Self-Reported Trismus: prevalence, severity and impact on quality of life in oropharyngeal cancer survivorship: a cross-sectional survey report from a comprehensive cancer center

Cardoso, Richard C.; Kamal, Mona; Zaveri, Jhankruti; Chambers, Mark S.; Gunn, G. Brandon; Fuller, Clifton D.; Lai, Stephen Y.; Mott, Frank E.; McMillan, Holly; Hutcheson, Katherine A.

doi:10.1007/s00520-020-05630-7

Cited by 27 publications

(53 citation statements)

References 24 publications

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“… 17 , 18 , 20 , 21 , 22 The mean interference has been reported to be a surrogate for symptom distress, impairment of daily function, and overall HRQoL. 19 , 23 , 24 …”

Section: Methodsmentioning

confidence: 99%

Association of hearing loss and tinnitus symptoms with health‐related quality of life among long‐term oropharyngeal cancer survivors

et al. 2022

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Background This study investigated the association of hearing loss and tinnitus with overall health‐related quality of life (HRQoL) among long‐term oropharyngeal cancer (OPC) survivors. Methods This study included OPC survivors treated between 2000 and 2013 and surveyed from September 2015 to July 2016. Hearing loss and tinnitus were measured by asking survivors to rate their “difficulty with hearing loss and/or ringing in the ears” from 0 (not present) to 10 (as bad as you can imagine). Hearing loss and tinnitus scores were categorized as follows: 0 for none, 1–4 for mild, and 5–10 for moderate to severe. The primary outcome was the mean score of MD nderson Symptom Inventory Head & Neck module interference component as a HRQoL surrogate dichotomized as follows: 0 to 4 for none to mild and 5 to 10 for moderate to severe interference. Results Among 880 OPC survivors, 35.6% (314), reported none, 39.3% (347) reported mild, and 25.1% (221) reported moderate to severe hearing loss and tinnitus. On multivariable analysis, mild (OR, 5.83; 95% CI; 1.48–22.88; p = 0.012) and moderate (OR, 30.01; 95% CI; 7.96–113.10; p < 0.001) hearing loss and tinnitus were associated with higher odds of reporting moderate to severe symptom interference scores in comparison to no hearing loss and tinnitus. This association of hearing dysfunction was consistent with all domains of HRQoL. Conclusions Our findings provide preliminary evidence to support the need for continued audiological evaluations and surveillance to detect hearing dysfunction, to allow for early management and to alleviate the long‐term impact on QoL.

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“… 17 , 18 , 20 , 21 , 22 The mean interference has been reported to be a surrogate for symptom distress, impairment of daily function, and overall HRQoL. 19 , 23 , 24 …”

Section: Methodsmentioning

confidence: 99%

Association of hearing loss and tinnitus symptoms with health‐related quality of life among long‐term oropharyngeal cancer survivors

et al. 2022

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“…The survey was conducted from September 9, 2015, to July 7, 2016. A modified version of the Dillman method was used to administer the survey 21,22 . A letter of invitation was mailed to eligible study participants, which was followed by the survey which was mailed with a return envelope or delivered using the web‐based Qualtrics or the myMDAnderson patient platform 22 .…”

Section: Methodsmentioning

confidence: 99%

“…A modified version of the Dillman method was used to administer the survey 21,22 . A letter of invitation was mailed to eligible study participants, which was followed by the survey which was mailed with a return envelope or delivered using the web‐based Qualtrics or the myMDAnderson patient platform 22 . A maximum of two reminders were sent to non‐responders at 2–3 weeks and 4–5 weeks after initial survey roll‐out 22 .…”

Section: Methodsmentioning

confidence: 99%

“…A letter of invitation was mailed to eligible study participants, which was followed by the survey which was mailed with a return envelope or delivered using the web‐based Qualtrics or the myMDAnderson patient platform 22 . A maximum of two reminders were sent to non‐responders at 2–3 weeks and 4–5 weeks after initial survey roll‐out 22 . Further details of survey and survey administration have been described previously 13 .…”

