Patient self-reported and clinician-rated quality of life in head and neck cancer patients: a cross-sectional study

Bjordal, Kristin; Freng, Atle; Thorvik, J.; Kaasa, Stein

doi:10.1016/0964-1955(95)00010-f

Cited by 71 publications

(49 citation statements)

References 16 publications

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“…15 Severity of symptoms was recorded on a four-point scale. In this study, patients were found to report more oral compromise and posttreatment side effects than the clinician's assessment .…”

Section: Discussionmentioning

confidence: 99%

Quality of life and oral function following radiotherapy for head and neck cancer

et al. 1999

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Background Multiple oral complaints occur following radiotherapy for oropharyngeal cancer, but the frequency and severity of symptoms of dysfunction and discomfort are not well understood. The purpose of this investigation was to assess the quality of life, oral function, and oral symptoms following radiotherapy. Methods A general quality of life survey (the European Organization for Research and Treatment of Cancer [EORTC] Quality of Life Questionnaire QLQ‐C30), with an added oral symptom and function scale was mailed to 100 patients more than 6 months following radiotherapy. Results Sixty‐five patients responded. Difficulty chewing or eating was reported by 43% of respondents. Dry mouth was reported by 91.8%, change in taste by 75.4%, dysphagia by 63.1%, altered speech by 50.8%, difficulty with dentures by 48.5%, and increased tooth decay by 38.5% of dentate patients. Pain was common (58.4%) and interfered with daily activities in 30.8%. Mood complaints were reported by approximately half the patients. Interference of the physical condition social activities was reported by 60%. The frequency of oral side effects correlated with radiation treatment fields and dose. Conclusion Oral complications following radiotherapy for head and neck cancer are common and affect quality of life. Use of a general function scale such as the EORTC questionnaire with the addition of disease/site specific scales may provide useful data on outcome of therapy and upon the complications associated with therapy and impact upon the quality of life. © 1999 John Wiley & Sons, Inc. Head Neck 21: 1–11, 1999.

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Section: Discussionmentioning

confidence: 99%

Quality of life and oral function following radiotherapy for head and neck cancer

et al. 1999

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“…Despite this fact, the instrument is already considered a gold standard of measurement in the development of other questionnaires. 14 Because patients' and doctors' assessments of health-related quality of life often differ, 15,16 it is important that reliable ways of measuring quality of life be developed.…”

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confidence: 99%

Validation of the EORTC QLQ‐C30 and EORTC QLQ‐H&N35 in patients with laryngeal cancer after surgery

et al. 2008

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Background. The aim of this study was to test the validity of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core Module (QLQ-C30) and Head and Neck Module (QLQ-H&N35) for patients who have undergone surgery due to laryngeal cancer.Methods. A total of 323 patients from 6 different centers in Germany who had been operated on completed the QLQ-C30 and the QLQ-H&N35 in addition to being surveyed in a personal interview.Results. Multitrait scaling analysis confirmed the proposed scale structure of both questionnaires. Cronbach's alpha of the QLQ-C30 scales ranged from 0.64 (Cognitive Functioning) to 0.94 (Global Health Status); the alpha of the QLQ-H&N35 ranged from 0.55 (Speech) to 0.90 (Sexuality). Known-groups comparisons showed multiple differences in sociodemographic and clinical variables.Conclusion. It can be concluded that the QLQ-H&N35, in conjunction with the QLQ-C30, is a reliable instrument that is able to differentiate between diverse groups of patients with laryngeal cancer after surgery. V

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“…It points to those aspects of life which are affected by healthcare interventions and is used with increased frequency. 6 Rather than being clinician-rated, 7 patients now complete validated questionnaires 8 that assess subjectively key parameters of HRQOL in head and neck cancer. There are many potential benefits from measuring HRQOL and these include: (i) the provision of better information for the patient and multidisciplinary team; (ii) more effective multidisciplinary team working; (iii) identification of potentially poor outcome groups; and (iv) areas of dysfunction.…”

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confidence: 99%

A national survey of health-related quality of life questionnaires in head and neck oncology

Kanatas¹,

Rogers²

2004

Ann R Coll Surg Engl

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Patient self-reported and clinician-rated quality of life in head and neck cancer patients: a cross-sectional study

Cited by 71 publications

References 16 publications

Quality of life and oral function following radiotherapy for head and neck cancer

Quality of life and oral function following radiotherapy for head and neck cancer

Validation of the EORTC QLQ‐C30 and EORTC QLQ‐H&N35 in patients with laryngeal cancer after surgery

A national survey of health-related quality of life questionnaires in head and neck oncology

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