FACTORS ASSOCIATED WITH QUALITY OF LIFE IN OUTPATIENTS WITH HEAD AND NECK CANCER 6 MONTHS AFTER DIAGNOSIS

被引:21
|
作者
Rogers, Laura Q. [1 ]
Rao, Krishna [1 ]
Malone, James [2 ]
Kandula, Praveen [1 ]
Ronen, Ohad [2 ]
Markwell, Stephen J. [3 ]
Courneya, Kerry S. [4 ]
Robbins, K. Thomas [2 ]
机构
[1] SIU Sch Med, Dept Med, Springfield, IL USA
[2] SIU Sch Med, Dept Surg, Springfield, IL USA
[3] SIU Sch Med, Div Stat & Res Consulting, Springfield, IL USA
[4] Univ Alberta, Fac Phys Educ & Recreat, Edmonton, AB, Canada
关键词
survivorship; oncology; predictors; screening; depression; oral; HEALTH-RELATED-QUALITY; NASOPHARYNGEAL CARCINOMA; DEPRESSIVE SYMPTOMS; PHYSICAL-ACTIVITY; SOCIAL SUPPORT; TERM; SURVIVORS; IMPACT;
D O I
10.1002/hed.21084
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background. Identifying patients with head and neck cancer at greatest risk of poor health-related quality of life (HRQOL) will facilitate screening for such patients and targeted interventions. Methods. This was a cross-sectional, self-administered survey with medical record review among 65 out-patients with head and neck cancer >6 months from diagnosis and off treatment. Results. Most were men (80%) and white (95%), with a mean age of 60 +/- 13 years. The most prevalent cancer type was squamous cell (88%), site was pharyngeal (40%), and stage was III or IV (80%). Lower total HRQOL was independently associated with gastrostomy (p < .001) and history of radiation therapy (p < .05)(R(2) = 0.27). Certain HRQOL sub-scales were also independently associated with depression, body mass index, age, and education. Conclusions. Several factors can be used to identify patients with head and neck cancer at risk for persistent reductions in HRQOL requiring intervention. (C) 2009 Wiley Periodicals, Inc. Head Neck 31: 1207-1214, 2009
引用
收藏
页码:1207 / 1214
页数:8
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