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Gepubliceerd in: Quality of Life Research 1/2014

01-02-2014

Quality of life in head and neck cancer patients after tumor therapy and subsequent rehabilitation: an exploratory study

Auteurs: Judit Nagy, Gábor Braunitzer, Márk Antal, Csaba Berkovits, Péter Novák, Katalin Nagy

Gepubliceerd in: Quality of Life Research | Uitgave 1/2014

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Abstract

Purpose

The aim of the study was to evaluate patient-reported quality of life effects of post-treatment intraoral and extraoral rehabilitation in head and neck cancer by repeated measures.

Methods

Fifty-nine patients were involved. Basic socio-demographic, oncological and epidemiological data were gathered, and the type of rehabilitation was recorded. For the assessment of quality of life changes, two widely used brief questionnaires, the University of Washington Quality of Life Questionnaire and the Head and Neck module of the European Organization of Research and Treatment for Cancer Quality of Life Questionnaire, were used. The questionnaires were administered to patients two times: the first time after tumor therapy, but before rehabilitation (upon arriving for rehabilitation) and the second time 6 months after the application of any particular method of rehabilitation. Quality of life data were gathered prospectively, while socio-demographic data were gathered from patient files.

Results

Quality of life after rehabilitation was significantly enhanced as compared to the post-treatment status, in all domains of both questionnaires (p < 0.05 and p < 0.01, Mann–Whitney U).

