BACKGROUND: Fear of recurrence (FoR) following @entity135 ( @entity135 ) treatment is a major @entity1 concern but is infrequently discussed in outpatient settings and may cause significant detrimental effect on @entity1 psychological well-being. AIM: The aim of this paper is to determine longitudinal trends and predictors of significant FoR. METHOD: Prospective data collection was obtained in 189 post-treatment @entity135 @entity1 with 456 clinic attendances from October 2008 to January 2011. All @entity1 completed @entity1 Concerns Inventory (PCI), University of Washington Quality of Life Questionnaire version 4 and the FoR questionnaires using a combination of paper and touch-screen technology. RESULTS: The prevalence of significant FoR was 35%, which was stable longitudinally. Logistic regression-delineated predictors of significant FoR were young age (<65   years), @entity148 /mood and @entity1 -reported FoR. Conventional prognostic factors including standard clinicopathological factors, treatment modality and length of follow-up did not predict significant FoR. Over time, 20% of @entity1 reported significant FoR intermittently, whereas 30% experienced it consistently. The remaining 50% did not experience significant FoR. DISCUSSION: @entity1 -related characteristics were more important than clinicopathological prognostic factors in predicting significant FoR, potentially creating a mismatch between the doctors' perception of @entity1 's experience of FoR with what @entity1 may experience. In the long term, FoR is expressed across a spectrum extending from 'normal' FoR to persistent significant FoR with an intermediate category of intermittent significant FoR. Those @entity1 experiencing intermittent and consistent levels of significant FoR may benefit from psychological support. This study confirmed that self-reported screening FoR using the PCI is a valuable tool in identifying significant FoR.

Fear of recurrence among XXXX survivors: longitudinal trends.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity135 :: ('MESH:D006258', 'Disease') :: ['head and neck cancer', 'HNC'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety']
@entity135 :: (MESH:D006258,Disease) :: ['head and neck cancer']
