Hostname: page-component-76dd75c94c-8c549 Total loading time: 0 Render date: 2024-04-30T07:28:22.751Z Has data issue: false hasContentIssue false
  • English
  • Français

Quality of life of patients treated surgically for head and neck cancer

Published online by Cambridge University Press:  29 June 2007

E. Jones ,
V. J. Lund ,
D. J. Howard ,
M. P. Greenberg  and
M. McCarthy
E. Jones*
Affiliation:
London
V. J. Lund
Affiliation:
London
D. J. Howard
Affiliation:
London
M. P. Greenberg
Affiliation:
London
M. McCarthy
Affiliation:
London
*
E. Jones, M.B., Ch.B., Department of Community Medicine, University College London, 66-72 Gower Street, London WCIE 6EA.
Get access Rights & Permissions [Opens in a new window]

Abstract

The quality of survival of 48 patients treated surgically for head and neck cancer was assessed using a problem-orientated self-administered questionnaire. The questionnaire was based on the European Organization for Research into the Treatment of Cancer (EORTC) core questionnaire to which a specific head and neck module was added. The following domains were studied: pain, fatigue, physical symptoms (gastrointestinal and ‘other’), functional activity, psychological symptoms, overall physical condition and overall quality of life. For the analysis, five groups of patients were considered: laryngectomy (n=15), pharyngolaryngoesophagectomy (n=5), craniofacial procedure (n=11), ‘other operations’ (n=9) and patients with disease recurrence (n=8). Each group identified different problem areas. Laryngectomees and ‘other operation’ patients reported relatively few problems, whereas patients with disease recurrence described difficulties in all of the domains examined. Symptoms of fatigue were common. Information collected in this way may facilitate improved rehabilitation and thus better quality of survival.

