Long-term health-related quality of life in head and neck cancer survivors: A large multinational study.

cross-sectional head and neck cancer quality of life survivor treatment

Journal

International journal of cancer
ISSN: 1097-0215
Titre abrégé: Int J Cancer
Pays: United States
ID NLM: 0042124

Informations de publication

Date de publication:
05 Feb 2024
Historique:
revised: 11 12 2023
received: 16 06 2023
accepted: 13 12 2023
medline: 5 2 2024
pubmed: 5 2 2024
entrez: 5 2 2024
Statut: aheadofprint

Résumé

Head and neck cancer (HNC) patients suffer from a range of health-related quality of life (HRQoL) issues, but little is known about their long-term HRQoL. This study explored associations between treatment group and HRQoL at least 5 years' post-diagnosis in HNC survivors. In an international cross-sectional study, HNC survivors completed the European Organization for Research and Treatment of Cancer (EORTC) quality of life core questionnaire (EORTC-QLQ-C30) and its HNC module (EORTC-QLQ-H&N35). Meaningful HRQoL differences were examined between five treatment groups: (a) surgery, (b) radiotherapy, (c) chemo-radiotherapy, (d) radiotherapy ± chemotherapy and neck dissection and (e) any other surgery (meaning any tumour surgery that is not a neck dissection) and radiotherapy ± chemotherapy. Twenty-six sites in 11 countries enrolled 1105 survivors. They had a median time since diagnosis of 8 years, a mean age of 66 years and 71% were male. After adjusting for age, sex, tumour site and UICC stage, there was evidence for meaningful differences (10 points or more) in HRQoL between treatment groups in seven domains (Fatigue, Mouth Pain, Swallowing, Senses, Opening Mouth, Dry Mouth and Sticky Saliva). Survivors who had single-modality treatment had better or equal HRQoL in every domain compared to survivors with multimodal treatment, with the largest differences for Dry Mouth and Sticky Saliva. For Global Quality of Life, Physical and Social Functioning, Constipation, Dyspnoea and Financial Difficulties, at least some treatment groups had better outcomes compared to a general population. Our data suggest that multimodal treatment is associated with worse HRQoL in the long-term compared to single modality.

Identifiants

pubmed: 38312044
doi: 10.1002/ijc.34861
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : European Organisation for Research and Treatment of Cancer
ID : EORTC-1629

Informations de copyright

© 2024 The Authors. International Journal of Cancer published by John Wiley & Sons Ltd on behalf of UICC.

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Auteurs

Katherine J Taylor (KJ)

Institute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Centre Mainz, Mainz, Germany.

Cecilie D Amdal (CD)

Department of Oncology, Oslo University Hospital, Oslo, Norway.
Research Support Service, Oslo University Hospital, Oslo, Norway.

Kristin Bjordal (K)

Research Support Service, Oslo University Hospital, Oslo, Norway.
Faculty of Medicine, University of Oslo, Oslo, Norway.

Guro L Astrup (GL)

Department of Oncology, Oslo University Hospital, Oslo, Norway.

Bente B Herlofson (BB)

University of Oslo, Faculty of Dentistry, Oslo, Norway.
Department of Otorhinolaryngology, Oslo University Hospital, Oslo, Norway.

Fréderic Duprez (F)

Department of Radiotherapy-Oncology, Ghent University Hospital, Faculty of Medicine and Health Sciences-Human Structure and Repair, Ghent University, Ghent, Belgium.

Ricardo R Gama (RR)

Department of Head and Neck Surgery, Barretos Cancer Hospital, Barretos, Brazil.

Alexandre Jacinto (A)

Department of Radiation Oncology, Barretos Cancer Hospital, Barretos, Brazil.

Eva Hammerlid (E)

Department of Otorhinolaryngology-Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.

Melissa Scricciolo (M)

Department of Radiation Oncology, Ospedale dell'Angelo, Venice, Italy.

Femke Jansen (F)

Department Otolaryngology-Head and Neck Surgery, Amsterdam UMC, Location Vrije Universiteit, Amsterdam, The Netherlands.
Cancer Center Amsterdam, Treatment and Quality of Life, Amsterdam, The Netherlands.

Irma M Verdonck-de Leeuw (IM)

Department Otolaryngology-Head and Neck Surgery, Amsterdam UMC, Location Vrije Universiteit, Amsterdam, The Netherlands.
Cancer Center Amsterdam, Treatment and Quality of Life, Amsterdam, The Netherlands.
Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Giuseppe Fanetti (G)

Division of Radiation Oncology, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.

Orlando Guntinas-Lichius (O)

Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany.

Johanna Inhestern (J)

Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany.
Department of Otorhinolaryngology, Oberhavelkliniken Hennigsdorf, Hennigsdorf, Germany.

Tatiana Dragan (T)

Department of Radiation Oncology, Head and Neck Unit, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.

Alexander Fabian (A)

Department of Radiation Oncology, University Hospital Schleswig-Holstein, Kiel, Germany.

Andreas Boehm (A)

Department of Otorhinolaryngology, St. Georg Hospital, Leipzig, Germany.

Ulrike Wöhner (U)

Department of Otorhinolaryngology, St. Georg Hospital, Leipzig, Germany.

Naomi Kiyota (N)

Cancer Center, Kobe University Hospital, Kobe, Japan.

Maximilian Krüger (M)

Department of Oral and Maxillofacial Surgery - Plastic Surgery, University Medical Centre Mainz, Mainz, Germany.

Pierluigi Bonomo (P)

Radiation Oncology, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

Monica Pinto (M)

Rehabilitation Medicine Unit, Istituto Nazionale Tumori - IRCCS - Fondazione G. Pascale, Naples, Italy.

Sandra Nuyts (S)

Laboratory of Experimental Radiotherapy, Department of Oncology, KU Leuven, Leuven, Belgium.
Department of Radiation Oncology, Leuven Cancer Institute, University Hospitals Leuven, Leuven, Belgium.

Joaquim Castro Silva (JC)

Department of Otolaryngology, Head and Neck Surgery, Instituto Português de Oncologia Francisco Gentil Do Porto, Porto, Portugal.

Carmen Stromberger (C)

Department of Radiation Oncology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Berlin Institute of Health, Berlin, Germany.

Pol Specenier (P)

Department of Oncology, Antwerp University Hospital, Edegem, Belgium.

Francesco Tramacere (F)

Department of Radiation Oncology, Azienda Sanitaria Locale, Brindisi, Italy.

Ayman Bushnak (A)

Department of Otorhinolaryngology, University Hospital Gießen und Marburg, Giessen, Germany.

Pietro Perotti (P)

Department of Otorhinolaryngology - Head and Neck Surgery, "S. Chiara" Hospital, Azienda Provinciale Per I Servizi Sanitari (APSS), Trento, Italy.

Michaela Plath (M)

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Heidelberg, Heidelberg, Germany.

Alberto Paderno (A)

Department of Otorhinolaryngology-Head and Neck Surgery, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy.

Noa Stempler (N)

Oral Medicine Unit, Sheba Medical Center, Tel Hashomer, Israel.

Maria Kouri (M)

Dental Oncology Unit, Department of Oral Medicine and Pathology and Hospital Dentistry, Dental School, National and Kapodistrian University of Athens, Athens, Greece.

Vincent Grégoire (V)

Department of Radiation Oncology, Centre Leon Berard, Lyon, France.

Susanne Singer (S)

Institute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Centre Mainz, Mainz, Germany.

Classifications MeSH