Conclusions

The results support the hypothesis that post-treatment maxillofacial rehabilitation in head and neck cancer does not only restore lost physical capabilities, but also brings about profound changes in patients’ quality of life in general.
Literatuur
1.
go back to reference Rinkel, R. N., Verdonck-de Leeuw, I. M., Langendijk, J. A., van Reij, E. J., Aaronson, N. K., & Leemans, C. R. (2009). The psychometric and clinical validity of the SWAL-QOL questionnaire in evaluating swallowing problems experienced by patients with oral and oropharyngeal cancer. Oral Oncology, 45(8), e67–e71.PubMedCrossRef Rinkel, R. N., Verdonck-de Leeuw, I. M., Langendijk, J. A., van Reij, E. J., Aaronson, N. K., & Leemans, C. R. (2009). The psychometric and clinical validity of the SWAL-QOL questionnaire in evaluating swallowing problems experienced by patients with oral and oropharyngeal cancer. Oral Oncology, 45(8), e67–e71.PubMedCrossRef
2.
go back to reference Hassanein, K. A., Musgrove, B. T., & Bradbury, E. (2005). Psychological outcome of patients following treatment of oral cancer and its relation with functional status and coping mechanisms. Journal of Cranio-Maxillo-Facial Surgery, 33(6), 404–409.PubMedCrossRef Hassanein, K. A., Musgrove, B. T., & Bradbury, E. (2005). Psychological outcome of patients following treatment of oral cancer and its relation with functional status and coping mechanisms. Journal of Cranio-Maxillo-Facial Surgery, 33(6), 404–409.PubMedCrossRef
3.
go back to reference Kazi, R., Sayed, S., & Dwivedi, R. C. (2010). Clinical importance of quality of life measures in head and neck cancer. Indian Journal of Cancer, 47(3), 237–238.PubMedCrossRef Kazi, R., Sayed, S., & Dwivedi, R. C. (2010). Clinical importance of quality of life measures in head and neck cancer. Indian Journal of Cancer, 47(3), 237–238.PubMedCrossRef
4.
go back to reference Morton, R. P., & Izzard, M. E. (2003). Quality-of-life outcomes in head and neck cancer patients. World Journal of Surgery, 27(7), 884–889.PubMedCrossRef Morton, R. P., & Izzard, M. E. (2003). Quality-of-life outcomes in head and neck cancer patients. World Journal of Surgery, 27(7), 884–889.PubMedCrossRef
5.
go back to reference Torres-Carranza, E., Infante-Cossio, P., Hernandez-Guisado, J. M., Hens-Aumente, E., & Gutierrez-Perez, J. L. (2008). Assessment of quality of life in oral cancer. Med Oral Patol Oral Cir Bucal, 13(11), E735–E741.PubMed Torres-Carranza, E., Infante-Cossio, P., Hernandez-Guisado, J. M., Hens-Aumente, E., & Gutierrez-Perez, J. L. (2008). Assessment of quality of life in oral cancer. Med Oral Patol Oral Cir Bucal, 13(11), E735–E741.PubMed
6.
go back to reference Kazi, R., Johnson, C., Prasad, V., De Cordova, J., Venkitaraman, R., Nutting, C. M., et al. (2008). Quality of life outcome measures following partial glossectomy: Assessment using the UW-QOL scale. Journal of Cancer Research and Therapeutics, 4(3), 116–120.PubMedCrossRef Kazi, R., Johnson, C., Prasad, V., De Cordova, J., Venkitaraman, R., Nutting, C. M., et al. (2008). Quality of life outcome measures following partial glossectomy: Assessment using the UW-QOL scale. Journal of Cancer Research and Therapeutics, 4(3), 116–120.PubMedCrossRef
7.
go back to reference Sayed, S. I., Elmiyeh, B., Rhys-Evans, P., Syrigos, K. N., Nutting, C. M., Harrington, K. J., et al. (2009). Quality of life and outcomes research in head and neck cancer: A review of the state of the discipline and likely future directions. Cancer Treatment Reviews, 35(5), 397–402.PubMedCrossRef Sayed, S. I., Elmiyeh, B., Rhys-Evans, P., Syrigos, K. N., Nutting, C. M., Harrington, K. J., et al. (2009). Quality of life and outcomes research in head and neck cancer: A review of the state of the discipline and likely future directions. Cancer Treatment Reviews, 35(5), 397–402.PubMedCrossRef
8.
go back to reference Evans, P. R., Montgomery, P. Q., Gullane, P. J. (Eds.). (2003). Principles and practice of head and neck oncology. Martin Dunitz. Evans, P. R., Montgomery, P. Q., Gullane, P. J. (Eds.). (2003). Principles and practice of head and neck oncology. Martin Dunitz.
9.
go back to reference Jones, E., Lund, V. J., Howard, D. J., Greenberg, M. P., & McCarthy, M. (1992). Quality of life of patients treated surgically for head and neck cancer. Journal of Laryngology and Otology, 106(3), 238–242.PubMedCrossRef Jones, E., Lund, V. J., Howard, D. J., Greenberg, M. P., & McCarthy, M. (1992). Quality of life of patients treated surgically for head and neck cancer. Journal of Laryngology and Otology, 106(3), 238–242.PubMedCrossRef
10.
go back to reference Rogers, S. N., Hannah, L., Lowe, D., & Magennis, P. (1999). Quality of life 5–10 years after primary surgery for oral and oro-pharyngeal cancer. Journal of Cranio-Maxillo-Facial Surgery, 27(3), 187–191.PubMedCrossRef Rogers, S. N., Hannah, L., Lowe, D., & Magennis, P. (1999). Quality of life 5–10 years after primary surgery for oral and oro-pharyngeal cancer. Journal of Cranio-Maxillo-Facial Surgery, 27(3), 187–191.PubMedCrossRef