Keywords

Head and neck neoplasmsSurgeryQuality of life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 3 , March 1992 , pp. 238 - 242
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aaronson, N. K., Bullinger, M., Ahmedzai, S. (1988) A modular approach to quality of life assessment in cancer clinical trials. Recent Results in Cancer Research, 111: 231–249.CrossRefGoogle ScholarPubMed
Breitbart, W., Holland, J. (1988) Psychosocial aspects of head and neck cancer. Seminars in Oncology, 15: 61–69.Google ScholarPubMed
Brinkley, D. (1985) Quality of life in cancer trials. British Medical Journal, 291: 685–686.CrossRefGoogle ScholarPubMed
Bukberg, J., Penman, D., Holland, J. (1984) Depression in hospitalized cancer patients. Psychosomatic Medicine, 46: 199–212.CrossRefGoogle ScholarPubMed
Caiman, K. C. (1984) Quality of life in cancer patients—an hypothesis. Journal of Medical Ethics, 10: 124–127.Google Scholar
Cancer Research Campaign (1988) Factsheet 9.Google Scholar
Cancer Research Campaign (1989) Factsheet 3.Google Scholar
Cancer Research Campaign (1990) Factsheet 1.Google Scholar
Cheesman, A. D., Lund, V. J., Howard, D. J. (1986) Craniofacial resection for tumours of the nasal cavity and paranasal sinuses. Head and Neck Surgery, 8: 429–435.CrossRefGoogle ScholarPubMed
Clark, A., Fallowfield, L. J. (1986) Quality of life measurements in patients with malignant disease: a review. Journal of the Royal Society of Medicine, 79: 165–169.CrossRefGoogle ScholarPubMed
David, D. J., Barritt, J. A. (1982) Psychosocial implications of surgery for head and neck cancer. Clinics in Plastic Surgery, 9: 327–335.CrossRefGoogle ScholarPubMed
De Haes, J. C. J. M., Van Knippenberg, F. C. E. (1985) The quality of life of cancer patients. A review of the literature. Social Science and Medicine, 20: 809–817.CrossRefGoogle ScholarPubMed
Derogatis, L. R., Morrow, G. R., Fetting, J., Renman, D., Piasetsky, S., Schmale, A. M., Henrichs, M., Carnicke, C. L. M. (1983) The prevalence of psychiatric disorders among cancer patients. Journal of the American Medical Association, 249: 751–757.CrossRefGoogle ScholarPubMed
Dhillon, R. S., Palmer, B. V, Pittam, M. R., Shaw, H. J. (1982) Rehabilitation after major head and neck surgery—the patients' view. Clinical Otolargyngology, 7: 319–32.CrossRefGoogle ScholarPubMed
Drettner, B. Ahlbom, A. (1983) Quality of life and state of health for patients with cancer in the head and neck. Acta Otolarxngoloqica, 96: 307–314.CrossRefGoogle ScholarPubMed
Feinnmann, C., Hapwood, P. (1990) Emotional disturbance of patients with functional symptoms. Journal of the Royal Society of Medicine 83: 596–597.CrossRefGoogle Scholar
Flanagan, J. C. (1982) Measure of quality of life. Current state of the art. Archives of Physical Medicine and Rehabilitation, 63: 56–59.Google ScholarPubMed
Guttman, L. A. (1944) A basis for scaling qualitative data. American Sociological Review. 9: 139–150.CrossRefGoogle Scholar
Harrison, D. F. N., Thompson, A. E. (1986) Pharyngolaryngoesophagectomy with pharyngogastric anastomosis for cancer of the hypopharynx: review of 101 operations. Head and Neck Surgery, 8: 418–428.CrossRefGoogle ScholarPubMed
Krouse, J. H., Krouse, H. J., Fabian, R. L. (1989) Adaptation to surgery for head and neck cancer. Laryngoscope, 99: 789–794.CrossRefGoogle ScholarPubMed
Likert, R. (1932) A technique for the measurement of attitudes. Archiv Fur Psychologie, 140: 1–55.Google Scholar
Lund, V. J., Harrison, D. F. N. (1988) Craniofacial resection for tumours of the nasal cavity and paranasal sinuses. American Journal of Surgery, 156: 187–190.CrossRefGoogle ScholarPubMed
Maguire, P., Selby, P. (1989) Assessing quality of life in cancer patients. British Journal of Cancer, 60: 437–440.CrossRefGoogle ScholarPubMed
Massie, M. J., Holland, J. C. (1984) Diagnosis and treatment of depression in the cancer patient. Journal of Clinical Psychology. 45: 25–28.Google ScholarPubMed
Morris, J. (1990) The quality of life of head and neck cancer patients: a review of the literature. Centre for Health Economics, University of York.Google Scholar
Morton, R. P., Davies, A. D. M., Baker, J., Baker, G. A., Stell, P. M. (1984) Quality of life in treated head and neck cancer patients. A preliminary report. Clinical Otolaryngology, 9: 181–185.CrossRefGoogle ScholarPubMed
Natvig, K. (1983 a) Laryngectomees in Norway. Study No. 1: Social, personal., and behavioural factors related to present mastery of the laryngectomy event. Journal of Otolaryngology, 12: 155–162.Google ScholarPubMed
Natvig, K. (1983 b) Laryngectomees in Norway. Study No. 5: Problems of everyday life. Journal of Otolaryngology, 13: 15–22.Google Scholar
Olsen, M. L., Shedd, D. P. (1978) Disability and rehabilitation in head and neck cancer patients after treatment. Head and Neck Surgeiy, 1: 52–58.CrossRefGoogle Scholar
Pruyn, J. F. A., de Jong, P. C, Bosman, L. J., Van Poppel, J. W. M. J., Van den Borne, H. W., Ryckman, R. M., de Meij, K. (1986) Psychological aspects of head and neck cancer—a review of the literature. Clinical Otolaryngology, 11: 469–474.CrossRefGoogle Scholar
Selby, P., Robertson, B. (1987) Measurement of quality of life in patients with cancer. Cancer Surveys, 6: 521–543.Google ScholarPubMed
Smart, C. R., Yates, J. W. (1987) Quality of life. Cancer, 60: 620–622.3.0.CO;2-B>CrossRefGoogle ScholarPubMed
Stell, P. M., McCormick, M. S. (1985) Cancer of the head and neck: Are we doing any better? [letter]. Lancet, 2: 1127.CrossRefGoogle ScholarPubMed
Zigmond, A. S., Snaith, R. P. (1983) The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67: 361–370.CrossRefGoogle ScholarPubMed