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Serious Long-Term Effects of Head and Neck Cancer from the Survivors' Point of View.

Taylor, Katherine J (author)
Amdal, Cecilie D (author)
Bjordal, Kristin (author)
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Astrup, Guro L (author)
Herlofson, Bente B (author)
Duprez, Fréderic (author)
Gama, Ricardo R (author)
Jacinto, Alexandre (author)
Hammerlid, Eva, 1957 (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för öron-, näs- och halssjukdomar,Institute of Clinical Sciences, Department of Otorhinolaryngology
Scricciolo, Melissa (author)
Jansen, Femke (author)
Verdonck-de Leeuw, Irma M (author)
Fanetti, Giuseppe (author)
Guntinas-Lichius, Orlando (author)
Inhestern, Johanna (author)
Dragan, Tatiana (author)
Fabian, Alexander (author)
Boehm, Andreas (author)
Wöhner, Ulrike (author)
Kiyota, Naomi (author)
Krüger, Maximilian (author)
Bonomo, Pierluigi (author)
Pinto, Monica (author)
Nuyts, Sandra (author)
Silva, Joaquim C (author)
Stromberger, Carmen (author)
Tramacere, Francesco (author)
Bushnak, Ayman (author)
Perotti, Pietro (author)
Plath, Michaela (author)
Paderno, Alberto (author)
Stempler, Noa (author)
Kouri, Maria (author)
Singer, Susanne (author)
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 (creator_code:org_t)
2023-03-21
2023
English.
In: Healthcare (Basel, Switzerland). - : MDPI AG. - 2227-9032. ; 11:6
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The long-term problems of head and neck cancer survivors (HNCS) are not well known. In a cross-sectional international study aimed at exploring the long-term quality of life in this population, 1114 HNCS were asked to state their two most serious long-term effects. A clinician recorded the responses during face-to-face appointments. A list of 15 example problems was provided, but a free text field was also available. A total of 1033 survivors responded to the question. The most frequent problems were 'dry mouth' (DM) (n = 476; 46%), 'difficulty swallowing/eating' (DSE) (n = 408; 40%), 'hoarseness/difficulty speaking' (HDS) (n = 169; 16%), and 'pain in the head and neck' (PHN) (n = 142; 14%). A total of 5% reported no problems. Logistic regression adjusted for age, gender, treatment, and tumor stage and site showed increased odds of reporting DM and DSE for chemo-radiotherapy (CRT) alone compared to surgery alone (odds ratio (OR): 4.7, 95% confidence interval (CI): 2.5-9.0; OR: 2.1, CI: 1.1-3.9), but decreased odds for HDS and PHN (OR: 0.3, CI: 0.1-0.6; OR: 0.2, CI: 0.1-0.5). Survivors with UICC stage IV at diagnosis compared to stage I had increased odds of reporting HDS (OR: 1.9, CI: 1.2-3.0). Laryngeal cancer survivors had reduced odds compared to oropharynx cancer survivors of reporting DM (OR: 0.4, CI: 0.3-0.6) but increased odds of HDS (OR: 7.2, CI: 4.3-12.3). This study provides evidence of the serious long-term problems among HNCS.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Keyword

head and neck cancer
patient-reported outcomes
quality of life
side effect
survivor

Publication and Content Type

ref (subject category)
art (subject category)

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