Self-perception versus professional assessment of functional outcome after ablative surgery in patients with oral cancer

Abstract

From the professionals' point of view differences were perceived in more items compared to the patients' self-assessments, who widely experienced a more severe functional impairment. Physicians should take this into account when discussing adverse therapy effects with the patients.

Health-Related Quality of Life in Oral Cancer Patients: Scoping Review and Critical Appraisal of Investigated Determinants

“…Tumor stage was reported in 26 articles-data stratification was properly performed in three [9,36,46] and incomplete/inadequate stratification was performed in nine (which distinguished patients grouping different T stages together) [23][24][25][26][27]33,34,[49][50][51]; in three studies the investigations were performed on homogenous populations regarding this variable: on pT3 of the mobile tongue in two [28,31] and on T4 of the buccal mucosal in the other [39].…”

“…Performed mandibular resection was overtly reported in 15 articles-data stratification was properly performed in three [23,36,46]; incomplete/inadequate stratification was performed in one (which compared no mandibular resection group to patients undergoing mandibular resection grouping together with those who received marginal and segmental resections) [24]; six studies clearly stated that none of the included cases underwent mandibular resection [28,31,38,39,45,49]; and in three studies, the investigated population homogeneously underwent segmental mandibular resection [29,40,48].…”

“…The performed reconstruction was reported in 23 articles-data stratification was properly performed in five (means that each investigated reconstruction strategy-i.e., each type of free flap, each type of regional flap, each type of local flap, primary closure, and each type of graft was investigated separately from each other) [28,29,32,38,40], incomplete/inadequate stratification was performed in in seven [23,24,31,35,37,46,48], and the investigated populations homogeneously underwent the same reconstruction strategy in four studies (radial forearm free flap) [22,25,26,39].…”

“…The presence or the absence of patients with synchronous lesions at baseline in the studied sample was overtly indicated in four articles-in one paper, those patients who presented synchronous lesions were excluded a priori [28], while the authors in two studies stated that these patients were not present in the studied population [31,49]. The presence or the absence of patients who developed metachronous neoplasms or disease relapse in the studied sample were indicated in 17 articles-data stratification was properly performed in two [39,46]; in eight papers, those patients who developed a relapse or a metachronous lesion were excluded from data analysis [24,26,34,36,42,48,50,53]; and the authors in another study overtly stated that these patients were not present in the studied population [31].…”

“…Patients who required secondary surgery for tumor relapse or reported major postsurgical complications were included in six articles-none performed data stratification regarding this variable; in one study, these patients were excluded from the data analysis [24]; and the authors from another study stated that no secondary surgery was performed in the investigated sample [31].…”