Quality of life after free flap reconstruction for the cancer of the head and neck: Comparison between five-year survivors and non-survivors

Molnár, Krisztina; Hietanen, Siiri; Liisanantti, Janne; Koivunen, Petri; Lahtinen, Sanna

doi:10.1016/j.oraloncology.2022.105855

Cited by 8 publications

(12 citation statements)

References 27 publications

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“…From the remaining 2507 articles, 2273 were excluded after review of title and abstract. The remaining 234 studies were assessed in full‐text form, of which 30 articles were eligible for our systematic review 13–42 . A detailed overview of the study selection process is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…Swallowing function often deteriorated throughout time (Data S1, Appendix 3, table 2). [13][14][15][17][18][19]21,22,24,26,28,30,31,[34][35][36][37]39,41,42 Mean EORTC QLQ-H&N35 scores for the domains swallowing, speech, and sticky saliva were relatively comparable between studies. For the domain of swallowing, scores ranged approximately from 20 to 30, for speech from 20 to 25, and for sticky saliva around 40 points.…”

Section: Eating Swallowing and Speech Functionmentioning

confidence: 88%

“…Overall, age was not associated with HRQoL scores or functional outcomes, both in the short and the long-term (Data S1, Appendix 3, table 4). 18,23,25,26,39 T A B L E 1 Patient-reported outcome measures (PROMs) which were used in the included studies.…”

Section: Agementioning

confidence: 99%

“…Patients often experienced anxiety, both before and after their reconstruction (Appendix 3, Table 9). [13][14][15]17,22,[28][29][30]32,[34][35][36][37]39,41,42 Scores for the UW-QoL anxiety and mood domains ranged approximately from 70 to 80, while Bartella et al reported lower scores in patients with osseous reconstructions and Zhang et al reported higher scores (approx. 90 points).…”

Section: Tumor Localizationmentioning

confidence: 99%

“…et al and Li et al reporting scores around 60. 17,22 For saliva, these scores were approximately 70 to 75, while Molnar et al and Li et al reported lower scores, and Bartella et al and Li et al higher scores 13,21,22,39. …”

mentioning

confidence: 95%

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Long‐term patient‐reported outcomes after reconstructive surgery for head and neck cancer: A systematic review

et al. 2023

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Current literature on reconstruction after head and neck cancer (HNC) focusses on short‐term patient‐reported outcomes (PROs), while there is a need for knowledge on long‐term consequences. Embase, Medline, Web of Science, and Cochrane were searched for studies on health‐related quality of life (HRQoL) after HNC reconstruction, using validated PROMs in at least 50 patients, and a follow‐up of more than 1 year. Thirty studies were included, comprising 2358 patients with a follow‐up between one and 10 years. The most used questionnaire was the UW‐QoL v4. Reconstructive surgery was generally followed by diminished oral function, worsened by radiotherapy. Patients experienced anxiety and fear of cancer recurrence. However, there was a progressive decrease in pain over time with some flaps having more favorable HRQoL outcomes. Age and bony tumor involvement were not related to postoperative HRQoL. These results may lead to better patient counseling and expectation management of HNC patients.

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Section: Resultsmentioning

confidence: 99%

Section: Eating Swallowing and Speech Functionmentioning

confidence: 88%

Section: Agementioning

confidence: 99%

Section: Tumor Localizationmentioning

confidence: 99%

mentioning

confidence: 95%

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Long‐term patient‐reported outcomes after reconstructive surgery for head and neck cancer: A systematic review

et al. 2023

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Optimizing presurgical education for patients with head and neck cancer receiving laryngectomy and free flap surgery: A qualitative study

Mikhael,

Kansara,

Basta

et al. 2024

Head & Neck

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BackgroundThere has been limited study of oncology professionals' perspectives on optimizing delivery of presurgical education for individuals with head and neck cancer (HNC). Therefore, we assessed oncology professionals' perspectives about presurgical education for laryngectomy and free flap surgeries, which have a significant impact on patients' quality of life.MethodsInterviews were conducted with 27 oncology professionals from an NCI‐designated Comprehensive Cancer Center and a community oncology setting.ResultsParticipants identified six recommendations to improve presurgical education: (1) establishing preoperative consultations with allied health professionals; (2) educating patients and providers on the concept of team‐based care; (3) optimizing education through multimodal strategies; (4) connecting patients with other HNC surgical patients; (5) preparing caregivers for their role; and (6) educating patients on insurance navigation.ConclusionsStudy findings demonstrate gaps in the timing, content, and mode of delivery for presurgical education and suggest strategies for further evaluation in future studies.

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Assessing Long‐Term Quality of Life Concerns Through Survivorship Clinic in Head and Neck Cancer Patients

Yousef,

Nichol,

Luu

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveTo characterize the concerns of head and neck cancer (HNC) patients and discern changes in quality‐of‐life (QoL) during long‐term follow‐up.Study DesignRetrospective review.SettingSurvivorship clinic at a tertiary academic center.MethodsA retrospective review was conducted on HNC patients seen in our survivorship clinic between 1/2020 and 1/2024 using the University of Washington Quality of Life (UW‐QOL) Questionnaire.ResultsThree hundred and forty‐two patients were seen for 914 encounters. Patients were divided into 4 groups: pretreatment (n = 326), 0 to 12 months posttreatment (n = 247), 1 to 3 years posttreatment (n = 248), and more than 3 years posttreatment (n = 64). The average follow‐up after treatment was 459 days (range: 0‐5.2 years).Multivariable analysis revealed significant improvements in overall QoL, health‐related QoL, social‐emotional composite scores, activity, anxiety, appearance, chewing, mood, pain, speech, and recreation at more than 1‐year posttreatment compared to less than 1‐year posttreatment. However, declines were noted in saliva and taste scores. No differences in scores were observed between patients 1 to 3 years posttreatment and those >3 years posttreatment.At all timepoints before and after treatment, top concerns were pain, activity, and swallowing. Patients with oral cancer followed for more than 1‐year posttreatment had worse scores in appearance, chewing, pain, and speech compared to those with oropharyngeal cancer.ConclusionsUnderstanding the evolving concerns of HNC patients is imperative for enhancing care. Most QoL domains improve at 1‐year posttreatment except for saliva, taste, swallowing, and shoulder function. QoL scores stabilize after 1‐year post‐treatment. Pain, activity, and swallowing remain the top concerns at all time points.

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Quality of life after free flap reconstruction for the cancer of the head and neck: Comparison between five-year survivors and non-survivors

Cited by 8 publications

References 27 publications

Long‐term patient‐reported outcomes after reconstructive surgery for head and neck cancer: A systematic review

Long‐term patient‐reported outcomes after reconstructive surgery for head and neck cancer: A systematic review

Optimizing presurgical education for patients with head and neck cancer receiving laryngectomy and free flap surgery: A qualitative study

Assessing Long‐Term Quality of Life Concerns Through Survivorship Clinic in Head and Neck Cancer Patients

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