scholarly journals Disparity of perception of quality of life between head and neck cancer patients and caregivers

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zachary M. Kassir ◽  
Jinhong Li ◽  
Christine Harrison ◽  
Jonas T. Johnson ◽  
Marci L. Nilsen
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Well Being ◽  
Psychosocial Distress ◽  
Future Research ◽  
Social Emotional ◽  
Caregiver Depression

Abstract Background Caregivers are invaluable sources of support for individuals recovering from head and neck cancer (HNC). Accordingly, minimizing caregiver distress is essential to promote the well-being of both caregivers and their patients. This study assessed if psychosocial distress (i.e., anxiety and depression) among HNC caregivers is associated with a difference in how caregivers and their patients perceive patients’ quality of life (QOL) after treatment completion. Methods Caregivers’ and patients’ perceptions of patient QOL were assessed using the University of Washington QOL Questionaire (UWQOL), a validated HNC-specific health-related QOL questionnaire. The survey is interpreted in terms of its two composite scores: a physical QOL score and a social-emotional QOL score with higher scores indicating better QOL. Caregiver anxiety was assessed using the Generalized Anxiety Questionaire-7 (GAD-7) and caregiver depression was assessed using the Patient Health Questionaire 8 (PHQ-8). Patients completed the UWQOL as part of clinic intake while caregivers were asked to complete the UWQOL for their patients in addition to the PHQ-8 and GAD-7 in private. Linear regression was used to analyze the association between differences in caregivers’ and patients’ QOL scores (both social-emotional and physical QOL subscale scores) and GAD-7 and PHQ-8 scores. Results Of 47 caregivers recruited, 42.6% (n = 20) viewed patients’ social-emotional QOL more negatively than patients themselves, while 31.9% viewed patients’ physical QOL more negatively. After controlling for covariates, differences in perception of social-emotional QOL (p = .01) and differences in perception of physical QOL (p = .007) were significantly associated with caregiver depression, but not anxiety. Caregivers who disagreed with patients regarding patients’ social-emotional QOL scored 6.80 points higher on the PHQ8 than agreeing caregivers. Caregivers who disagreed regarding patients’ physical QOL scored 6.09 points higher. Conclusion Caregivers commonly view patients’ QOL more negatively than patients themselves. These caregivers tend to have greater psychosocial distress than caregivers who agree with their patients. Interventions designed to identify and aid at-risk caregivers are critically needed. We propose screening for differences in perception of patient QOL as a way of identifying distressed caregivers as well as provider-facilitated communication between patients and caregivers as possible interventions that should be examined in future research.

scholarly journals Disparity of Perception of Quality of Life Between Head and Neck Cancer Patients and Caregivers

2021 ◽  
Author(s):  
Zachary Kassir ◽  
Jinhong Li ◽  
Christine Harrison ◽  
Jonas T. Johnson ◽  
Marci L. Nilsen
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Well Being ◽  
Psychosocial Distress ◽  
Patient Health ◽  
Perception Of Quality ◽  
The University

Abstract Background Caregivers are invaluable sources of support for individuals recovering from head and neck cancer (HNC). Accordingly, minimizing caregiver distress is essential to promote the well-being of both caregivers and their patients. This study assessed if psychosocial distress (i.e., anxiety and depression) among head and neck cancer caregivers is associated with a difference in how caregivers and their patients perceive patients’ quality of life (QOL) after treatment completion. Methods Caregivers completed the University of Washington QOL Questionnaire (UWQOL) for their patients while patients completed the survey as part of clinic intake. Linear regression was used to analyze the association between differences in caregivers’ and patients’ QOL scores and caregiver anxiety (Generalized Anxiety Questionaire-7) and depression (Patient Health Questionaire-8). Results Of 47 caregivers recruited, 42.6% (n = 20) viewed patient QOL more negatively than patients themselves. These caregivers scored significantly higher on the PHQ-8 than caregivers who agreed with patients (p ≤ .01). Conclusion Caregivers commonly view patients’ QOL more negatively than patients themselves. These caregivers tend to have greater psychosocial distress than caregivers who agree with their patients. Interventions designed to aid at-risk caregivers are critically needed.

scholarly journals Correlation between Symptom Burden and Perceived Distress in Advanced Head and Neck Cancer: A Prospective Observational Study

