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Health-related quality of life up to 1 year after radiotherapy in patients with head and neck cancer (HNC)

Identifieur interne : 006818 ( Ncbi/Merge ); précédent : 006817; suivant : 006819

Health-related quality of life up to 1 year after radiotherapy in patients with head and neck cancer (HNC)

Auteurs : Vera Loorents [Suède] ; Johan Rosell [Suède] ; Helen Salgado Willner [Suède] ; Sussanne Börjeson [Suède]

Source :

RBID : PMC:4899339

Abstract

Background

Detailed symptom specific descriptions of health-related quality of life (HRQOL), using validated questionnaires in patients with head and neck cancer (HNC) are sparse. The aim of the present study was to investigate HRQOL in patients with HNC up to 1 year after radiotherapy (RT), using two standardised questionnaires.

Methods

The data for the present study was originally collected in a randomised, prospective study. Forty-seven patients from two RT clinics in Sweden were included to investigate the secondary aim: HRQOL. Data was recorded at baseline, completion of RT, and 3, 6, 12 months after completed RT, using the questionnaire EORTC QLQ-C30-version 3 and the disease-specific module EORTC QLQ-H&N35.

Results

Most symptoms and functions deteriorated significantly by the end of RT, improved gradually by 3 and 6 months and reached baseline levels at 12 months after completed RT. However, 1 year after completed RT there were remaining significant problems in senses, dry mouth and sticky saliva.

Conclusions

Radiation therapy affects health-related quality of life in patients with head and neck cancer, both in the short and long term. Caregivers need management strategies for early detection and treatment of specific problems throughout the treatment period to help in the prevention of long-term symptoms.

Electronic supplementary material

The online version of this article (doi:10.1186/s40064-016-2295-1) contains supplementary material, which is available to authorized users.


Url:
DOI: 10.1186/s40064-016-2295-1
PubMed: 27347463
PubMed Central: 4899339

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PMC:4899339

Le document en format XML

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<p>Detailed symptom specific descriptions of health-related quality of life (HRQOL), using validated questionnaires in patients with head and neck cancer (HNC) are sparse. The aim of the present study was to investigate HRQOL in patients with HNC up to 1 year after radiotherapy (RT), using two standardised questionnaires.</p>
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<p>The data for the present study was originally collected in a randomised, prospective study. Forty-seven patients from two RT clinics in Sweden were included to investigate the secondary aim: HRQOL. Data was recorded at baseline, completion of RT, and 3, 6, 12 months after completed RT, using the questionnaire EORTC QLQ-C30-version 3 and the disease-specific module EORTC QLQ-H&N35.</p>
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<name>
<surname>Loorents</surname>
<given-names>Vera</given-names>
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<phone>+ 46 010 1031462</phone>
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<name>
<surname>Rosell</surname>
<given-names>Johan</given-names>
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<name>
<surname>Salgado Willner</surname>
<given-names>Helen</given-names>
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<given-names>Sussanne</given-names>
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<aff id="Aff1">
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Department of Radiation Oncology, Region Ostergotland, Linköping University Hospital, 58185 Linköping, Sweden</aff>
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<label></label>
Regional Cancer Center South East Sweden and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden</aff>
<aff id="Aff3">
<label></label>
Department of Medical and Health Sciences, Linköping University, Linköping, Sweden</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>20</day>
<month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>20</day>
<month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection">
<year>2016</year>
</pub-date>
<volume>5</volume>
<issue>1</issue>
<elocation-id>669</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>4</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>5</day>
<month>5</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s). 2016</copyright-statement>
<license license-type="OpenAccess">
<license-p>
<bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1">
<sec>
<title>Background</title>
<p>Detailed symptom specific descriptions of health-related quality of life (HRQOL), using validated questionnaires in patients with head and neck cancer (HNC) are sparse. The aim of the present study was to investigate HRQOL in patients with HNC up to 1 year after radiotherapy (RT), using two standardised questionnaires.</p>
</sec>
<sec>
<title>Methods</title>
<p>The data for the present study was originally collected in a randomised, prospective study. Forty-seven patients from two RT clinics in Sweden were included to investigate the secondary aim: HRQOL. Data was recorded at baseline, completion of RT, and 3, 6, 12 months after completed RT, using the questionnaire EORTC QLQ-C30-version 3 and the disease-specific module EORTC QLQ-H&N35.</p>
</sec>
<sec>
<title>Results</title>
<p>Most symptoms and functions deteriorated significantly by the end of RT, improved gradually by 3 and 6 months and reached baseline levels at 12 months after completed RT. However, 1 year after completed RT there were remaining significant problems in senses, dry mouth and sticky saliva.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Radiation therapy affects health-related quality of life in patients with head and neck cancer, both in the short and long term. Caregivers need management strategies for early detection and treatment of specific problems throughout the treatment period to help in the prevention of long-term symptoms.</p>
</sec>
<sec>
<title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s40064-016-2295-1) contains supplementary material, which is available to authorized users.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Health-related quality of life</kwd>
<kwd>Head and neck cancer</kwd>
<kwd>EORTC QLQ C30</kwd>
<kwd>QLQ-H&N35</kwd>
<kwd>Trismus</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>
<institution-wrap>
<institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/501100002794</institution-id>
<institution>Cancerfonden</institution>
</institution-wrap>
</funding-source>
<award-id>110267</award-id>
<principal-award-recipient>
<name>
<surname>Börjeson</surname>
<given-names>Sussanne</given-names>
</name>
</principal-award-recipient>
</award-group>
<award-group>
<funding-source>
<institution>medical research council of southeast sweden</institution>
</funding-source>
<award-id>37781</award-id>
<principal-award-recipient>
<name>
<surname>Loorents</surname>
<given-names>Vera</given-names>
</name>
</principal-award-recipient>
</award-group>
</funding-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Suède</li>
</country>
</list>
<tree>
<country name="Suède">
<noRegion>
<name sortKey="Loorents, Vera" sort="Loorents, Vera" uniqKey="Loorents V" first="Vera" last="Loorents">Vera Loorents</name>
</noRegion>
<name sortKey="Borjeson, Sussanne" sort="Borjeson, Sussanne" uniqKey="Borjeson S" first="Sussanne" last="Börjeson">Sussanne Börjeson</name>
<name sortKey="Borjeson, Sussanne" sort="Borjeson, Sussanne" uniqKey="Borjeson S" first="Sussanne" last="Börjeson">Sussanne Börjeson</name>
<name sortKey="Rosell, Johan" sort="Rosell, Johan" uniqKey="Rosell J" first="Johan" last="Rosell">Johan Rosell</name>
<name sortKey="Salgado Willner, Helen" sort="Salgado Willner, Helen" uniqKey="Salgado Willner H" first="Helen" last="Salgado Willner">Helen Salgado Willner</name>
</country>
</tree>
</affiliations>
</record>

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