Developing a Checklist of Lymphedema Symptoms in Patients With Head and Neck Cancer

OBJECTIVES:

• To develop and validate a symptom checklist for late-effect lymphedema in patients with head and neck cancer. (Phase I)
• To examine late-effect lymphedema symptoms in these patients using the preliminary patient-symptom checklist developed in phase I. (Phase II)
• To examine the psychometric properties of the patient symptom checklist. (Phase II)

OUTLINE:

• Phase I: Experts review an initial symptom checklist for late-effect lymphedema symptoms and provide suggestions concerning its revision. The checklist is further revised using the card sorting method. Patients sort cards labeled with symptoms into groups that they feel are appropriate based upon their own symptom experiences. Sorting is performed according to frequency and severity of symptoms. Patients may write down any symptoms which are not listed on the cards.

Patients undergo collection of demographic and lymphedema-related symptom information. Additional medical information is obtained from patients' medical records.

• Phase II: A final symptom checklist for late-effect lymphedema symptoms is constructed based on the preliminary checklist developed in phase I. The psychometric properties of the preliminary checklist are also assessed.

Patients undergo collection of demographic, lymphedema-related symptoms, and medical information as in phase I.

DISEASE CHARACTERISTICS:

• Meets 1 of the following criteria:

• Patients meeting the following criteria:

• Diagnosis of local squamous cell carcinoma of head and neck
• Developed lymphedema after cancer treatment
• No current evidence of cancer recurrence
• No metastatic disease
• Identified from oncology practices at the Vanderbilt-Ingram Cancer Center
• Volunteer expert meeting the following criteria:

• Member of the Pain and Symptom Management Team at Vanderbilt-Ingram Cancer Center OR faculty member/clinician associated with the Principal Investigator's prior clinical research at Vanderbilt Medical Center
• Knowledgeable about the symptoms head and neck cancer patients experience

PATIENT CHARACTERISTICS:

• No history of psychotic illness

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics
• More than 3 months since prior cancer treatment
• No concurrent chemotherapy or radiotherapy
• No concurrent anti-psychotic medication