Performance status scale for head and neck scores for oral cancer survivors: predictors and factors for improving quality of life
| Autor: | Masaya Okura, Katsuhiko Amano, Takahide Kondo, Tomonao Aikawa, Mikihiko Kogo, Hironobu Kobashi, Akinari Sugauchi, Yusuke Yabuno |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Trismus Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Quality of life Cancer Survivors Medicine Humans Survivors Head and neck General Dentistry Aged Rehabilitation Performance status business.industry Cancer Neck dissection 030206 dentistry medicine.disease Head and Neck Neoplasms 030220 oncology & carcinogenesis Physical therapy Quality of Life Multiple linear regression analysis Female medicine.symptom business |
| Zdroj: | Clinical oral investigations. 23(4) |
| ISSN: | 1436-3771 |
| Popis: | This study aimed to determine the factors associated with long-term quality of life of oral cancer survivors. A total of 508 survivors were assessed using the performance status scale for head and neck (PSS-HN), which comprises Eating in Public (E-Public), Normalcy of Diet (N-Diet), and Understandability of Speech (U-Speech). Stepwise multiple linear regression analysis was performed. The median time between the end of treatment and participating in the survey was 38 months (range, 6–250). Overall, 57–60% of survivors achieved full performance (100 score) of each PSS-HN score, whereas 15% had moderate or severe impairment (≤ 50 score) in E-Public and N-Diet, and 4% had impairment in U-Speech. These three scores deteriorated with increasing T-stage. Age, soft tissue reconstruction, trismus, and missing occlusal contacts on the contralateral side were significantly associated with E-Public and N-Diet. Neck dissection, hard tissue reconstruction, and missing occlusal contacts bilaterally were associated with U-Speech score. Older age, T4 tumor, and soft tissue reconstruction were predictors of low E-Public and N-Diet performance scores. Increasing mouth opening and maintaining optimal occlusal contacts on the contralateral side may be effective ways to improve N-Diet and E-Public performance. Maintaining optimal occlusal contacts bilaterally may be effective for improving speech performance. Oral health care to increase optimal occlusal contacts and rehabilitation of trismus may be promising factors to improve the functional performance of oral cancer survivors. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink