Clinical relevance of quality‐of‐life data in laryngectomized patients

Fahsl, Sabine; Keszte, Judith; Boehm, Andreas; Vogel, H; Völkel, Wolfram; Meister, E. F.; Oeken, Jens; Sandner, A.; Koscielny, Sven; Kluge, Angela; Heim, Manfred; Dietz, Andreas; Schnittger, Susanne

doi:10.1002/lary.23263

Cited by 18 publications

(19 citation statements)

References 30 publications

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“…These findings are similar to those from the study conducted by Fahsl et al . [24] We reported the same problems: pain, trouble with social contact, trouble with social eating, teeth, feeling of illness, and sticky saliva. Patients with pharyngocutaneous fistula had a feeding tube which made them feel ill.…”

Section: Discussionmentioning

confidence: 78%

The impact of vocal rehabilitation on quality of life and voice handicap in patients with total laryngectomy

Ţiple

Drugan

Dinescu³

et al. 2016

J Res Med Sci

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Background:Health-related quality of life (HRQL) and voice handicap index (VHI) of laryngectomies seem to be relevant regarding voice rehabilitation. The aim of this study is to assess the impact on HRQL and VHI of laryngectomies, following voice rehabilitation.Materials and Methods:A retrospective study done at the Ear, Nose, and Throat Department of the Emergency County Hospital. Sixty-five laryngectomees were included in this study, of which 62 of them underwent voice rehabilitation. Voice handicap and QOL were assessed using the QOL questionnaires developed by the European Organisation for Research and Treatment of Cancer (EORTC); variables used were functional scales (physical, role, cognitive, emotional, and social), symptom scales (fatigue, pain, and nausea and vomiting), global QOL scale (pain, swallowing, senses, speech, social eating, social contact, and sexuality), and the functional, physical, and emotional aspects of the voice handicap (one-way ANOVA test).Results:The mean age of the patients was 59.22 (standard deviation = 9.00) years. A total of 26 (40%) patients had moderate VHI (between 31 and 60) and 39 (60%) patients had severe VHI (higher than 61). Results of the HRQL questionnaires showed that patients who underwent speech therapy obtained better scores in most scales (P = 0.000). Patients with esophageal voice had a high score for functional scales compared with or without other voice rehabilitation methods (P = 0.07), and the VHI score for transesophageal prosthesis was improved after an adjustment period. The global health status and VHI scores showed a statistically significant correlation between speaker groups.Conclusion:The EORTC and the VHI questionnaires offer more information regarding life after laryngectomy.

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Section: Discussionmentioning

confidence: 78%

The impact of vocal rehabilitation on quality of life and voice handicap in patients with total laryngectomy

Ţiple

Drugan

Dinescu³

et al. 2016

J Res Med Sci

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“…This process seems to be fostered by coping and adjustment to the laryngectomy: patients are able to distinguish between QOL areas that cannot improve after such a surgery and those that can. They seem to adjust to the areas where no improvement is likely but they also seem to expect improvements in the other areas . When analyzing longitudinal data, one has to take into account that patients' frames of reference may change over time .…”

Section: Discussionmentioning

confidence: 99%

Quality of life before and after total laryngectomy: Results of a multicenter prospective cohort study

et al. 2013

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“…O tubo de traqueostomia causa irritação na mucosa da traqueia, ocasionando aumento da produção de secreção. Paralelamente, todos os laringectomizados acumulam mais muco devido à quantidade maior de partículas que inalam por falta do filtro natural, que é a mucosa da cavidade nasal (20) .…”

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Multiple symptoms in people with head and neck neoplasia: a descriptive study

Pinto

Rodrigues

Oliveira

2014

Online Brazilian Journal of Nursing

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RESUMOObjetivos: descrever a presença e intensidade de múltiplos sintomas em pessoas com câncer de cabeça e pescoço e o impacto desses sintomas na vida diária (mediante aplicação da escala M.D. Anderson Symptom Inventory/Head and Neck Module); comparar com o local anatômico da neoplasia e o tipo de tratamento.Método: estudo descritivo, quantitativo, realizado em um ambulatório de um hospital do estado do Ceará.Utilizou-se a análise de variância ANOVA para avaliar a existência de diferença nas pontuações das subescalas. Resultados: na escala, os sintomas gerais e específicos apresentaram-se diferentes (frequência:4,99; p≤0,01). Avaliando separadamente, foram encontradas diferenças na intensidade de sintomas. Discussão: constatouse que os sintomas por sítio anatômico apresentaram disparidades significativas entre o grupo com câncer na cavidade oral e laringe, e cavidade oral e tireoide. Conclusão: a influência do tratamento obteve-se nos múltiplos sintomas. Houve diferenças estatísticas entre o grupo submetido à cirurgia associada à radioterapia.

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Clinical relevance of quality‐of‐life data in laryngectomized patients

Abstract: Symptoms caused by disease are easier for patients to live with than more general nonspecific symptoms. Taking into account that some adverse effects of disease or therapy are partially irreversible, target values additional to changes of HRQL can be helpful when interpreting data.

Cited by 18 publications

References 30 publications

The impact of vocal rehabilitation on quality of life and voice handicap in patients with total laryngectomy

The impact of vocal rehabilitation on quality of life and voice handicap in patients with total laryngectomy

Quality of life before and after total laryngectomy: Results of a multicenter prospective cohort study

Multiple symptoms in people with head and neck neoplasia: a descriptive study

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