Health-related quality of life in oropharyngeal cancer survivors – a population-based study
Journal Title: Otolaryngologia Polska - Year 2018, Vol 72, Issue 2
Abstract
Objective: The aim of this study was to compare QoL of oropharyngeal cancer survivors who had received different treatments. Subjects and methods: We contacted 954 survivors. Each survivor received the QoL questionnaires EORTC QLQ-C30 and EORTC QLQ-H&N35. Results: A total of 263 survivors completed the questionnaires (28% responses). Forty-five of them had undergone surgery, 20 had received definitive radiotherapy or chemo-radiotherapy, 85 surgery plus adjuvant radiotherapy, and 111 surgery plus adjuvant chemo-radiotherapy. Survivors who had received adjuvant radiotherapy and surgery reported significantly more problems with swallowing (B=13.43 [95% Confidence Interval (CI) 1.83-25.03]), senses (B=24,91 [CI 11.86-37.97]), eating (B=16.91 [CI 3.46-30.36]), dry mouth (B=26.42 [CI 12.17-40.67]), sticky saliva (B=22.37 [CI 6.23-38.50]) and nutritional supplements (B=18.59 [CI 0.62-36.56]) than those who had received surgery only. Survivors who had received adjuvant chemo-radiotherapy and surgery reported significantly many more problems with dry mouth (B=34.15 [CI 18.91-49.39]) and sticky saliva (B=22.90 [CI 5.65-40.16]), and fewer problems with physical functioning (B=-12.07 [CI 0.49-23-64]). Conclusion: Survivors who participated in this survey and who had undergone surgery alone reported in some head- and neck-specific domains a better health-related quality of life than patients who had undergone multi-modal treatment or adjuvant radiotherapy.<br/><br/>
Authors and Affiliations
Thomas Guenzel, U. Walliczek-Dworschak, A. Teymoortash, S. Singer, M. Eichler, T. Wilhelm
Zastosowanie propranololu w leczeniu naczyniaka podgłośniowego
SUMMARY Subglottic hemangiomas are extremely dangerous due to its location and rapid growth during the proliferative phase. Many different treatments are described but these methods are stili not satisfactory. Recently p...
Chronic otitis media as an introduction to intracranial otogenic complications
Introduction. Otogenic intracranial complications are rare. Misdiagnosed and untreated can be dangerous for health and life. They should be always kept in mind. Aim: We discuss patients in whom defects of skull base were...
Parotid gland tumours in the ENT Department in Międzyleski Hospital in Warsaw between 2007 and 2014
Introduction. Parotid gland tumours comprise 3% of all head and neck tumours. Although uncommon they are a histologically diverse group of tumors. The WHO classification of salivary gland tumours from 2005 recognizes 24...
Orbital tumors in material of Department of Head and Neck Surgery and Oncological Laryngology of Greater Poland Cancer Center 2007-2010
SUMMARY Introduction: Tumors of the orbit are diagnosed sporadically. Based on the tumor registry of the American Cancer Society the incidence of tumors of the orbit is assessed at fewer than 1 per 100 000 persons. Tumor...
Percepcja smaku u chorych z przewlekłym zapaleniem zatok przynosowych z polipami nosa leczonych doustną glikokortykosteroidoterapią
Background: Chronic rhinosinusitis with nasal polyps is observed in 1–4% persons during rhinoscopy. While the occurrence of their problems is connected with smell sense, still not enough attention is paid to the malfunct...