Self-perception versus professional assessment of functional outcome after ablative surgery in patients with oral cancer
| Autor: | Jürgen Hedderich, Daniela Hauke, Jörn Huck, Stephan T. Becker, Thomas Küchler, Jörg Wiltfang, Benedicta Beck-Broichsitter |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Intelligibility (communication) 03 medical and health sciences Dysarthria 0302 clinical medicine Patient satisfaction Quality of life Swallowing Tongue medicine Humans Aged Mouth neoplasm business.industry Speech Intelligibility 030206 dentistry General Medicine Recovery of Function Middle Aged Plastic Surgery Procedures Speech Therapist Self Concept Deglutition medicine.anatomical_structure Outcome and Process Assessment Health Care Treatment Outcome Oncology Patient Satisfaction 030220 oncology & carcinogenesis Physical therapy Quality of Life Female Mouth Neoplasms medicine.symptom business |
| Zdroj: | Journal of cancer research and clinical oncology. 143(2) |
| ISSN: | 1432-1335 |
| Popis: | The extent of functional impairment after ablative surgery in the orofacial region may be directly reflected in a reduction in Quality of Life. This study intended to compare the patients’ perception with an objective functional evaluation of the orofacial system in order to bilaterally distinguish direct influence factors. A total of 45 patients were included in this study and were asked to complete the European Organisation for Research and Treatment of Cancer Core Questionnaire (EORTC QLQ-30) and the Head and Neck 35 Module (H&N 35). Afterward one independent speech therapist evaluated the patients applying the Frenchay Dysarthria Assessment regarding four main categories: mouth opening, tongue motility, swallowing and intelligibility. Comparisons between groups were performed using Whitney–Mann U–Wilcoxon test and calculating Spearman’s rho. Overall the professional assessments by the speech therapists revealed significantly higher scores regarding intelligibility, swallowing and mouth opening when compared to the patients’ self-perception. Smaller tumor sizes, no bone resection and local reconstruction techniques led to significantly better functional outcomes, when assessed by speech therapists. Swallowing was perceived significantly better by patients in cases of local reconstruction. 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. |
| Databáze: | OpenAIRE |
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