Diagnostic and therapeutic features associated with modification of quality-of-life's outcomes between one and six months after major surgery for head and neck cancer

Gobbo, Margherita; Bullo, Federica; Perinetti, Giuseppe; Gatto, Annalisa; Ottaviani, Giulia; Biasotto, Matteo; Tirelli, Gian Carlo

doi:10.1016/j.bjorl.2015.10.013

Cited by 13 publications

(13 citation statements)

References 33 publications

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“…Este padrão também foi observado por Rigoni et al ( 2016), que avaliou a qualidade de vida de pacientes portadores do CCP e observou a maior ocorrência de casos em homens com ensino fundamental incompleto/completo. Somado a este, a faixa etária comum entre os pacientes acometidos demonstra consenso com a literatura, na qual a faixa etária média vária entre 50 e 68 anos (HONORATO et al, 2009;COSTA et al, 2012;GOBBO et al, 2016).…”

Section: Discussionunclassified

“…Estes dados trazem a expectativa quanto o perfil de incidência do CCP para os próximos anos, fortalecendo a necessidade da intensificação de políticas de conscientização e prevenção em relação as doenças e seus fatores de risco.O perfil clínico para os pacientes demonstrou uma maior ocorrência de câncer de cavidade oral (53,4%) em relação as demais regiões anatômicas. O mesmo resultado foi observado porGobbo et al (2016), na qual a taxa de ocorrência do câncer de cavidade oral foi 2,8 vezes superior ao de orofaringe.O observado pode ser justificado pela etiologia multifatorial do câncer da cavidade oral, que também tem a sua carcinogênese relacionada à radiação solar ultravioleta, a infecção pelo Papiloma Vírus Humano (HPV), a dietas pobres em frutas e vegetais e a má higiene bucal (AMERICAN CANCER SOCIETY, 2016).…”

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O Papel Da Fragilidade Na Associação Da Depressão Com a Multimorbidade: Resultados De Um Estudo Transversal a Partir De Uma Coorte Prospectiva

Borges¹,

Siqueira²,

Biella³

et al. 2021

Medicina: Esforço Comum Da Promoção Da Saúde E Prevenção E Tratamento Das Doenças 5

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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O Papel Da Fragilidade Na Associação Da Depressão Com a Multimorbidade: Resultados De Um Estudo Transversal a Partir De Uma Coorte Prospectiva

Borges¹,

Siqueira²,

Biella³

et al. 2021

Medicina: Esforço Comum Da Promoção Da Saúde E Prevenção E Tratamento Das Doenças 5

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“…1,33 The negative impacts of the side effects of various adjunctive therapies for surgery in cancer patients have been described. [34][35][36] The use of validated instruments to measure the psychosocial variables, adapted to Portuguese, is a strength of our study. The FACIT-Sp12 is considered one of the two best tools to assess the current spiritual state of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Another possible explanation could be that adjuvant treatments to surgery are related to more advanced stages of the lesion 1,33 . The negative impacts of the side effects of various adjunctive therapies for surgery in cancer patients have been described 34‐36 …”

Section: Discussionmentioning

confidence: 99%

Associations of religiosity and spiritual well‐being with appearance concerns after head and neck cancer surgery

