Trends in the 15D health-related quality of life over the first year following diagnosis of head and neck cancer

Aro, Katri; Bäck, Leif; Loimu, Venla; Saarilahti, Kauko; Rogers, Simon; Sintonen, Harri; Roine, Risto P.; Mäkitie, Antti

doi:10.1007/s00405-015-3732-4

Cited by 13 publications

(20 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The research examining how enteral feeding impacts on peoples' lives (6,(10)(11)(12)(13)(14)(15)(16)(17) consistently reports negative experiences on social eating (10)(11)(12)14,17) . Participants were reported feeling uncomfortable watching others eat (10) or self-conscious of the feeding tube when eating out (11) .…”

Section: Introductionmentioning

confidence: 99%

“…A sense of loss was described by some participants because activities centred around food were previously key leisure or pleasure life events (10) . There is a lack of consensus on how HEF impacts on other aspects of peoples' lives, including hobbies, socialising and relationships (6,(10)(11)(12)(13)(14)(15)(16)(17) . Variation between studies exists regarding the impact of HEF on social functioning, with two studies reporting no impact (10,14) and, conversely, others stating that social functioning was hindered (6,15,17) .…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, there are contradictory results concerning the impact of HEF on daily activities. No differences in physical state or role functioning, 10-12 months after cancer treatment (14,16) were found when comparing people with and without a feeding tube, and one study found that discreet g-tubes lessen impact (17) . By contrast, other studies found that HEF impacted negatively on daily activities, including role functioning, hobbies or leisure activities (6,15) .…”

Section: Introductionmentioning

confidence: 99%

“…By contrast, other studies found that HEF impacted negatively on daily activities, including role functioning, hobbies or leisure activities (6,15) . The effects of HEF on intimacy has been reported to vary from minimal (13,14,16) to substantial (6,17) , and the frequency of tube-related complications was found to fluctuate between studies (6,11,13) . However, studies investigating how tube-related complications impact on participants' lives are lacking in the literature.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The impact of living with home enteral feeding: perspectives of people who have had a diagnosis of head and neck cancer

Thomas

Sowerbutts

Burden

2019

J Human Nutrition Diet

View full text Add to dashboard Cite

Background The number of people with head and neck cancer who are home enterally fed continues to grow each year. Insertion of a feeding tube is common place in these patients and is considered to have a detrimental effect on quality of life. The present study aimed to investigate the daily impact of home enteral feeding (HEF) from the perspective of people who have had a diagnosis of head and neck cancer. Methods The methodology aligned with interpretative phenomenology analysis. People who were home enterally fed, with head and neck cancer, and aged ≥18 years were recruited. Data were collected using semi‐structured interviews and analysis focused on what the daily impact of HEF meant for participants. Results Data saturation was achieved after interviewing 15 participants. Five cluster themes were identified. ‘Deviation from the norm’ encompassed change and loss of normality. ‘Regaining control leading to empowerment’ encompassed participant empowerment through development of new skills and adjusting the feeding regime. ‘Creating a new normal’ involved making adjustments to facilitate inclusion and participation. ‘External modifiers of the HEF experience’ and ‘internal modifiers of the HEF experience’ encompassed the identification of external and internal HEF factors that influenced HEF adaptation. Conclusions HEF was found to influence peoples’ daily lives substantially and required extensive adjustments for individuals to find a new normal. A greater level of interpretation was provided beyond the current evidence‐base for this group. Policymakers and clinicians should recognise the wider impact of HEF and ensure that this awareness is embedded in clinical practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of living with home enteral feeding: perspectives of people who have had a diagnosis of head and neck cancer

Thomas

Sowerbutts

Burden

2019

J Human Nutrition Diet

View full text Add to dashboard Cite

show abstract

“…Furthermore, we compared the mean 15D scores among rhinologic patients to the corresponding scores from patients in other disease groups previously studied (Figure ) . The mean (±SD) 15D score was lowest for depression (0.729 [0.120]), followed by Addison's disease (0.853 [0.122]), rhinologic patients (0.865 [0.101]), head and neck cancer patients (0.872 [0.104]), and hysterectomy patients (0.907 [0.071]).…”

