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Clinical and sociodemographic factors that affect the quality of life of survivors of head and neck cancer

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Abstract

Objective

The present cross-sectional study evaluated the quality of life of patients treated with 3-D conformal radiotherapy for cancer of the mouth, oropharynx, hypopharynx, or larynx and investigated possible associations with clinical and sociodemographic variables using multivariate analysis.

Methods

The sample was composed of 90 patients who had completed treatment at least 3 months earlier. Data were collected from April 2016 to May 2017. The patients were clinically evaluated with regard to stimulated salivary flow, trismus, and radiation caries. Sociodemographic data and data related to the disease (stage, location of primary tumor, and radiation dose) were collected from the patient charts. Quality of life was assessed using the Brazilian version of the University of Washington Quality of Life (UW-QOL) questionnaire. Poisson logistic regression was performed to determine the mean ratio and test associations with the clinical and sociodemographic variables.

Results

The mean total of the UW-QOL was 814.88 (± 224.58). Patient age, staging of cancer, hyposalivation, and trismus were associated with quality of life. Patients with tumors in the advanced stage, those with hyposalivation and those with trismus respectively had 11% (CI 0.80–0.98), 12% (CI 0.79–0.99), and 15% (CI 0.77–0.94) lower UW-QOL scores, indicating poorer quality of life.

Conclusion

Survivors of head and neck cancer experience a negative impact on quality of life associated with trismus, hyposalivation, advanced stage tumors, and a younger patient age. The present findings underscore the importance of a specific approach focused on these aspects to ensure better quality of life in the long term.

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Authors and Affiliations

  1. Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, 97015-530, Brazil

    Laura Izabel Lampert Bonzanini, Eloisa Barbieri Soldera, Gabriela Barbieri Ortigara & Riéli Elis Schulz

  2. Department of Stomatology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil

    Raquel Pippi Antoniazzi & Thiago Machado Ardenghi

  3. Department of Pathology, School of Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil

    Kívia Linhares Ferrazzo

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  1. Laura Izabel Lampert Bonzanini
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  2. Eloisa Barbieri Soldera
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Correspondence to Laura Izabel Lampert Bonzanini.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Bonzanini, L.I.L., Soldera, E.B., Ortigara, G.B. et al. Clinical and sociodemographic factors that affect the quality of life of survivors of head and neck cancer. Support Care Cancer 28, 1941–1950 (2020). https://doi.org/10.1007/s00520-019-05008-4

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