Aspiration, weight loss, and quality of life in head and neck cancer survivors

Archives of Otolaryngology--head & Neck Surgery
Bruce H CampbellPeter M Layde

Abstract

To determine associations between objective assessments (swallowing function and weight change) and subjective quality-of-life (QOL) measures. Observational case series using clinical testing and questionnaires. University hospital-based tertiary clinical practice. Convenience sample of 5-year survivors of head and neck cancer (62 nonlaryngectomy survivors were studied). Objective testing included examination, weight history, videofluoroscopic swallow studies (VFSS), and oropharyngeal swallowing efficiency (OPSE). Subjective testing included QOL questionnaires (University of Washington Quality-of-Life [UWQOL] Scale, Performance Status Scale for Head and Neck Cancer Patients [PSS-HN], Functional Assessment of Cancer Treatment-General [FACT-G] Scales, and Functional Assessment of Cancer Therapy-Head and Neck [FACT-H&N] Scale). Aspiration (identified by VFSS), weight change, and QOL measures. Aspiration was associated with the decreased QOL scores in chewing, swallowing, normalcy of diet, and additional concerns of the FACT-H&N Scale. No association was found between aspiration and willingness to eat in public, subjective understandability, or any of the FACT-G scales. Of the nonlaryngectomy survivors, 27 (44%) demonstrated some d...Continue Reading

Citations

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