Factors associated with the quality of life of subjects with facial 
disfigurement due to surgical treatment of head and neck cancer

Nogueira, Túlio Eduardo; Adorno, Marcelo; Mendonça, Elismauro Francisco; Leles, Cláudio Rodrigues

doi:10.4317/medoral.22072

Cited by 11 publications

(20 citation statements)

References 19 publications

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“…Our findings showed that the mean QoL score among Chinese patients with oral cancer was 90.85±20.15, which is lower than that of patients with other head and neck cancers in China (such as nasopharyngeal carcinoma and laryngeal cancer patients) [27,28]. In addition, Tulio et al indicated that in Brazil, the mean FACT-H&N score was 96.6±20.5 [29]. In Williams' research, the median FACT-H&N score was 110.20 in America [30].…”

Section: Discussionmentioning

confidence: 49%

Effects of stigma, hope and social support on quality of life among Chinese patients diagnosed with oral cancer: A cross-sectional study

Zhang¹,

Cui²,

Wang³

et al. 2020

Preprint

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Background Improving quality of life (QoL) has been one of the goals of health care for people living with oral cancer. This study aimed to assess QoL and investigate the effects of stigma, hope, and social support on QoL among Chinese oral cancer patients.Methods A cross-sectional study was conducted at the Department of Stomatology, Shengjing Hospital of China Medical University and Stomatology Hospital of China Medical University in Liaoning Province, China, between May 2016 and October 2017. A total of 230 oral cancer patients were recruited to complete a questionnaire including the Functional Assessment of Cancer Therapy-Head and Neck (FACT-H&N), the Social Impact Scale (SIS), the Herth Hope Index (HHI) and the Multidimensional Scale of Perceived Social Support (MSPSS). Univariate one-way ANOVA/t-test, Person’s r and hierarchical linear regression analysis were conducted to explore the factors influencing QoL and the relationships between stigma, hope, perceived social support and QoL.Results The mean QoL score was 90.85±20.15 among the patients with oral cancer. Stigma was negatively related to QoL, explaining 39.3% of the variance. In addition, hope and perceived social support were positively associated with QoL, explaining 8.1% of the variance.Conclusion Overall, Chinese patients with oral cancer suffer from low QoL. Stigma was significantly and negatively associated with QoL, while hope and perceived social support were positively associated with QoL. Oral cancer patients’ psychological states should be addressed, and adequate intervention based on positive psychological resources should be provided to improve the QoL of patients with oral cancer.

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Section: Discussionmentioning

confidence: 49%

Effects of stigma, hope and social support on quality of life among Chinese patients diagnosed with oral cancer: A cross-sectional study

Zhang¹,

Cui²,

Wang³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Wang et al, in 2018, used questionnaires including a Facial Disfigurement Scale, Social Support Scale and Psychosocial Adjustment to Illness scale and reported poor psychosocial adjustment in Oral cancer patients with severe disfigurement [ 46 ]. The study [ 47 ] employed a Functional Assessment of Cancer Therapy-Head and Neck (FACT H&N) questionnaire and observed that disfigurement was significantly associated with the functional dimension of patients’ QoL. It was also reported that disfigurement was positively associated with psychological distress when social self-efficacy was low [ 48 ].…”

Section: Introductionmentioning

confidence: 99%

Cancer and Stress: Does It Make a Difference to the Patient When These Two Challenges Collide?

Iftikhar

Islam

Shepherd

et al. 2021

Cancers

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A single head and neck Cancer (HNC) is a globally growing challenge associated with significant morbidity and mortality. The diagnosis itself can affect the patients profoundly let alone the complex and disfiguring treatment. The highly important functions of structures of the head and neck such as mastication, speech, aesthetics, identity and social interactions make a cancer diagnosis in this region even more psychologically traumatic. The emotional distress engendered as a result of functional and social disruption is certain to negatively affect health-related quality of life (HRQoL). The key biological responses to stressful events are moderated through the combined action of two systems, the hypothalamus–pituitary–adrenal axis (HPA) which releases glucocorticoids and the sympathetic nervous system (SNS) which releases catecholamines. In acute stress, these hormones help the body to regain homeostasis; however, in chronic stress their increased levels and activation of their receptors may aid in the progression of cancer. Despite ample evidence on the existence of stress in patients diagnosed with HNC, studies looking at the effect of stress on the progression of disease are scarce, compared to other cancers. This review summarises the challenges associated with HNC that make it stressful and describes how stress signalling aids in the progression of cancer. Growing evidence on the relationship between stress and HNC makes it paramount to focus future research towards a better understanding of stress and its effect on head and neck cancer.

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“…These changes can leave patients distressed, with relational difficulties and social isolation, so, all changes resulting from the tumor and treatment can directly impact their quality of life. 1,[8][9][10][11][12] The assessment of the quality of life of patients with head and neck cancer helps in optimizing the therapeutic choice, balancing the patient's needs and gains in the recovery, and, therefore, not based solely on tumor staging and clinical aspects. 11,13,14 Due to the physical and emotional impairment attributed to cancer, many patients need a caregiver, who is usually a family member.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life of the Patient with Head and Neck Cancer Submitted to Radiotherapy and the Overload of Their Caregivers

Delalibera¹,

Carvalho²,

Thesolim³

et al. 2021

Int Arch Otorhinolaryngol

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Introduction Esthetic and functional changes are frequent in patients with head and neck cancer, and they can be caused by both tumor and treatment. Physical and functional impairment often requires the need of a caregiver, who may feel overwhelmed with the tasks of care. Objective This study aims to evaluate the quality of life of patients with head and neck cancer submitted to radiotherapy and the overload of their caregivers. Method This is a quantitative cross-sectional study with 42 patients with head and neck cancer and 17 caregivers evaluated during the radiotherapy treatment. Patients responded to the following questionnaires: Functional Assessment of Cancer Therapy for Head and Neck Cancer (FACT-H&N) and Shame and Stigma Scale (SSS), while the caregivers responded to the Zarit Burden Interview Scale (ZBI) and Palliative Performance Scale (PPS). Results Head and neck cancer patients showed a decline in the quality of life in all FACT-H&N domains, with the domain of additional concerns having the worst outcome. Among the feelings reported by patients, the most important was penitence. Less than half of the patients needed caregivers. It was observed that the greater the degree of commitment of the patient, the greater the degree of overload of the caregiver. Conclusion Therefore, the quality of life of the patient with head and neck cancer is an important aspect to be considered during the therapeutic choice and in the follow-up of the patient, since it has influenced both the patient and his caregiver.

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Factors associated with the quality of life of subjects with facial disfigurement due to surgical treatment of head and neck cancer

Cited by 11 publications

References 19 publications

Effects of stigma, hope and social support on quality of life among Chinese patients diagnosed with oral cancer: A cross-sectional study

Effects of stigma, hope and social support on quality of life among Chinese patients diagnosed with oral cancer: A cross-sectional study

Cancer and Stress: Does It Make a Difference to the Patient When These Two Challenges Collide?

Quality of Life of the Patient with Head and Neck Cancer Submitted to Radiotherapy and the Overload of Their Caregivers

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