2021 ◽  
Vol 27 ◽  
pp. 419-425
Author(s):  
Shrenik P. Ostwal ◽  
Richa Singh ◽  
Priti Rashmin Sanghavi ◽  
Himanshu Patel ◽  
Queenjal Anandi
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Observational Study ◽  
Head And Neck ◽  
Neck Cancer ◽  
Prospective Observational Study ◽  
Well Being ◽  
Physical Symptoms ◽  
Eligibility Criteria

Objectives: Head and neck cancer (HNC) account for major cancer burden in the Indian population. Patients often present with a diversity of distressing physical and psychological symptoms, significantly affecting their quality of life. This study aims to determine the correlation between symptom cluster and perceived distress in such patients. Materials and Methods: This single center prospective observational study was done on 175 adults advanced HNC patients referred to palliative medicine outpatient clinic. Patients fulfilling eligibility criteria were regularly assessed for their symptoms and distress at baseline and followed up at days 7, 14, and 28. Results: Most patients belong to the age group of 40–50 years and having a diagnosis carcinoma of the tongue. The most common symptoms presented were pain, tiredness, loss of appetite, and feeling of well-being. We observed statistically significant correlation between total ESAS score and distress levels in patients at days 0, 7, and 14, respectively, (P = 0.003 vs. 0.0004 vs. 0.002). However, at day 28, no such statistically significant correlation was found (P = 0.085) suggesting attention to other factors during assessment. Conclusion: Outpatient palliative care consultations have shown significant improvement in symptom and distress score. Perceived distress in a person can not only be related to physical symptoms. Acute control of symptom may uncover underlying psychosocial and spiritual issues which need to be addressed promptly for better quality of life.

scholarly journals QUALIDADE DE VIDA EM DEGLUTIÇÃO E CÂNCER DE CABEÇA E PESCOÇO: REVISÃO DE LITERATURA

2017 ◽  
Vol 8 (1) ◽  
pp. 26
Author(s):  
Manoela Carrera ◽  
Alena Ribeiro Alves Peixoto Medrado ◽  
Gabriela Botelho Martins ◽  
Hayana Ramos Lima ◽  
Raquel De Santana Oliveira Marques ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Deglutition Disorders ◽  
Head And Neck ◽  
Neck Cancer ◽  
Treatment Modality ◽  
Well Being ◽  
Swallowing Function ◽  
Advanced Stages

Objective: This study aimed to review the literature on the quality of life related to swallowing of patients with head and neck cancer. Methods: We searched for studies describing the physiology of swallowing and aspects involved in dysphagia, such as definition, causes and their impact on quality of life. We used the electronic databases Pubmed, Medline, Scielo, books, as well as articles identified in the references. Results: Deglutition disorders may occur due to disease and / or treatment modality, persisting during or after termination of treatment. The frequency and severity of dysphagia will depend on the modality of treatment used, location and stage of the tumor, when involved in structures that participate in swallowing. Patients with tumors in more advanced stages and located in the pharynx try to present worsening of swallowing function. Such factors may directly affect swallowing and quality of life of the patient, especially in family, social and lifestyle relationships. Conclusion: Although it does not replace clinical and instrumental evaluations, investigating the quality of life in swallowing may contribute to assess specific aspects of patient well-being that are not contemplated.

scholarly journals QUALITY OF LIFE IN OLDER ADULTS RECEIVING IMMUNE CHECKPOINT INHIBITOR THERAPY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S313-S313
Author(s):  
Aasha I Hoogland ◽  
Sarah L Eisel ◽  
Nathaly E Irizarry-Arroyo ◽  
Brian James ◽  
Jori Mansfield ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Older Adults ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Older Patients ◽  
Well Being ◽  
Over Time

Abstract Immune checkpoint inhibitors (ICIs) have generated significant excitement for their ability to extend survival in patients with lung, head and neck, and other cancers. In older adults with cancer, emerging research suggests that ICIs improve overall and progression-free survival, but few studies have reported on quality of life (QOL). The goal of this study was to examine changes in QOL over time in older (65+ years) vs. younger (<65 years) lung and head and neck cancer patients. Eligible participants scheduled to begin ICI for lung or head and neck cancer completed the Functional Assessment of Cancer Therapy General (FACT-G) every 2-4 weeks until disease progression. Controlling for cancer site, age group differences in QOL over time were evaluated using linear mixed models. A total of 80 lung cancer (mean age=66.5, 55% female, 55% aged 65+) and 55 head and neck cancer patients (mean age=61.5, 15% female, 45% aged 65+) provided consent. At baseline, patients with head and neck cancer reported significantly lower overall QOL, physical well-being, and emotional well-being compared to patients with lung cancer (ps<.0001). Older patients had marginally higher baseline emotional well-being than younger patients (p=.07). Across groups, there were increases in social well-being (p=.04) and a trend toward decreasing physical well-being (p=.10) over time. Patients with head and neck cancer reported lower emotional well-being over time than patients with lung cancer (p<.01). There were no age differences in QOL over time. Larger longitudinal studies are needed to better understand QOL in older patients receiving ICIs.

scholarly journals Quality of life, anxiety and depression in head and neck cancer patients: a randomized clinical trial

2020 ◽  
Vol 54 ◽  
Author(s):  
Flávia Tatiana Pedrolo Hortense ◽  
Cristiane Decat Bergerot ◽  
Edvane Birelo Lopes De Domenico
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Well Being ◽  
Self Management ◽  
Anxiety And Depression ◽  
Control Group ◽  
Experimental Group

Abstract OBJECTIVE To evaluate an educational program based on the principles of self-management with a conventional educational program through quality of life, anxiety and depression instruments within 12 months of starting cancer treatment. METHOD An experimental, randomized, controlled study conducted with head and neck cancer patients treated at a university hospital in the city of São Paulo, Brazil. Patients were randomly divided into two groups: the control group submitted to the conventional educational plan, and the experimental group submitted to the educational plan for self-management. Descriptive and analytical statistics were used for the analyzes using the t-test, Fischer’s exact test and Repeated Measures ANOVA. RESULTS Twenty (20) patients were selected. Most participants were male, in advanced stages of disease and undergoing three therapeutic modalities. The control group showed a gradual decrease in quality of life scores during treatment, while the experimental group progressively increased. The correlation was significant between the presence of anxiety and depression symptoms and poor quality of life. Patients in the control group had a significant worsening in social/family well-being (P = 0.02) and the prevalence of additional head and neck cancer-related additional concerns (P = 0.01), while the experimental group had reduced anxiety symptoms (P = 0.001) and improved emotional well-being (P = 0.01). CONCLUSION The educational intervention based on building self-management skills favored quality of life and reduced anxiety and depression. Brazilian Registry of Clinical Trials (RBR 2q53ct).

scholarly journals Assessment of Quality of Life and Speech after Implant-Retained Oral Rehabilitation in Head and Neck Cancer Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Kanchan P. Dholam ◽  
Hrishikesh A. Pusalkar ◽  
Gurmeet Kaur Bachher ◽  
Priyanka Piyush Somani
Keyword(s):  
Quality Of Life ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Cancer Patients ◽  
Neck Cancer ◽  
Well Being ◽  
Dental Prosthesis ◽  
Oral Rehabilitation ◽  
Eortc Qlq

Aim. To assess quality of life and speech after rehabilitation with implant-retained dental prosthesis in head and neck cancer patients. Material and Methods. Twenty-six patients who were diagnosed with tumour of the maxilla and mandible were selected for rehabilitation with implant-retained dental prosthesis following resection and reconstructive surgery. They were evaluated for quality of life (EORTC QLQ-C30 and H-N35 questionnaires, version 3), speech, and swallowing (questionnaire and Dr. Speech software, version 4) before implant treatment and at six-, twelve-, and eighteen-month followup. Statistical analysis of quality of life, speech, and swallowing for different duration of their preoperative status was done. Quality of life, speech, and swallowing in grafted and native groups and radiated and nonradiated groups were also compared. Results. Quality of life was statistically significant in scale of pain, speech, and trouble with social eating, pain killers, and weight loss. It was insignificant when radiated and nonradiated or grafted and native jaw groups were compared. Improvement in movement of the tongue, swallowing ability, salivation taste, and intelligibility of speech was also observed. Conclusion. The surgical treatment of head and neck cancers with microvascular surgery and dental rehabilitation with implants restores function, esthetics, and patient’s well-being.

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