11.
go back to reference Watson, R. M., Welfare, R. D., & Islami, A. (1984). The difficulties of prosthetic management of edentulous cases with hemi-mandibulectomy following cancer treatment. Journal of Oral Rehabilitation, 11(3), 201–214.PubMedCrossRef Watson, R. M., Welfare, R. D., & Islami, A. (1984). The difficulties of prosthetic management of edentulous cases with hemi-mandibulectomy following cancer treatment. Journal of Oral Rehabilitation, 11(3), 201–214.PubMedCrossRef
12.
go back to reference Hurst, P. S. (1985). Dental considerations in management of head and neck cancer. Otolaryngologic Clinics of North America, 18(3), 573–603.PubMed Hurst, P. S. (1985). Dental considerations in management of head and neck cancer. Otolaryngologic Clinics of North America, 18(3), 573–603.PubMed
13.
go back to reference Kudo, K., & Fujioka, Y. (1978). Review of bone grafting for reconstruction of discontinuity defects of the mandible. Journal of Oral surgery, 36(10), 791–793.PubMed Kudo, K., & Fujioka, Y. (1978). Review of bone grafting for reconstruction of discontinuity defects of the mandible. Journal of Oral surgery, 36(10), 791–793.PubMed
14.
go back to reference Schontz, F. (1975). The psychological aspect of physical illness and disability. New York: Macmillan Publishing Co., Inc. Schontz, F. (1975). The psychological aspect of physical illness and disability. New York: Macmillan Publishing Co., Inc.
15.
go back to reference Baile, W., Gibertini, M., & Scott, L. (1992). Depression and tumour stage in cancer of the head and neck. Psychooncology, 1(1), 15–24.CrossRef Baile, W., Gibertini, M., & Scott, L. (1992). Depression and tumour stage in cancer of the head and neck. Psychooncology, 1(1), 15–24.CrossRef
16.
go back to reference Beumer, J. Z., Zlotlow, Z., & Curtis, T. A. (1990). Rehabilitation. In S. Silverman (Ed.), Oral Cancer (pp. 127–148). Atlanta: American Cancer Society. Beumer, J. Z., Zlotlow, Z., & Curtis, T. A. (1990). Rehabilitation. In S. Silverman (Ed.), Oral Cancer (pp. 127–148). Atlanta: American Cancer Society.
17.
go back to reference Huryn, J. M., & Piro, J. D. (1989). The maxillary immediate surgical obturator prosthesis. Journal of Prosthetic Dentistry, 61(3), 343–347.PubMedCrossRef Huryn, J. M., & Piro, J. D. (1989). The maxillary immediate surgical obturator prosthesis. Journal of Prosthetic Dentistry, 61(3), 343–347.PubMedCrossRef
18.
go back to reference Kornblith, A. B., Zlotolow, I. M., Gooen, J., Huryn, J. M., Lerner, T., Strong, E. W., et al. (1996). Quality of life of maxillectomy patients using an obturator prosthesis. Head and Neck, 18(4), 323–334.PubMedCrossRef Kornblith, A. B., Zlotolow, I. M., Gooen, J., Huryn, J. M., Lerner, T., Strong, E. W., et al. (1996). Quality of life of maxillectomy patients using an obturator prosthesis. Head and Neck, 18(4), 323–334.PubMedCrossRef
19.
go back to reference Rahn, A. O., Goldman, B. M., & Parr, G. R. (1979). Prosthodontic principles in surgical planning for maxillary and mandibular resection patients. Journal of Prosthetic Dentistry, 42(4), 429–433.PubMedCrossRef Rahn, A. O., Goldman, B. M., & Parr, G. R. (1979). Prosthodontic principles in surgical planning for maxillary and mandibular resection patients. Journal of Prosthetic Dentistry, 42(4), 429–433.PubMedCrossRef
20.
go back to reference Depprich, R., Naujoks, C., Lind, D., Ommerborn, M., Meyer, U., Kubler, N. R., et al. (2011). Evaluation of the quality of life of patients with maxillofacial defects after prosthodontic therapy with obturator prostheses. International Journal of Oral and Maxillofacial Surgery, 40(1), 71–79.PubMedCrossRef Depprich, R., Naujoks, C., Lind, D., Ommerborn, M., Meyer, U., Kubler, N. R., et al. (2011). Evaluation of the quality of life of patients with maxillofacial defects after prosthodontic therapy with obturator prostheses. International Journal of Oral and Maxillofacial Surgery, 40(1), 71–79.PubMedCrossRef
21.
go back to reference Steadman, B. (1957). Construction of prostheses after resection of the maxilla. International Dental Journal, 7, 560. Steadman, B. (1957). Construction of prostheses after resection of the maxilla. International Dental Journal, 7, 560.
22.
go back to reference Harold, C. (1971). Management of cancer of the floor of the mouth. American Journal of Surgery, 122, 487.CrossRef Harold, C. (1971). Management of cancer of the floor of the mouth. American Journal of Surgery, 122, 487.CrossRef
23.
go back to reference Keller, E. E., Desjardins, R. P., Eckert, S. E., & Tolman, D. E. (1988). Composite bone grafts and titanium implants in mandibular discontinuity reconstruction. International Journal of Oral and Maxillofacial Implants, 3(4), 261–267.PubMed Keller, E. E., Desjardins, R. P., Eckert, S. E., & Tolman, D. E. (1988). Composite bone grafts and titanium implants in mandibular discontinuity reconstruction. International Journal of Oral and Maxillofacial Implants, 3(4), 261–267.PubMed
