The EORTC QLQ43 and FACT H&N questionnaires of quality of life at 1 and 5 years after treatment and dental care in head and neck cancer patients: a pilot study.

Autor: Guedea M; Orthodontics Department, Facultat de Medicina i Ciències de la Salut, University of Barcelona (UB), Barcelona, Spain., Sánchez M; Orthodontics Department, Facultat de Medicina i Ciències de la Salut, University of Barcelona (UB), Barcelona, Spain., Lozano A; Radiation Oncology Department, Institut Català d'Oncologia (ICO), Hospital Duran I Reynals, L'Hospitalet de Llobregat, Barcelona, Spain.; Head and Neck Cancer Tumor Board, Institut Català d'Oncologia (ICO), Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, Spain., Ferrer M; Health Services Research Group, Hospital del Mar Research Institut - IMIM, Barcelona, Spain.; CIBER Epidemiología y Salud Pública (CIBERESP), Universitat Pompeu Fabra, Barcelona, Spain., Pont A; Health Services Research Group, Hospital del Mar Research Institut - IMIM, Barcelona, Spain.; CIBER Epidemiología y Salud Pública (CIBERESP), Universitat Pompeu Fabra, Barcelona, Spain., Guedea F; Radiation Oncology Department, Institut Català d'Oncologia (ICO), Hospital Duran I Reynals, L'Hospitalet de Llobregat, Barcelona, Spain. fguedea@iconcologia.net.; Clinical Sciences Departament, Facultat de Medicina i Ciències de la Salut. University of Barcelona (UB), L'Hospitalet de Llobregat, Barcelona, Spain. fguedea@iconcologia.net., Clotet S; Radiation Oncology Department, Institut Català d'Oncologia (ICO), Hospital Duran I Reynals, L'Hospitalet de Llobregat, Barcelona, Spain., Juárez M; Radiation Oncology Department, Institut Català d'Oncologia (ICO), Hospital Duran I Reynals, L'Hospitalet de Llobregat, Barcelona, Spain., Araguas P; Radiation Oncology Department, Institut Català d'Oncologia (ICO), Hospital Duran I Reynals, L'Hospitalet de Llobregat, Barcelona, Spain., Ventura M; Radiation Oncology Department, Institut Català d'Oncologia (ICO), Hospital Duran I Reynals, L'Hospitalet de Llobregat, Barcelona, Spain., d'Oliveira NG; Orthodontics Department, Facultat de Medicina i Ciències de la Salut, University of Barcelona (UB), Barcelona, Spain., Ustrell JM; University of Barcelona (UB), Barcelona, Spain.
Jazyk: angličtina
Zdroj: Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico [Clin Transl Oncol] 2024 Jun 23. Date of Electronic Publication: 2024 Jun 23.
DOI: 10.1007/s12094-024-03567-5
Abstrakt: Purpose: This study aimed to examine health-related quality of life (HRQoL) in head and neck cancer patients at 1 and 5 years after successful treatment of their tumors, and to explore the usefulness of 2 instruments for assessing the need of dental care services.
Methods: This cross-sectional pilot study included 20 adult patients with head and neck cancer who completed the Functional Assessment of Cancer Therapy-Head and Neck (FACT H&N) Symptom Index and the European Organization for Research and Treatment of Cancer Quality of Life Head and Neck Module (EORTC QLQ-H&N43) after 1 and 5 years of treatment.
Results: Mean (standard deviation, SD) scores of the FACT H&N Symptom Index were higher (better HRQoL) at 5 years than at 1 year (24.1 [4.4] vs. 21.1 [6.4]; p = 0.236). Only three of the ten items of FACT H&N (swallow, pain in mouth/throat or neck, and solid foods) evaluated oral health. In the EORTC QLQ-H&N43 questionnaire, scores were lower at 5 years (better HRQoL) in almost all multi- and single-item symptoms. This questionnaire includes four multi-item scales (pain in the mouth, social eating, swallowing, and problems with teeth) measuring dental and orthodontic needs.
Conclusion: HRQoL in patients with head and neck cancer improved with the length of follow-up. The EORTC QLQ-H&N43 has more items addressing oral health compared to the FACT H&N Symptom Index and may be more adequate to assess the need of dental therapy in clinical practice.
(© 2024. The Author(s).)
Databáze: MEDLINE
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