Are head and neck specific quality of life measures necessary?

Gliklich, Richard E.; Goldsmith, Tessa; Funk, Gerry F.

doi:10.1002/(sici)1097-0347(199709)19:6<474::aid-hed3>3.0.co;2-w

Cited by 99 publications

(65 citation statements)

References 22 publications

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“…Knowledge about the impact of swallowing on the resultant quality of life in patients with tongue cancer could help to better decide among treatment options in selected cases and guide management by the rehabilitation team [1][2][3]. The use of specific questionnaires to evaluate the quality of life related to swallowing is necessary when the objective is to accurately differentiate the outcomes among different treatment modalities [4].…”

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confidence: 99%

Quality of Life Related to Swallowing After Tongue Cancer Treatment

et al. 2007

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The surgical treatment of tongue cancer, with or without reconstruction and/or radiotherapy, leads to different levels of voice, speech, and deglutition disorders. Evaluating the quality of life related to these swallowing alterations is important to further our knowledge about the impact of such alterations from the patient's point of view. Our objective was to describe the quality of life related to swallowing in patients treated for tongue cancer, using specific questionnaires. Twenty-nine patients participated in the study for a minimum of one year after oncologic treatment. Patients with advanced disease who underwent radiotherapy had significantly worse scores in most domains. The aspects related to how to deal with deglutition problems, time taken for meal consumption, pleasure in eating, chewing problems, food sticking in throat and mouth, choking, and the knowledge of feeding restrictions, which were evaluated by different domains of SWAL-QOL, were factors that contributed to a negative impact for patients with advanced-stage tumors who underwent radiotherapy.

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confidence: 99%

Quality of Life Related to Swallowing After Tongue Cancer Treatment

et al. 2007

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“…Specific problems of patients who have undergone treatment for head and neck cancer, which are concerned with eating/swallowing, speech, and appearance, are not reflected in general health domains. Thus, specific head and neck QOL measures reflecting the aforementioned three domains are necessary [4]. It is generally considered that functional status and QOL are not always equivalent and function itself cannot predict QOL [2,12].…”

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confidence: 99%

Subjective functional results 1 year after surgery and postoperative radiation for oropharyngeal carcinoma

Klozar

Lischkeova

Betka

2001

European Archives of Oto-Rhino-Laryngology

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This study was conducted to find out what factors most influenced functional results and patient satisfaction at 1 year after treatment in a homogeneous group of patients who had undergone surgery and postoperative radiotherapy for the treatment of oropharyngeal carcinoma. Further aims were to find out the relation between the overall and specific disease-related results and to compare the two questionnaires used. The study group consisted of 102 patients, 23 women and 79 men, with an age range of 41-77 years (mean 45.7 years). Two questionnaires were used for evaluation. The University of Washington head and neck quality of life questionnaire (UW-QOL) includes information about nine disease-specific domains and three questions on general quality of life. The second questionnaire used was the performance status scale for head and neck cancer patients (PSS), containing information about three disease-specific domains. Functional results were influenced by the size of tumor and by the surgical method used. Results worsened with increasing T stage. The best results were found after pharyngotomy without mandibulotomy, worse results, following temporary mandibulotomy with osteosynthesis, and the poorest results were found in the group of patients who had undergone composite resection. Neither age and sex of the patients nor the course of healing influenced the functional results. All results were significantly correlated to one another. The general parameters were also closely related to specific domains. An important correlation was found between the parameters in the two questionnaires.

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“…Defecto Tipo 4 reconstruido con colgajo radial tipo "P". RE 8 , derivados del análisis y entrecruzamiento de datos de 4 sistemas de evaluación de calidad de vida (UW-QOL v 4.0, SF-36 Health Survey, the H&NS y el PSS-HN). Se seleccionaron 4 dominios: dolor, alimentación, lenguaje y aspecto, que fueron aquellos seleccionados por Gliklich y que corresponden a los parámetros de evaluación de calidad de vida en pacientes con patología de cabeza y cuello oncológica.…”

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Reconstrucción microquirúrgica del velo del paladar y pared lateral de orofaringe: Una nueva propuesta de clasificación. Resultados funcionales

2009

Rev Chil Cir

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Microsurgical velopharyngeal reconstruction. Evaluation of 37 patientsBackground: Velopharyngeal reconstruction after surgical excision of tumors is complex and must preserve swallowing and phonation Aim: To assess quality of life of patients subjected to velopharyngeal reconstruction after excision of a pharyngeal carcinoma. To propose a new classification velopharyngeal junction defects, based on tridimensional criteria, to allow a reconstruction using radial forearm flaps. Material and Methods: Prospective evaluation of 37 patients aged 25 to 78 years, with a carcinoma that involved the lateral wall of the oropharynx or soft palate, subjected to surgical excision with negative surgical margins. Four types of velopharyngeal effects were considered for reconstruction. In 25 of the patients quality of life and quality of swallowing and phonation was evaluated. Results: Eighty one percent of patients considered their quality of life as good or optimal. No patients had swallowing disturbances and 71, 21 and 8% had an excellent, good or acceptable phonetic results, respectively. Conclusions: The proposed classification allows a reconstruction without tension and with a good functional performance.

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Are head and neck specific quality of life measures necessary?

Cited by 99 publications

References 22 publications

Quality of Life Related to Swallowing After Tongue Cancer Treatment

Quality of Life Related to Swallowing After Tongue Cancer Treatment

Subjective functional results 1 year after surgery and postoperative radiation for oropharyngeal carcinoma

Reconstrucción microquirúrgica del velo del paladar y pared lateral de orofaringe: Una nueva propuesta de clasificación. Resultados funcionales

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