Section: Methodsmentioning

confidence: 99%

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Risk factors associated with patient‐reported fatigue among long‐term oropharyngeal carcinoma survivors

et al. 2022

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Background The study objective is to identify risk factors associated with fatigue among long‐term OPC survivors. Methods This cross‐sectional study included disease‐free OPC survivors treated curatively between 2000 and 2013 who were surveyed from September 2015 to July 2016. The outcome variable was patient‐reported fatigue. Multivariable logistic regression was used to identify factors associated with moderate to severe fatigue. Results Among 863 OPC survivors, 17.4% reported moderate to severe fatigue. Self‐reported thyroid problems (OR: 2.01; p = 0.003), current cigarette smoking at time of survey (OR: 3.85; p = 0.001), late lower cranial neuropathy (OR: 3.44; p = 0.002), and female sex (OR: 1.91; p = 0.010) were concurrent risk factors of reporting moderate to severe fatigue. Ipsilateral intensity‐modulated radiotherapy (OR: 0.18; p = 0.014) was associated with lower risk of reporting moderate to severe fatigue. Conclusions Our study identified thyroid problems, smoking, and late lower cranial neuropathy as associated with moderate to severe fatigue. These findings should be further validated in prospective studies to address fatigue among OPC survivors.

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“…Due to the location of the structures involved, the disease and the prevalence of late effects, this cancer can permanently reduce the ability to swallow, taste, speak, chew and maintain comfortable movement of the head, neck and shoulders. Physical effects can include dry mouth, difficulty with mastication, taste, speech, loss of hearing/tinnitus and functional disorders and/or pain in the shoulder and neck areas (Badr et al, 2017 ; Cardoso et al, 2021 ; Epstein et al, 2012 ). Long‐term self‐care needs can be complex and involve non‐oncology care providers including rehabilitation and pain management experts to restore and/or prevent further deterioration of function (Cohen et al, 2016 ; Dingman et al, 2008 ; Head and Neck Cancers, 2022 ; Tippett & Webster, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Self‐efficacy in managing post‐treatment care among oral and oropharyngeal cancer survivors

Manne

Hudson²,

Kashy

et al. 2022

European J Cancer Care

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Objective: Physical and psychosocial effects of oral cancer result in long-term selfmanagement needs. Little attention has been paid to survivors' self-efficacy in managing their care. Study goals were to characterise self-care self-efficacy and evaluate socio-demographics, disease, attitudinal factors and psychological correlates of selfefficacy and engagement in head and neck self-exams. Methods: Two hundred thirty-two oral cancer survivors completed measures of socio-demographics, self-care self-efficacy, head and neck self-exams and attitudinal and psychological measures. Descriptive statistics characterised self-efficacy. Hierarchical regressions evaluated predictors of self-efficacy. Results: Survivors felt moderately confident in the ability to manage self-care (M = 4.04, SD = 0.75). Survivors with more comorbidities (β = À0.125), less preparedness (β = 0.241), greater information (β = À0.191), greater support needs (β = À0.224) and higher depression (β = À0.291) reported significantly lower selfefficacy. Head and neck self-exam engagement (44% past month) was relatively low. Higher preparedness (OR = 2.075) and self-exam self-efficacy (OR = 2.606) were associated with more engagement in self-exams. Conclusion: Many survivors report low confidence in their ability to engage in important self-care practices. Addressing unmet information and support needs, reducing depressive symptoms and providing skill training and support may boost confidence in managing self-care and optimise regular self-exams.

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Self-Reported Trismus: prevalence, severity and impact on quality of life in oropharyngeal cancer survivorship: a cross-sectional survey report from a comprehensive cancer center

Cited by 27 publications

References 24 publications

Association of hearing loss and tinnitus symptoms with health‐related quality of life among long‐term oropharyngeal cancer survivors

Association of hearing loss and tinnitus symptoms with health‐related quality of life among long‐term oropharyngeal cancer survivors

Risk factors associated with patient‐reported fatigue among long‐term oropharyngeal carcinoma survivors

Self‐efficacy in managing post‐treatment care among oral and oropharyngeal cancer survivors

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