Section: Resultsmentioning

confidence: 99%

Different rhinologic diseases cause a similar multidimensional decrease in generic health‐related quality of life

Ylitalo-Heikkilä

Virkkula

Sintonen

et al. 2018

Clinical Otolaryngology

View full text Add to dashboard Cite

show abstract

Effectiveness of a Psychosocial Care Quality Improvement Strategy to Address Quality of Life in Patients With Cancer

Caminiti

Annunziata²,

Verusio

et al. 2021

JAMA Netw Open

View full text Add to dashboard Cite

IMPORTANCEMany patients with cancer who would benefit from psychosocial care do not receive it. Implementation strategies may favor the integration of psychosocial care into practice and improve patient outcomes. OBJECTIVE To evaluate the effectiveness of the Humanization in Cancer Care (HuCare) Quality Improvement Strategy vs standard care as improvement of at least 1 of 2 domains (emotional or social function) of patient health-related quality of life at baseline and 3 months. A key secondary aim included investigation of the long-term effect. DESIGN, SETTING, AND PARTICIPANTS HuCare2 was a multicenter, incomplete, stepped-wedge cluster randomized clinical trial, conducted from May 30, 2016, to August 28, 2019, in three 5-center clusters of cancer centers representative of hospital size and geographic location in Italy. The study was divided into 5 equally spaced epochs. Implementation sequence was defined by a blinded statistician; the nature of the intervention precluded blinding for clinical staff. Participants included consecutive adult outpatients with newly diagnosed cancer of any type and stage starting medical cancer treatment. INTERVENTIONS The HuCare Quality Improvement Strategy comprised (1) clinician communication training, (2) on-site visits for context analysis and problem-solving, and (3) implementation of 6 evidence-based recommendations. MAIN OUTCOMES AND MEASURES The primary outcome was the difference between the means of changes of individual scores in emotional or social functions of health-related quality of life detected at baseline and 3-month follow-up (within each group) and during the postintervention epoch compared with control periods (between groups). Long-term effect of the intervention (at 12 months) was assessed as a secondary outcome. Intention-to-treat analysis was used. RESULTS A total of 762 patients (475 [62.3%] women) were enrolled (400 HuCare Quality Improvement Strategy and 362 usual care); mean (SD) age was 61.4 (13.1) years. The HuCare Quality Improvement Strategy significantly improved emotional function during treatment (odds ratio [OR],1.13; 95% CI, 1.04-1.22; P = .008) but not social function (OR, 0.99; 95% CI, 0.89-1.09; P = .80).Effect on emotional function persisted at 12 months (OR, 1.05; 95% CI, 1.00-1.10; P = .04). CONCLUSIONS AND RELEVANCEIn this trial, the HuCare Quality Improvement Strategy significantly improved the emotional function aspect of health-related quality of life during cancer treatment and at 12 months, indicating a change in clinician behavior and in ward organization. These (continued) Key Points Question Does an implementation strategy integrating psychosocial care into cancer centers improve at least 1 of 2 domains (emotional or social function) of health-related quality of life? Findings This stepped-wedge cluster randomized clinical trial included 762 patients with cancer at high risk for reduced quality of life. Health-related quality of life score improved from baseline to 3 months among participants in the Humanization in Cancer Care ...

show abstract

Trends in the 15D health-related quality of life over the first year following diagnosis of head and neck cancer

Cited by 13 publications

References 32 publications

The impact of living with home enteral feeding: perspectives of people who have had a diagnosis of head and neck cancer

The impact of living with home enteral feeding: perspectives of people who have had a diagnosis of head and neck cancer

Different rhinologic diseases cause a similar multidimensional decrease in generic health‐related quality of life

Effectiveness of a Psychosocial Care Quality Improvement Strategy to Address Quality of Life in Patients With Cancer

Contact Info

Product

Resources

About