Postoperative quality of life and therapy-related impairments of oral cancer in relation to time-distance since treatment.
Purpose: Oral cancer resection can cause physical and psychological impairments that influence the quality of life (QoL). Depending on the postoperative time-distance, the occurrence and intensity of these impairments may change. We evaluated the sequelae and changes in therapy-related impairments d...
| Publicado en: | Journal of Cancer Survivorship Vol. 16; no. 6; pp. 1366 - 1379 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160027746&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160027746 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19322259 46CU jtl: Journal of Cancer Survivorship issn: 19322259 maglogo: N pubinfo: dt: Dec2022 vid: 16 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 160027746 152812179 160027746 NLM34609700 160027746 10.1007/s11764-021-01118-3 NLM34609700 160027746 ppf: 1366 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Postoperative quality of life and therapy-related impairments of oral cancer in relation to time-distance since treatment. aug: au: Jehn, Philipp Spalthoff, Simon Lentge, Fritjof Zeller, Alexander-Nicolai Tavassol, Frank Neuhaus, Michael-Tobias Eckstein, Fabian Matthias Krüskemper, Gertrud Gellrich, Nils-Claudius Korn, Philippe affil: Department of Oral and Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany sug: subj: Mouth Neoplasms Surgery Carcinoma, Squamous Cell Surgery Carcinoma, Squamous Cell Pathology Mouth Neoplasms Pathology Retrospective Design Human Quality of Life Psychosocial Factors Neoplasm Recurrence, Local Comparative Studies Multicenter Studies Evaluation Research Validation Studies Ferrans and Powers Quality of Life Index Questionnaires ab: Purpose: Oral cancer resection can cause physical and psychological impairments that influence the quality of life (QoL). Depending on the postoperative time-distance, the occurrence and intensity of these impairments may change. We evaluated the sequelae and changes in therapy-related impairments during the postoperative course to detect associations between the time since surgery and the presence of disorders.Methods: Data from a questionnaire completed by 1359 patients who underwent surgical treatment of oral squamous cell carcinoma and were involved in a multicenter rehabilitation study of the German-Austrian-Swiss Cooperative Group on Tumors of the Maxillofacial Region (DÖSAK) that included 43 oral and maxillofacial clinics in Germany, Austria, and Switzerland were retrospectively analyzed.Results: Physical impairments, including those in appearance, mouth opening ability, ability to smell, gastric disorders, mandible mobility, breathing, and shoulder/arm mobility, were significantly associated with and increased with time-distance since surgery. Esthetic appearance most strongly correlated with the highest perception of worsening. Regarding psychological disorders, worry about tumor recurrence, depression, and worse prospects were significantly associated. Among the postoperative sequelae, fear of tumor recurrence decreased continuously; however, depression and worse prospects increased. The general QoL did not significantly differ overall during the postoperative course.Conclusions: Therapy-related impairments change during the postoperative course based on the time-distance since surgery. The general QoL may not markedly vary; however, single impairments, to some extent, can increase or decrease.Implications For Cancer Survivors: Continuous adaptation of supportive cancer therapy is required during follow-up to sufficiently address individual treatment needs. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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