Impact of Oral Rehabilitation on Patients with Head and Neck Cancer: Study of 100 Patients with Liverpool Oral Rehabilitation Questionnaire and the Oral Health Impact Profile

Dholam, Kanchan; Chouksey, Gunjan; Dugad, Jinesh

doi:10.1007/s12070-020-01801-4

Cited by 9 publications

(4 citation statements)

References 17 publications

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“…Thus, the impaired ability of oral functions and reduced resilience capacity levels due to oral cancer effects and treatment side effects correlated with the negative social aspects, which additionally worsens the burden due to r/m HNSCC. Despite psychological support, the prosthetic rehabilitation of HNC patients can significantly improve OHRQoL and should be part of an interdisciplinary treatment concept [30,81,88]. This is in line with our findings, where the need for prosthetic treatment also was associated with a significant increase in scores on the global health scale (QLQ-C30).…”

Section: Cga and Qol Impairments In Patients With R/m Hnscc Were High...supporting

confidence: 90%

“…Using the LORQv3, high impairments were found for the domains of oral function and orofacial appearance, indicating a low ability of, i.e., chewing, swallowing, and mouth opening. In addition to the side effects of surgical treatment and radio-/chemotherapy (xerostomia, restricted agility of oral structures, and facial disfigurement), the development of a recurrence/metastatic disease seems to cause an additional deterioration of OHRQoL compared to patients with primary HNC disease [26,30,81]. An additional negative effect on OHRQoL was found in the "need for prosthetic treatment".…”

Section: Cga and Qol Impairments In Patients With R/m Hnscc Were High...mentioning

confidence: 99%

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Comprehensive Geriatric Assessment and Quality of Life Aspects in Patients with Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC)

Winter,

Schulz,

Schmitter

et al. 2023

JCM

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To define frailty in older cancer patients, the aim of this study was to assess the geriatric status and quality of life (QoL) aspects in patients suffering from recurrent/metastatic head and neck squamous cell carcinoma (r/m HNSCC) under palliative treatment. A comprehensive geriatric assessment (CGA) was performed on 21 r/m HNSCC patients at two defined assessments, and the QoL aspects and the impact of descriptive data were evaluated. The Kolmogorov–Smirnov test, Spearman’s rho correlation, and two-way mixed ANOVA were used for statistical analysis. All patients were found to be “frail”. Pain, fatigue, and the burden of illness were the highest-rated symptoms. Oral function and orofacial appearance were highly impaired. A significant impact of descriptive data on the CGA and QoL results was found (all p ≤ 0.05). Thus, the CGA results revealed high frailty, severe comorbidities, and high impairments in QoL aspects. The CGA and QoL results were negatively affected by the primary HNSCC treatment approach, the need for prosthetic treatment, and worse oral functional capacity. Therefore, frailty in r/m HNSCC patients seems to be multidimensional. The evaluation of the CGA and QoL aspects in r/m HNSCC patients can be recommended to detect special needs, organize aftercare, and improve the support for frail and vulnerable cancer patients to create a multidisciplinary treatment approach.

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Section: Cga and Qol Impairments In Patients With R/m Hnscc Were High...supporting

confidence: 90%

Section: Cga and Qol Impairments In Patients With R/m Hnscc Were High...mentioning

confidence: 99%

Comprehensive Geriatric Assessment and Quality of Life Aspects in Patients with Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC)

Winter,

Schulz,

Schmitter

et al. 2023

JCM

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“…Our findings showed that quality of life improved within a short time after a prosthesis insertion; moreover, our results excluded an influence of time on this improvement. This finding was consistent with that noted by Dholam et al ., who studied patients that wore a prosthesis for 12 months ( 12 ). Additionally, our study clarified the conditions of improvement; we found that, among patients that received a removable prosthesis, there was no significant difference between those that wore at least one full denture and those that wore partial dentures.…”

Section: Discussionmentioning

confidence: 99%

“…One study showed that a prosthesis improved the overall quality of life. That study followed patients for one year, but did not specify the extent of variation observed in the different quality of life domains, particularly the psychological component ( 12 ). A preliminary study showed that patient oral quality of life improved at 3 months after a prosthetic rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Quality of life of patients irradiated for head and neck cancer and impact of rehabilitation with a removable dental prosthetic: 1-year follow-up study

Silvestri¹,

Saliba-Serre²,

Ruquet³

et al. 2022

J Clin Exp Dent

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Background Head and neck cancer and its treatment cause significant functional, aesthetic, and social disabilities. These disabilities have a major impact on the quality of life of patients. When irradiation is required, removable dental prostheses are often the treatment of choice. This study investigated whether removable prosthetic rehabilitation improved patient function and aesthetics over the long term. Material and Methods In this prospective study, we assessed quality of life in 78 patients with the General Oral Health Assessment Index (GOHAI) questionnaire. Assessments were performed before, and 1 week, 3 months, 6 months, and 12 months after denture insertion. We evaluated whether quality of life was influenced by the type of removable prosthesis and the primary tumour location. Results We constructed mixed-effects linear regression models to identify correlates of the overall GOHAI score (GOAHI-add score) and the three domain-scores (functional, psychosocial, and discomfort/pain) in a longitudinal analysis over a 12-month follow-up. We compared scores (GOHAI-add score and domain-scores) in multivariate analyses between baseline (T0) and four post-insertion timepoints to determine significant changes. Conclusions We found that removable prosthetic rehabilitation had an influence on the evolution of quality of life. The psychosocial component scores increased steadily over the year and changed more significantly than the functional and discomfort-pain components. The mandibular location of the primary lesion had a negative influence on quality of life. The type of removable prosthesis did not influence the results. Key words: Quality of life, head and neck cancer, GOHAI, dental prosthesis, radiotherapy.

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Validation of the German-language version of the Liverpool Oral Rehabilitation Questionnaire version 3 and evaluation of oral-health-related quality of life among patients with squamous cell carcinoma of the head and neck

Winter

Rasche

Hartmann

et al. 2021

Journal of Cranio-Maxillofacial Surgery

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Impact of Oral Rehabilitation on Patients with Head and Neck Cancer: Study of 100 Patients with Liverpool Oral Rehabilitation Questionnaire and the Oral Health Impact Profile

Cited by 9 publications

References 17 publications

Comprehensive Geriatric Assessment and Quality of Life Aspects in Patients with Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC)

Comprehensive Geriatric Assessment and Quality of Life Aspects in Patients with Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC)

Quality of life of patients irradiated for head and neck cancer and impact of rehabilitation with a removable dental prosthetic: 1-year follow-up study

Validation of the German-language version of the Liverpool Oral Rehabilitation Questionnaire version 3 and evaluation of oral-health-related quality of life among patients with squamous cell carcinoma of the head and neck

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