scholarly journals Evaluation of quality of life and the nutritional status of oral cancer treated patients as compared with the control group in Varanasi district: a cross sectional study

Author(s):  
Vishal Singh ◽  
Ashok Kumar Singh ◽  
Kumar Durga Dutta ◽  
Neeraj Kumar ◽  
Anu Kumari

Background: The modern day oral oncotherapy is now concerned on the oral quality of life after treatment of the patient. There is need to evaluate final outcome following the different combination of treatment modalities available to make better therapeutic treatment decisions. Oral health-related quality of life (QHRQOL) and their nutritional status is gaining importance as a valuable outcome measure in oral cancer area and compare with the other control group. The aim of the study was to examine the nutritional status among the oral cancer patients and compare the QHRQoL of two groups (i.e., oral cancer group and control group) in Varanasi district.Methods: The prospective study was conducted from January 2018 to August 2018. 124 oral cancer patients and 124 control people from the Varanasi district participated in this study. Nutritional status of oral cancer treated patients was assessed. QHRQoL of the oral cancer patients were compared with the control group.Results: Among the 124 oral cancer patient, 67.74% were malnourished or at risk of malnutrition. Patients had worse QHRQoL among oral cancer group. There were highly statistically significant differences found in the oral health impact profile and oral impacts on daily performances on comparing the oral cancer patients with the control group.Conclusions: This study indicated that oral cancer patients with malnutrition or risk of malnutrition have significantly worse OHRQoL than with the control population group. 

2021 ◽  
Vol 17 (8) ◽  
pp. 979-990
Author(s):  
Monal Yuwanati ◽  
Shailesh Gondivkar ◽  
Sachin C Sarode ◽  
Amol Gadbail ◽  
Ami Desai ◽  
...  

Aim: The purpose of this meta-analysis was to evaluate the impact of oral health on quality of life in oral cancer patients (OCPs). Methods: PubMed, Scopus and Web of Science databases were searched for publications on oral health-related quality of life (OHRQoL) in OCP and the information was extracted according to the PRISMA guidelines. A random effect model was used to obtain the pooled standard mean differences of Oral Health Impact Profile (OHIP)-14 questionnaire responses in meta-analysis. Results: total of 12 research papers were analyzed and revealed poor OHRQoL in OCPs (standard mean difference: 2.53; 95% CI: 1.55–3.50; p < 0.00001) compared with healthy individuals due to the effects of oncotherapy. Moreover, OHRQoL deteriorated with combinations of different treatment modalities. Conclusion: Oral health and oncotherapy can affect the quality of life in OCPs.


10.2196/18132 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e18132
Author(s):  
Tze-Fang Wang ◽  
Rou-Chen Huang ◽  
Su-Chen Yang ◽  
Chyuan Chou ◽  
Lee-Chen Chen

Background Intervention with a mobile Health (mHealth) app can improve the efficacy of early detection of oral cancer and the outcomes for patients taking oral anticancer medications. The quality of life of oral cancer patients is significantly reduced within three months after surgery; also, their needs for nursing care and health information increase, mainly due to side effects and associated psychological problems. Objective This study aimed to evaluate changes in the care needs and quality of life of patients with oral cancer after receiving the intervention of a newly developed mHealth app. Methods After surgery, oral cancer patients were divided into an experimental group (n=50) who received the mHealth app intervention and a control group (n=50) who received routine health care and instruction. After 3 months of intervention, survey questionnaires were used to assess the patients’ quality of life, nursing care needs, and acceptance of the mHealth app. Results The physiological care needs were significantly decreased in the experimental group compared with the control group (P<.05). Although the differences were not statistically significant, the psychological needs, communication needs, and care support needs all improved after the mHealth app intervention. The overall improvement in quality of life was higher in the experimental group than in the control group (–7.24 vs –4.36). In terms of intention to use, perceived usefulness, and perceived ease of use, the acceptability scores of the mHealth app were significantly increased after 3 months of intervention (P<.05). Conclusions Compared with routine health care and instruction, for patients after surgery, the education/information intervention using the mHealth app significantly reduced their nursing care needs, improved their quality of life, and increased their acceptance of using an mHealth app on a mobile device. These findings can provide a theoretical basis for future health care app design and improvement. This study suggests that an mHealth app should be incorporated into the routine care of oral cancer patients to provide medical information quickly and improve their self-management abilities, thereby reducing the patients’ need for physiological care and improving their quality of life. Trial Registration ClinicalTrials.gov NCT04049968; https://www.clinicaltrials.gov/ct2/show/NCT04049968


