Quality of life patients after surgical treatment of laryngeal cancer

Authors

  • Grażyna Bączyk Department of Practice Nursing, Faculty of Health Sciences, Poznan University of Medical Sciences, 79 Dabrowskiego Street, 60-529 Poznan, Poland
  • Urszula Kwapisz Department of Practice Nursing, Faculty of Health Sciences, Poznan University of Medical Sciences, 79 Dabrowskiego Street, 60-529 Poznan, Poland
  • Katarzyna Karpińska Radiotherapy Ward, Wielkopolskie Centrum Onkologii, Garbary 15, 61-866 Poznań, Poland

DOI:

https://doi.org/10.20883/jms.2017.134

Keywords:

quality of life, laryngeal cancer, QLQ C-30, EORTC QLQ H&N35

Abstract

Introduction. The assessment of the quality of life in cancer patients requires a multidisciplinary approach and an evaluation of emotional, social and physical conditions. Objectives. The aim of the study was to analyze the quality of life patients after surgical treatment of laryngeal cancer but before the next stage of therapy, i.e. radiotherapy.
Material and Methods. The study group comprised 60 patients aged 44–82 years, with laryngeal cancer treated at the Radiotherapy Wards of Wielkopolskie Centrum Onkologii, Poznań, Poland. The Polish versions of the QLQ C-30 and the cancer-specific EORTC QLQ H&N35 questionnaires were used.
Results. Mean score for the general health status (QLQ C-30) was 56.81. Mean values for the physical, role, cognitive, social and emotional functioning were 81.11, 80.83, 75.28, 70.00 and 54.72, respectively. The following constituted the main problems for laryngectomees: difficulty gaining weight (75.00), necessity to take nutritional supplements (58.33), sense of smell and taste problems (57.78), weight loss (56.67), articulation problems (56.67). A statistically significant difference (p = 0.002) was observed with regard to emotional functioning, with mean values of 28.83 and 60.51 for women and men, respectively. Also, a statistically significant difference (p = 0.01) was observed with regard to social functioning, with mean values of 45.53 and 75.51 for women and men, respectively. Conclusions. There exists a definite need to investigate the quality of life by means of patient self-evaluation of the symptoms in order to monitor patient status and establish an individual therapeutic, care and psychological approach.

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References

Zatoński W, Becher H, Lissowska J, Wahrendorf. Tobacco, alcohol, and diet in the etiology of laryngeal cancer: a population-based case-control study. Cancer Causes Control. 1991;2(1):3–10.

Pelucchi C, Gallus S., Garavello W, Bosetti C. et al. Alkohol and tobacco use, and cancer risk for upper aerodigestive tract and liver. Eur J Cancer Prev. 2008;17(4):340–4.

Rzewnicki I, Jackiewicz M. Jakość życia po operacji nowotworu krtani lub gardła dolnego. Pol Mer Lek. 2009;XXVI(151):40.

De Bruin-Visser JC, Ackerstaff AH, Rehorst H, Hilgers FJM. Integration of a smoking cessation program in the treatment protocol for patients with head and neck and lung cancer. Eur Arch Otorhinolaryngol. 2012;269(2):659–665.

Derks W, Rob J de Leeuw, Hordijk GJ, Winnubst JA. Reasons for non-standard Treatment in Elderly Patients with Advanced Neck Cancer. Eur Arch Otorhinolaryngol. 2005;262:21–26.

Bernardi D, Errante D, Barzan L., Franchin G. et al. Head and Neck Cancer in Elderly Patients. Cancer Therapy. 2005;3:85–94.

Bjordal K, Kassa S. Psychometric validation of the EORTC Core Quality of Life Questionnaire, 30-item version and a diagnosis-specific module for head and neck cancer patients. Acta Oncol. 1992;31:311–321.

