246766 Integrating head and neck cancer screening and education with alcohol and tobacco services

Tuesday, November 1, 2011

Heather Renter, MPH, Phd , Faculty of Health Sciences, Public Health, University of Lethbridge, Lethbridge, AB, Canada
Introduction: Prolonged tobacco and alcohol use are the most significant risk factors for the development of cancers of the head and neck including the larynx, esophagus, and oral cavity. In addition, substance use may significantly contribute to co-morbidity among cancer patients receiving treatment. Methods: In depth qualitative interviews were completed with 41 patients newly diagnosed with squamous cell carcinomas of the head and neck. The interviews included questions about past and present health status, health service use including treatment for substance addictions, and treatment decision making. Results: Patients with long term alcohol and tobacco use are infrequently screened for oral cancer by health and addiction service providers despite the presence of significant risk factors and or symptoms. Patients reported very little, if any knowledge or awareness of their risk for head and neck cancer, it's treatment, or outcomes, prior to receiving their diagnosis. Conclusions: Considerable opportunities may exist for integrating addiction and cancer care services for patients at risk for developing cancers of the head and neck. In addition, aspects of 12 step addiction therapy can be useful in developing treatment decision tool-kits that may improve cancer survivorship and co-morbid outcomes.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
1. Describe and explain the relationship between tobacco and alcohol use and the development of squamous cell carcinomas of the head and neck (laryngeal, esophageal, oral. 2. Discuss opportunities for integrating oral cancer screening and head and neck cancer education among patients at risk for squamous cell carcinomas of the head and neck. 3. Describe and demonstrate the application of 12 step concepts to a model of treatment decision making among head and neck cancer patients. 4. Discuss opportunities for integrating treatment of addiction with head and neck cancer treatment and recovery.

Keywords: Cancer Screening, Treatment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because I am the principla investigator for this project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.