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Clinical and sociodemographic factors that affect the quality of life of survivors of head and neck cancer
Abstract
Objective The present cross-sectional study evaluated the quality of life of patients treated with 3-D conformal radiotherapy for cancer of the mouth, oropharynx, hypopharynx, or larynx and investigated possible associations with clinical and sociodemographic variables using multivariate analysis.Methods The sample was composed of 90 patients who had completed treatment at least 3 months earlier. Data were collected from April 2016 to May 2017. The patients were clinically evaluated with regard to stimulated salivary flow, trismus, and radiation caries. Sociodemographic data and data related to the disease (stage, location of primary tumor, and radiation dose) were collected from the patient charts. Quality of life was assessed using the Brazilian version of the University of Washington Quality of Life (UW-QOL) questionnaire. Poisson logistic regression was performed to determine the mean ratio and test associations with the clinical and sociodemographic variables.Results The mean total of the UW-QOL was 814.88 (± 224.58). Patient age, staging of cancer, hyposalivation, and trismus were associated with quality of life. Patients with tumors in the advanced stage, those with hyposalivation and those with trismus respectively had 11% (CI 0.80-0.98), 12% (CI 0.79-0.99), and 15% (CI 0.77-0.94) lower UW-QOL scores, indicating poorer quality of life.Conclusion Survivors of head and neck cancer experience a negative impact on quality of life associated with trismus, hyposalivation, advanced stage tumors, and a younger patient age. The present findings underscore the importance of a specific approach focused on these aspects to ensure better quality of life in the long term.
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“However, these clinical variables showed associations with poor QoL in HNC patients and might have a negative impact on the social functioning of these patients [77].”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [77]
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Self-citation
Metadata
- Authors
- Bonzanini, L. I. L., Soldera, E. B., Ortigara, G. B., Schulz, R. E., Antoniazzi, R. P., Ardenghi, T. M., & Ferrazzo, K. L.
- Affiliations
- Universidade Federal de Santa Maria (BR)
- Corresponding author
- Bonzanini, Laura Izabel Lampert
- ORCID
- Venue
- Supportive Care in Cancer
- Published
- 2019-08-02
- Volume
- 28
- Issue
- 4
- Pages
- 1941-1950
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2966259289
- Cited by
- 29
- References
- 39
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 6
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- www.springer.com/tdm (vor)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Health Sciences › Dentistry › General Dentistry › Oral health in cancer treatment
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- head and neck cancer survivors, quality of life, 3D conformal radiotherapy, hyposalivation, trismus, radiation caries, stimulated salivary flow, tumor stage, patient age, sociodemographic factors, oropharyngeal cancer, laryngeal cancer, hypopharyngeal cancer, oral cancer
- MeSH terms
- Cancer Survivors, Squamous Cell Carcinoma of Head and Neck, Adult, Aged, Brazil, Cross-Sectional Studies, Female, Head and Neck Neoplasms, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Radiation Injuries, Socioeconomic Factors, Trismus, Xerostomia
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