Risk stratification for poor health-related quality of life following head and neck cancer through the aid of a one-page item prompt list

Autor: Anastasios Kanatas, Gerry Humphris, Simon N. Rogers, Derek Lowe, J.A. Twigg
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Oral and Maxillofacial Surgery. 51:1000-1006
ISSN: 0901-5027
DOI: 10.1016/j.ijom.2021.08.028
Popis: The aim of this work was to evaluate the usability of a single-page, patient-completed, condition-specific prompt list, the Patient Concerns Inventory (PCI-HN), to risk-stratify for poor health-related quality of life (HRQOL). Data were collected between 2008 and 2017. The main dataset comprised 310 patients first completing the PCI-HN and University of Washington Quality of Life questionnaire (UW-QOLv4) between 2012 and 2017. Another 201 patients first completing the PCI-HN between 2008 and 2011 provided a second dataset for independent validation. Subsequent completions of the PCI-HN in both groups and the distress thermometer (DT) were also used as further validation datasets. Associations between PCI-HN items selected by patients and a range of UW-QOLv4 outcomes were explored using conventional logistic regression and Chi-squared automated interaction detection (CHAID) analyses. One quarter of patients reported less than good HRQOL, range 26–29% across the four datasets. Several individual items from within the PCI-HN were predictive of adverse outcomes. The total number of items selected was also predictive. The single-sheet prompt list enables clinicians to identify patients at high risk of poor HRQOL. This simple approach has the potential to be integrated into routine clinical practice.
Databáze: OpenAIRE
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