2020 ◽  
Author(s):  
Tze-Fang Wang ◽  
Rou-Chen Huang ◽  
Su-Chen Yang ◽  
Chyuan Chou ◽  
Lee-Chen Chen

BACKGROUND Intervention with a mobile Health (mHealth) app can improve the efficacy of early detection of oral cancer and the outcomes for patients taking oral anticancer medications. The quality of life of oral cancer patients is significantly reduced within three months after surgery; also, their needs for nursing care and health information increase, mainly due to side effects and associated psychological problems. OBJECTIVE This study aimed to evaluate changes in the care needs and quality of life of patients with oral cancer after receiving the intervention of a newly developed mHealth app. METHODS After surgery, oral cancer patients were divided into an experimental group (n=50) who received the mHealth app intervention and a control group (n=50) who received routine health care and instruction. After 3 months of intervention, survey questionnaires were used to assess the patients’ quality of life, nursing care needs, and acceptance of the mHealth app. RESULTS The physiological care needs were significantly decreased in the experimental group compared with the control group (<i>P</i>&lt;.05). Although the differences were not statistically significant, the psychological needs, communication needs, and care support needs all improved after the mHealth app intervention. The overall improvement in quality of life was higher in the experimental group than in the control group (–7.24 vs –4.36). In terms of intention to use, perceived usefulness, and perceived ease of use, the acceptability scores of the mHealth app were significantly increased after 3 months of intervention (<i>P</i>&lt;.05). CONCLUSIONS Compared with routine health care and instruction, for patients after surgery, the education/information intervention using the mHealth app significantly reduced their nursing care needs, improved their quality of life, and increased their acceptance of using an mHealth app on a mobile device. These findings can provide a theoretical basis for future health care app design and improvement. This study suggests that an mHealth app should be incorporated into the routine care of oral cancer patients to provide medical information quickly and improve their self-management abilities, thereby reducing the patients’ need for physiological care and improving their quality of life. CLINICALTRIAL ClinicalTrials.gov NCT04049968; https://www.clinicaltrials.gov/ct2/show/NCT04049968


2016 ◽  
Vol 41 (3) ◽  
pp. 228-233 ◽  
Author(s):  
T.M. Govers ◽  
W.H. Schreuder ◽  
W.M.C. Klop ◽  
J.P.C. Grutters ◽  
M.M. Rovers ◽  
...  

2009 ◽  
Vol 73 (3) ◽  
pp. 772-778 ◽  
Author(s):  
Ryo-ichi Yoshimura ◽  
Hitoshi Shibuya ◽  
Masahiko Miura ◽  
Hiroshi Watanabe ◽  
Fumio Ayukawa ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (17) ◽  
pp. 4398
Author(s):  
Davide De Cicco ◽  
Gianpaolo Tartaro ◽  
Fortunato Ciardiello ◽  
Morena Fasano ◽  
Raffaele Rauso ◽  
...  

Background: health-related quality of life (HRQOL) represents a secondary endpoint of medical interventions in oncological patients. Our aim was to highlight potential sources of bias that could be encountered when evaluating HRQOL in oral cancer patients. Methods: this review followed PRISMA-ScR recommendations. Participants: patients treated for oral cancer. Concept: HRQOL assessed by EORTC QLQ-C30 and QLQ-H&N35/QLQ-H&N43. A critical appraisal of included studies was performed to evaluate the accuracy of data stratification with respect to HRQOL determinants. Results: overall, 30 studies met the inclusion criteria, totaling 1833 patients. In total, 8 sociodemographic (SDG) and 15 disease/treatment-specific (DT) HRQOL determinants (independent variables) were identified. The mean number of the independent variables was 6.1 (SD, 4.3)—5.0 (SD, 4.0) DT-related and 1.1 (SD, 1.8) SDG-related variables per article. None of the included papers considered all the identified determinants simultaneously. Conclusions: a substantial lack of evidence regarding HRQOL determinants was demonstrated. This strongly weakens the reliability of the reported findings due to the challenging presence of baseline confounding, selection, and omitted variable biases. The proposed approach recommends the use of further evaluation tools that gather more variables in a single score together with a selection of more homogeneous, reproducible, and comparable cohorts based on the identified baseline confounding.


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