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Optimizing the assessment of quality of life after laryngeal cancer treatment

Lookup NU author(s): Dr Nick Steen, Dr Charles Kelly, Andrew Welch, Dr David Meikle, Emerita Professor Janet Wilson

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Abstract

Reports of the impact of larynx cancer treatment modality on quality of life are conflicting, in part due to varying study methodology. The aims of this study were to (1) provide preliminary comparisons of quality of life following radiotherapy or combination therapy; (2) evaluate a number of measures of quality of life and thereby (3) inform future prospective studies. Thirty-six laryngeal cancer patients, 24 following radiotherapy, 12 following radiotherapy and laryngectomy completed the Functional Assessment of Cancer Therapy (FACT) - General/Head and Neck subscale; Nottingham Health Profile (NHP); and the Hospital Anxiety and Depression scale (HAD), three to 12 months post-treatment. Results showed trends towards a less good quality of life in the combined therapy group over a wide range of outcomes, significant for the disease specific FACT head and neck subscale, NHP emotion (p = 0.04) and isolation (p = 0.027). To the authors' knowledge, however, this is the first demonstration of greater impact of laryngeal cancer on quality of life in younger subjects, who had lower scores among others on emotional wellbeing (p = 0.015) and anxiety (p = 0.035). Younger patients thus appear more likely to need more intensive support through treatment. Many of the physical and psychosocial domains derived from the three tools used were highly correlated. In other words, given the known high morbidity of the disease and its treatment, the selection of tools for head and neck quality of life assessment may be much less important than their universal application.


Publication metadata

Author(s): Lee-Preston V, Steen IN, Dear A, Kelly CG, Welch AR, Meikle D, Stafford FW, Wilson JA

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology and Otology

Year: 2004

Volume: 118

Issue: 6

Pages: 432-438

ISSN (print): 0022-2151

ISSN (electronic): 1748-5460

Publisher: Cambridge University Press

URL: http://dx.doi.org/10.1258/002221504323219554

DOI: 10.1258/002221504323219554

PubMed id: 15285861


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