24.
go back to reference Urken, M. L., Buchbinder, D., Weinberg, H., Vickery, C., Sheiner, A., Parker, R., et al. (1991). Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: A comparative study of reconstructed and nonreconstructed patients. Laryngoscope, 101(9), 935–950.PubMedCrossRef Urken, M. L., Buchbinder, D., Weinberg, H., Vickery, C., Sheiner, A., Parker, R., et al. (1991). Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: A comparative study of reconstructed and nonreconstructed patients. Laryngoscope, 101(9), 935–950.PubMedCrossRef
25.
go back to reference Dropkin, M. J. (1999). Body image and quality of life after head and neck cancer surgery. Cancer Practice, 7(6), 309–313.PubMedCrossRef Dropkin, M. J. (1999). Body image and quality of life after head and neck cancer surgery. Cancer Practice, 7(6), 309–313.PubMedCrossRef
26.
go back to reference McKinstry, R. (1995). Fundamentals of facial prosthetics. USA: ABI professional publications. McKinstry, R. (1995). Fundamentals of facial prosthetics. USA: ABI professional publications.
27.
go back to reference Korfage, A., Schoen, P. J., Raghoebar, G. M., Bouma, J., Burlage, F. R., Roodenburg, J. L., et al. (2011). Five-year follow-up of oral functioning and quality of life in patients with oral cancer with implant-retained mandibular overdentures. Head and Neck, 33(6), 831–839.PubMedCrossRef Korfage, A., Schoen, P. J., Raghoebar, G. M., Bouma, J., Burlage, F. R., Roodenburg, J. L., et al. (2011). Five-year follow-up of oral functioning and quality of life in patients with oral cancer with implant-retained mandibular overdentures. Head and Neck, 33(6), 831–839.PubMedCrossRef
28.
go back to reference Riaz, N., & Warriach, R. A. (2010). Quality of life in patients with obturator prostheses. Journal of Ayub Medical College, Abbottabad, 22(2), 121–125.PubMed Riaz, N., & Warriach, R. A. (2010). Quality of life in patients with obturator prostheses. Journal of Ayub Medical College, Abbottabad, 22(2), 121–125.PubMed
29.
go back to reference Terrell, J. E., Ronis, D. L., Fowler, K. E., Bradford, C. R., Chepeha, D. B., Prince, M. E., et al. (2004). Clinical predictors of quality of life in patients with head and neck cancer. Archives of Otolaryngology—Head and Neck Surgery, 130(4), 401–408.PubMedCrossRef Terrell, J. E., Ronis, D. L., Fowler, K. E., Bradford, C. R., Chepeha, D. B., Prince, M. E., et al. (2004). Clinical predictors of quality of life in patients with head and neck cancer. Archives of Otolaryngology—Head and Neck Surgery, 130(4), 401–408.PubMedCrossRef
30.
go back to reference Schuster, M., & Stelzle, F. (2012). Outcome measurements after oral cancer treatment: Speech and speech-related aspects–an overview. Oral and Maxillofacial Surgery, 16(3), 291–298.PubMedCrossRef Schuster, M., & Stelzle, F. (2012). Outcome measurements after oral cancer treatment: Speech and speech-related aspects–an overview. Oral and Maxillofacial Surgery, 16(3), 291–298.PubMedCrossRef
31.
go back to reference Varghese, B. T., Mathew, A., Sebastian, P., Iype, E. M., & Vijay, A. (2011). Comparison of quality of life between voice rehabilitated and nonrehabilitated laryngectomies in a developing world community. Acta Oto-Laryngologica, 131(3), 310–315.PubMedCrossRef Varghese, B. T., Mathew, A., Sebastian, P., Iype, E. M., & Vijay, A. (2011). Comparison of quality of life between voice rehabilitated and nonrehabilitated laryngectomies in a developing world community. Acta Oto-Laryngologica, 131(3), 310–315.PubMedCrossRef
32.
go back to reference Cataldo, J. K., Jahan, T. M., & Pongquan, V. L. (2012). Lung cancer stigma, depression, and quality of life among ever and never smokers. European Journal of Oncology Nursing, 16(3), 264–269.PubMedCentralPubMedCrossRef Cataldo, J. K., Jahan, T. M., & Pongquan, V. L. (2012). Lung cancer stigma, depression, and quality of life among ever and never smokers. European Journal of Oncology Nursing, 16(3), 264–269.PubMedCentralPubMedCrossRef
33.
go back to reference Cataldo, J. K., Slaughter, R., Jahan, T. M., Pongquan, V. L., & Hwang, W. J. (2011). Measuring stigma in people with lung cancer: Psychometric testing of the cataldo lung cancer stigma scale. Oncology Nursing Forum, 38(1), E46–E54.PubMedCentralPubMedCrossRef Cataldo, J. K., Slaughter, R., Jahan, T. M., Pongquan, V. L., & Hwang, W. J. (2011). Measuring stigma in people with lung cancer: Psychometric testing of the cataldo lung cancer stigma scale. Oncology Nursing Forum, 38(1), E46–E54.PubMedCentralPubMedCrossRef
Metagegevens
Titel
Quality of life in head and neck cancer patients after tumor therapy and subsequent rehabilitation: an exploratory study
Auteurs
Judit Nagy
Gábor Braunitzer
Márk Antal
Csaba Berkovits
Péter Novák
Katalin Nagy
Publicatiedatum
01-02-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0446-1

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