Sherman AC, Simonton S, Adams DC. Vural E. et al. Assessing quality of life in patients with head and neck cancer: cross-validation of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Head and Neck module (QLQ-H&N35). Arch Otolaryngol Head Neck Surg. 2000;126:459–467.

De Graeff A, De Leeuw JR, Ross WJ. A prospective study of quality of life of laryngeal cancer patients treated with radiotherapy. Head Neck. 1999;21:291–296.

Williamson JS, Ingrams D, Jones H. Quality of Life after treatment of laryngeal carcinoma: a single Centre Cross-Sectional Study. Ann R Coll Surg Engl. 2011;93:591–595.

de Graeff A, JRJ de Leeuw, WJ G Ros, Hordijk GJ, Winnubst JAM. Sociodemographic factors and quality of life as prognostic indicators in head and neck cancer. European J Cancer. 2001;37,3(2):332–339.

Singh B, Alfonso A, Sabin S, Poluri A, Shaha AR, Sundaram K, Lucente FE. Outcome differences in younger and older patients with laryngeal cancer: a retrospective case-control study. Am J Otolaryngol. 2000;21:92–97.

Stręk P, Składzień J, Tomik J, Oleś K, et al. Wpływ podeszłego wieku na subiektywnie oceniane zaburzenia połykania u chorych leczonych z powodu nowotworów głowy i szyi. Gerontol Pol. 2006;14(2):98–105.

Pauloski BR, Rademaker AW, Logemann AW, Lazarus CL, et al. swallow function and perception of dysphagia in patients with head and neck cancer. Head Neck. 2002;24(6):555–65.

Żmijewska-Tomczak M, Milecki P, Olek-Hrab K, Hojan K, Golusiński W, Rucińska A, Adamska A. Factors influencing quality of life in patients during radiotherapy for head and neck cancer. Arch Med Sci. 2014;10(6):1153–1159.

Hammerlid E, Wirblad B, Sandin C, Mercke C. et al. Malnutrition and food intake in relation to quality of fife head and neck cancer patients. Head Neck. 1998;20:540–548.

Petruson KM, Silander EM, Hammerlid EB. Quality of life as predictor of weight loss in patients with head and neck cancer. Head Neck. 2005;27:302–10.

Kawecki A, Jagielska B, Symonides M, Starościak S. Leczenie żywieniowe – czy jest istotne u chorych z nowotworami głowy i szyi? Współcz Onkol. 2004;8(1):33–37.

van Bokhorst-de van der Schuer, van Leeuwen PA, Kuik DJ, Klop WM. et al. The impact of nutritional status on the prognoses of patients with advanced head and neck cancer. Cancer. 1999;86(3):519–27.

Fang FM, Chien CY, Kuo SC. et al. Changes in quality of life of head-and-neck cancer patients following postoperative radiotherapy. Acta Oncol. 2004;43:571–578.

Ackerstaff AH, Hilgers FJM, Aaronson NK, Balm AJ. Communication functional disorders and life style changes after total laryngectomy. Clin Otolaryngol, 1994;19:295–300.

Dropkin MJ. Body image and quality of life after head and neck cancer surgery. Cancer Practice. 1999;7(6):309–313.

Vickery LE, Latchford G, Hewison J, Bellew M, Feber T. the impact of head and neck cancer and facial disfigurement on the quality of life of patients and their partners. Head Neck. 2003;25(4):289–96.

Fang FM, Liu YT, Wang CJ, Ko SF. Quality of life as a survival predictor for patients with advanced head and neck carcinoma treated with radiotherapy. Cancer. 2004 Jan 15;100(2):425–32.

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Published

2017-06-30

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Section

Original Papers

How to Cite

1.
Bączyk G, Kwapisz U, Karpińska K. Quality of life patients after surgical treatment of laryngeal cancer. JMS [Internet]. 2017 Jun. 30 [cited 2024 Dec. 22];86(2):127-33. Available from: https://jmsnew.ump.edu.pl/index.php/JMS/article/view/134