Acute Stage Longitudinal Change of Quality of Life from Pre- to 3 Months after Surgical Treatment in Head and Neck Cancer Patients

Tashimo, Yuichi; Ihara, Yoshiaki; Yuasa, Ken; Nozue, Shinji; Saito, Yoshiro; Katsuta, Hideyuki; Shimane, Toshikazu; Takahashi, Koji

doi:10.31557/apjcp.2019.20.10.3129

Cited by 11 publications

(10 citation statements)

References 33 publications

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“…A previous study reported that LC in patients with HNC returned to the BL 3 months following treatment [ 32 ]. The primary tumor site in their study included the tongue, pharynx, or maxilla.…”

Section: Discussionmentioning

confidence: 99%

Changes in oral function, swallowing function, and quality of life in patients with head and neck cancer: a prospective cohort study

et al. 2022

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Background Head and neck cancer (HNC) treatment can cause oral morbidities, such as oral dryness and dysphagia, affecting the patient’s quality of life (QOL). The relationship between oral functions and QOL in patients with early-stage HNC remains poorly studied. This study aimed to evaluate changes in the QOL of patients with early-stage HNC and identify factors that affect the QOL of these patients. Methods In this prospective cohort study, 37 patients who underwent early-stage (Stage I/Stage II) HNC treatment were evaluated for their oral function, swallowing function, and the QOL score at baseline (BL) and 12 months after surgical treatment (12 M). The participants were divided into two groups: patients who returned to the BL QOL score at 12 M (RE; n = 26) and those who did not (NR; n = 11). Results In total, 29.7% (11/37) patients with early-stage HNC did not return to the BL QOL score at 12 M. There was no significant difference between the RE and NR groups regarding the oral and swallowing function. Moreover, oral and swallowing function of all patients returned to the BL at 12 M. The NR group showed lower QOL scores than the RE group in the global health status, and “sticky saliva” parameters in the questionnaires. Conclusion Restoration of the oral function is insufficient to improve the QOL of patients with early-stage HNC. The treatment of these patients should instead consider several factors that affect their QOL.

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Section: Discussionmentioning

confidence: 99%

Changes in oral function, swallowing function, and quality of life in patients with head and neck cancer: a prospective cohort study

et al. 2022

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“…A previous study has reported that LC in patients with HNC returned to the BL 3 months following treatment [30]. The primary tumor site in their study included the tongue, pharynx, or maxilla.…”

Section: Discussionmentioning

confidence: 99%

Changes in oral function, swallowing function, and quality of life in patients with head and neck cancer

Ihara

Kato

Tashimo

et al. 2022

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Background: Head and neck cancer (HNC) treatment can cause oral morbidities, such as oral dryness and dysphagia, affecting the patient’s quality of life (QOL). The relationship between oral functions and QOL in patients with early-stage HNC remains unclear. The aim of this study is to evaluate changes in the QOL of patients with early-stage HNC and identify factors that affect the QOL of these patientsMethods: In this prospective cohort study, 52 patients who underwent early-stage (T1/T2) HNC treatment were evaluated for their oral function, swallowing function, and the QOL score at baseline (BL) and 12 months after surgical treatment (12M). The participants were divided into two groups: patients who returned to the BL QOL score at 12M (RE; n=35) and those who did not (NR; n=17). Results: In total, 32.7% (17/52) patients with early-stage HNC did not return to the BL QOL score at 12M. There was no significant difference between the RE and NR groups regarding the oral and swallowing function. Moreover, oral and swallowing function of all patients returned to the BL at 12M. The NR group showed lower QOL scores than the RE group in the global health status, physical function, and “sticky saliva” parameters in the questionnaires.Conclusion: Restoration of the oral function is insufficient to improve the QOL of patients with early-stage HNC. The treatment of these patients should instead consider several factors that affect their QOL.

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“…In addition, the FOIS has already been reported for its reproducibility and validity [ 24 ]. Several studies have used the FOIS for HNC patients [ 25 , 26 ], so it was also adopted in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical procedures varied among patients, and some patients developed mucositis due to chemotherapy and/or radiation therapy after surgical resection [ 25 , 26 ]. Data analyses with defects were performed using a linear mixing model, but there were some cases in which a postoperative evaluation was impossible due to dysphagia symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer

et al. 2021

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Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1–2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection.

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Acute Stage Longitudinal Change of Quality of Life from Pre- to 3 Months after Surgical Treatment in Head and Neck Cancer Patients

Cited by 11 publications

References 33 publications

Changes in oral function, swallowing function, and quality of life in patients with head and neck cancer: a prospective cohort study

Changes in oral function, swallowing function, and quality of life in patients with head and neck cancer: a prospective cohort study

Changes in oral function, swallowing function, and quality of life in patients with head and neck cancer

Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer

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