Assessment of Swallowing Function and Quality of Life in Oropharyngeal Cancer Patients Treated by Chemo-radiotherapy

Author(s):  

2020 ◽  
Author(s):  
Tseganesh Asefa Yifru ◽  
Sezer Kisa ◽  
Negalegn Getahun Dinegde ◽  
Niguse Tadele Atnafu

Abstract Objective: Assessing swallowing function using symptom-specific questionnaires on head and neck cancer (HNC) patients and supporting impaired swallowing to improve quality of life (QoL) of patients is recommended in different studies. However, there is no data that shows the effect of dysphagia on quality of life of Ethiopian patients. Hence, this study assessed the effect of dysphagia on quality of life domains of the MD Anderson Dysphagia inventory (MDADI) among head and neck cancer patients.Results: The study sample consisted of mostly male (53.90%), employed (70.6%), single (57.80 %) and completed some level of formal education (66.60 %) with mean age of 42.58 years (SD ± 14.08 years) and medical expense for about 69.6% of patients was covered by the government. Most of the patients were suffering from advanced stage HNC (59.80%) and squamous cell carcinoma (62.70%) and the most prevalent tumor location was nasal cavity/ nasopharyngeal carcinoma (40.20%). The mean MDADI composite score was 53.29 (SD± 15.85). Being female, low income, suffering from laryngeal/ hypo pharyngeal cancer, suffering from advanced tumor and those undergoing a single modality therapy were key determinants of poor QoL related to swallowing problems in HNC patients.



2006 ◽  
Vol 135 (4) ◽  
pp. 565-570 ◽  
Author(s):  
Sarah E. Mowry ◽  
Maria M. LoTempio ◽  
Ahmad Sadeghi ◽  
Kevin H. Wang ◽  
Marilene B. Wang


Head & Neck ◽  
2019 ◽  
Vol 41 (7) ◽  
pp. 2197-2207 ◽  
Author(s):  
Leen Van den Steen ◽  
Dirk Van Gestel ◽  
Olivier Vanderveken ◽  
Jan Vanderwegen ◽  
Cathy Lazarus ◽  
...  


2009 ◽  
Vol 11 (2) ◽  
pp. 143-150 ◽  
Author(s):  
David N. Teguh ◽  
Peter C. Levendag ◽  
Inger-Karine Kolkman-Deurloo ◽  
Peter van Rooij ◽  
Paul I. M. Schmitz


2012 ◽  
Vol 123 (1) ◽  
pp. 164-170 ◽  
Author(s):  
Martina A. Broglie ◽  
Alex Soltermann ◽  
Sarah R. Haile ◽  
Christof Röösli ◽  
Gerhard F. Huber ◽  
...  


Author(s):  
Debjani Basu Mallick ◽  
Debashis Dutt ◽  
Bratati Banerjee ◽  
Anupam Bhattacharjee

Background: Assessment of quality of life (QOL) helps to find out factors associated with disease progression and response to treatment, identify vulnerable groups. The objective of this study was to assess the QOL (based on physical, mental, social, emotional and spiritual dimensions) of oral and oropharyngeal cancer patients.Methods: A hospital based cross sectional study was conducted among 126 oral and oropharyngeal cancer patients attending radio therapy department of Calcutta Medical College. QOL was assessed by using validated Bengali version of two self-administered questionnaires: European Organization for the Research and Treatment of Cancer (EORTC)-30 and EORTC-35.Results: Among total 81 patients, most of the patients (45.67%) had stage III diseases. Median global health score (GHS) for all patients were 41.67. GHS deteriorated with advancement of the diseases (p=0.000), GHS significantly improved with increasing level of education (p=0.019). GHS was poorer among female patients (median for male was 45.66 and for female was 36.45; p=0.178) and patients with oropharyngeal cancer (median for oral cancer was 50.00, oropharyngeal cancer was 41.67, p=0.215). As per EORTC-35, pain was the major symptom for both type of cancer and was more among patients with oropharyngeal cancer.Conclusions: QOL deteriorates with advancement of the disease and is poorer among females. Co-morbidity status does not affect the QOL. Pain is a major problem of cancer patients, which is more with oropharyngeal cancer patients. Early detection of the cancer and proper pain management and counselling with special focus on females can improve the quality of life.





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