Reis

Leles

Freire

2020

Comm Dent Oral Epid

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Objective To investigate whether religiosity and spiritual well‐being are associated with appearance concerns among people with visible sequelae due to cancer surgery in the head and neck region. Methods A cross‐sectional study was carried in 202 adult patients in a referral hospital for cancer treatment in Midwest Brazil. Data on sociodemographic, psychosocial and clinical aspects and cancer‐related behaviours were collected through interviews, clinical examination and medical records. The outcome was the patients' appearance concerns (Derriford Appearance Scale—DAS24). The independent explanatory variables were religiosity (Duke University Religiousness Index—DUREL) and spiritual well‐being (Functional Assessment of Chronic Illness Therapy‐Spiritual Well‐Being Scale—FACIT‐Sp12). Data were analysed using Pearson's chi‐square and Poisson regression. Results Most of the participants were male (76.2%), and mean age was 58.6 years (SD = 11.6). The scores of appearance concerns (DAS24) ranged from 21 to 75 (median = 33.0). In the bivariate analysis, appearance concerns were associated with spiritual well‐being (FACIT‐Sp12), degree of disfigurement and treatment with radiotherapy/chemotherapy. Religiosity (DUREL) was not associated with the outcome. In the adjusted regression model, a lower prevalence of appearance concerns was found among patients with higher levels of spiritual well‐being (PR = 0.86; CI = 0.79‐0.94), males (PR = 0.87; CI = 0.79‐0.95), those with lower degrees of disfigurement (PR = 0.89; CI = 0.82‐0.98) and those who had no treatment with radiotherapy/chemotherapy (PR = 0.83; CI = 0.72‐0.94). Conclusion High spiritual well‐being was independently associated with lower levels of appearance concerns in people with visible sequelae due to cancer surgery in the head and neck region. Understanding the role of this psychosocial determinant may help in the coping process.

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“…Over the last decades, the surgical treatment for oral and oropharyngeal squamous cell carcinoma has clearly evolved. New surgical trends, supported by the so‐called transoral surgery ( TOS), such as TLM, TORS, and more recently TOUSS, avoid the need of mandibular swing or pull‐through approaches, which negatively affect quality of life and allow shorter hospitalization and lower complication rates . Besides these unequivocal advantages of TOS, the potential risk of an incomplete resection of the tumor could be argued.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Margin Control in Transoral Approach for Oral and Oropharyngeal Cancer

et al. 2018

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Objectives Piecemeal resection provides an innovative conceptual tool for margins surveillance because it entails the intraoperative evaluation of the whole resection margins and not just sample points, which should result in a better control of deep margins compared to en bloc resection. Although it is recognized that the intraoperative use of narrow band imaging (NBI) results in a better control of superficial margins, in this exploratory study we investigated whether NBI and piecemeal resection could be used in combination to improve margin control at both superficial and deep levels. Because piecemeal resection is based on frozen section analysis, we wanted to verify its reliability compared to definitive histological examination. Methods The status of resection margins in a group of patients with oral and oropharyngeal cancers treated with NBI and laser CO2 piecemeal resection (group 1) was compared with that of an historical group of patients (group 2) treated with NBI and conventional en bloc resection. In group 1, sensitivity, specificity, and positive and negative predictive values were used to verify the rate of concordance between frozen section and definitive histology. Results The difference between deep positive margins in the two groups was statistically significant (P = 0.042). The high sensitivity and specificity (94.6% and 94.7%, respectively) of frozen section analysis also demonstrated its reliability in the examination of larger samples corresponding to the whole margin. Conclusion Even if our findings are limited by the small number of patients, we are confident that the combined use of NBI and piecemeal resection could represent an attractive surgical strategy to improve margin control. Level of Evidence 2b Laryngoscope, 129:1810–1815, 2019

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Diagnostic and therapeutic features associated with modification of quality-of-life's outcomes between one and six months after major surgery for head and neck cancer

Abstract: After major surgery, patients may undergo fast recovery, with overall quality of life likely to improve in the short-term. Clinicians must be aware of the importance of dealing with treatment-related issues immediately after surgery, with hopeful possibility of on-the-upgrade results.

Cited by 13 publications

References 33 publications

O Papel Da Fragilidade Na Associação Da Depressão Com a Multimorbidade: Resultados De Um Estudo Transversal a Partir De Uma Coorte Prospectiva

O Papel Da Fragilidade Na Associação Da Depressão Com a Multimorbidade: Resultados De Um Estudo Transversal a Partir De Uma Coorte Prospectiva

Associations of religiosity and spiritual well‐being with appearance concerns after head and neck cancer surgery

Intraoperative Margin Control in Transoral Approach for Oral and Oropharyngeal Cancer

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