being, while also introducing additional complications. These treatments may exacerbate existing cancer-related symptoms and contribute to malnutrition. This review aimed to identify and evaluate physical prehabilitation interventions implemented before or during radiotherapy/chemotherapy treatments to determine their impact on the QoL of patients with head and neck cancer.

methodsThis scoping review was structured according to the framework proposed by the Joanna Briggs Institute (JBI) and reported following the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) guidelines.

resultsEight studies were included, encompassing a total sample of 819 subjects (397 in experimental groups). The interventions identified included exercises and stretching to prevent mobility issues and trismus, home-based training programs with periodic supervision, comprehensive programs with supervised physiotherapy sessions, jaw mobility exercises, dysphagia therapy, oral exercises, and preventive rehabilitation. A positive association was found between prehabilitation interventions and improved QoL in patients. Customizing interventions based on patient characteristics and treatment modalities was shown to enhance the effectiveness of these programs.

conclusionsPrehabilitation interventions represent a holistic and functional approach to improving patient outcomes and QoL. Further research is needed to refine these approaches and optimize the overall QoL of head and neck cancer survivors.

Indexed as

Exercise TherapyHead and Neck NeoplasmsPreoperative ExerciseQuality of LifeHumanschemotherapyhead and neck cancerprehabilitationquality of liferadiotherapy

Identifiers

PMID41891359
PMCPMC13140588

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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.