A prospective evaluation of health-related quality of life after skull base re-irradiation.

health-related quality of life intensity modulation patient-reported outcomes quality of life re-irradiation skull base tumor stereotactic body radiotherapy

Journal

Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541

Informations de publication

Date de publication:
03 2020
Historique:
received: 04 03 2019
revised: 05 11 2019
accepted: 13 11 2019
pubmed: 24 12 2019
medline: 22 6 2021
entrez: 24 12 2019
Statut: ppublish

Résumé

To report cancer control outcomes and health-related quality of life (HRQoL) outcomes after highly conformal skull-based re-irradiation (re-RT). Patients planned for curative intent re-RT to a recurrent or new skull base tumor were enrolled. HRQoL were assessed using the MD Anderson Symptom Inventory Brain Tumor (MDASI-BT) and the anterior skull base surgery quality of life (ASBQ) questionnaires. Thirty-nine patients were treated with stereotactic body RT or intensity modulated RT. Median follow-up was 14 months. Progression free survival was 71% at 1-year. There was mild clinically significant worsening of fatigue, lack of appetite and drowsiness (MDASI-BT), and physical function (ASBQ) at the end of RT, followed by recovery to baseline on subsequent follow-ups. Subjective emotions were clinically improved at 12 months, with patients reporting feeling less tense/nervous. Conformal skull base re-RT is associated with mild immediate deterioration in physical function followed by rapid and sustained recovery.

Identifiants

pubmed: 31868271
doi: 10.1002/hed.26037
pmc: PMC9673230
mid: NIHMS1850223
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

485-497

Subventions

Organisme : NCI NIH HHS
ID : R01 CA214825
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA225190
Pays : United States

Informations de copyright

© 2019 Wiley Periodicals, Inc.

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Auteurs

Houda Bahig (H)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Sweet P Ng (SP)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Courtney Pollard (C)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Theresa P Nguyen (TP)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Gary B Gunn (GB)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

David I Rosenthal (DI)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Clifton D Fuller (CD)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Steven J Frank (SJ)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Adam S Garden (AS)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Jay P Reddy (JP)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

William H Morrison (WH)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Renata Ferrarotto (R)

Department of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Ehab Y Hanna (EY)

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Franco DeMonte (F)

Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Shirley Y Su (SY)

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Jack Phan (J)

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

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