Cross-sectional analysis of myosteatosis and physical function in pretreatment head and neck cancer patients

Author(s):  
Amy L. Shaver ◽  
Katia Noyes ◽  
Mary E. Platek ◽  
Anurag K. Singh ◽  
Kayleigh Erickson ◽  
...  
2020 ◽  
Vol 11 (4) ◽  
pp. 7811-7816
Author(s):  
Sushanthi S ◽  
Meignana Arumugham Indiran ◽  
Pradeep Kumar Rathinavelu ◽  
Arthi Balasubramaniam

Individuals often encounter psychological distress after a diagnosis of cancer, especially head and neck cancer (HNC). Worries regarding restricted functions, facial disfigurement, waiting time for investigation and duration of hospital stay for treatment make them feel awful. Often this feeling goes unnoticed and is underestimated. We aimed to assess the prevalence of the dreadful feeling in terms of anxiety and depression in newly diagnosed head and neck cancer patients. A cross-sectional study was conducted in two cancer-treating institutions in South India. About 357 freshly diagnosed HNC patients participated in the study. Pre-validated Hospital Anxiety and Depression Scale (HADS) was used to assess the anxiety and depression levels. Descriptive statistics was done to report socio-demographic, clinical variables and mean scores. Independent t-test and correlation test were done for comparison and association, respectively. Mean depression score for males and females was 11.481, 11.865, respectively. Mean anxiety score for males was 11.708 and 11.792 for females. There was a strong positive correlation between depression and anxiety score (0.864) among patients. There was no statistically significant difference in the mean anxiety and depression scores among gender, socioeconomic status, marital status and cancer stages (p>0.05). Newly diagnosed HNC patients had an abnormal level of anxiety and depression, which needs special attention and care during treatment for a better outcome.


2021 ◽  
Vol 104 (2) ◽  
pp. 207-213

Objective: To evaluate the prevalence of depression and anxiety in head and neck cancer patients and investigate the relationship of the associating factors. Materials and Methods: A cross-sectional study with self-completed questionnaire was conducted. Univariate and multivariate analyses with logistic regression were performed to assess the associated factors. Results: Total of 293 patients (71.7% male, 28.3% female) were enrolled. The mean ± SD age was 58.25±14.28 years. The prevalence of anxiety was 17.75% and depression was 16.04%. Diagnostic time >12 month (adjusted OR 4.79, 95% CI 1.48 to 15.54, p=0.009), and perception of disfigurement (adjusted OR 4.68, 95% CI 1.42 to 15.38, p=0.011) were associated with anxiety. Education level had a direct positive correlation with anxiety prevention (adjusted OR 95% CI 0.13, 0.03 to 0.57, p=0.006 and adjusted OR 0.07, 95% CI 0.01 to 0.48, p=0.007 for education level lower Bachelor degree and Bachelor degree or higher, respectively). For depression, patient age >65 years (adjusted OR 4.09, 95% CI 1.6 to 10.46, p=0.003), group staging 4 (adjusted OR 3.12, 95% CI 1.2 to 8.08, p=0.019), and fatigue (adjusted OR 5.7, 95% CI 1.92 to 16.93, p=0.002) were related to depression. While married status was a protective factor of depression (adjusted OR 0.38, 95% CI 0.16 to 0.94, p=0.037). Conclusion: Diagnostic time >12 months, and perception of disfigurement were associated with anxiety. Age >65 years, group staging 4, and fatigue were related to depression. Keywords: Depression and anxiety, Head and neck cancer


2021 ◽  
pp. JNM-D-19-00096
Author(s):  
Stephanie Thrasyvoulou ◽  
Theologia Tsitsi ◽  
Nicos Katodritis ◽  
Dimitrios Vomvas ◽  
Melanie Charalambous ◽  
...  

Background and PurposeOral mucositis is one of the most common treatment-induced adverse side effects in head and neck cancer patients. The purpose was to evaluate the reliability and validity of the Greek version of the Oral Mucositis Weekly Questionnaire-Head and Neck Cancer (OMWQ-HN).MethodsThe data were retrieved from 72 head and neck cancer patients who were undergoing oral radiotherapy as monotherapy or in combination with chemotherapy and surgery. Data analyses included internal consistency reliability, criterion related validity, and cross-sectional validity.ResultsThe OMWQ-HN demonstrated good criterion validity. Strong correlations were observed between OMWQ-HN with EORTC QLQ-C30 and EORTC QLQ-H&N35 that showed good concurrent validity. The tool has a strong internal consistency index with α = .92.ConclusionThe Greek version of OMWQ-HN is a reliable and valid instrument that can be used for the assessment of oral mucositis in this context.


Oral Diseases ◽  
2021 ◽  
Author(s):  
Leticia Rodrigues‐Oliveira ◽  
Elisa Kauark‐Fontes ◽  
Carolina Guimarães Bonfim Alves ◽  
Juliana Ono Tonaki ◽  
Luiz Alcino Gueiros ◽  
...  

2010 ◽  
Vol 124 (5) ◽  
pp. 529-532 ◽  
Author(s):  
C M Lim ◽  
A Ng ◽  
K S Loh

AbstractObjective:To determine the prevalence and profile of patients who use complementary and alternative medicine, within a cohort of head and neck cancer patients.Study design:Cross-sectional survey.Subjects and methods:Ninety-three consecutive head and neck cancer patients being followed up at the department of otolaryngology head and neck surgery were surveyed using an interviewer-administered questionnaire.Results:The prevalence of complementary and alternative medicine use was 67.8 per cent. Patients who used complementary and alternative medicine were more likely to be female, better educated and younger, compared with non-users. A total of 82.5 per cent (52/63) perceived complementary and alternative medicine to be effective, even though they were aware of the lack of research and endorsement by their physician regarding such medicine.Conclusion:The use of complementary and alternative medicine by head and neck cancer patients is common, regardless of efficacy or cost. Clinicians should routinely ask patients about their use of complementary and alternative medicine, to facilitate communication and enable appropriate use of such medicine.


Sign in / Sign up

Export Citation Format

Share Document