Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer
Abstract Introduction Radiotherapy or chemoradiotherapy can result in severe swallowing disorders with potential risk for aspiration and can negatively impact the patient's quality of life (QOL). Objective To assess swallowing-related QOL in patients who underwent radi...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2015-01-01
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| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395790 |
| _version_ | 1818190451565395968 |
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| author | Marta Halina Silveira Rogerio A. Dedivitis Débora Santos Queija Paulo César Nascimento |
| author_facet | Marta Halina Silveira Rogerio A. Dedivitis Débora Santos Queija Paulo César Nascimento |
| author_sort | Marta Halina Silveira |
| collection | DOAJ |
| description | Abstract
Introduction Radiotherapy or chemoradiotherapy can result in severe swallowing disorders with potential risk for aspiration and can negatively impact the patient's quality of life (QOL).
Objective To assess swallowing-related QOL in patients who underwent radiotherapy/chemoradiotherapy for head and neck cancer.
Methods We interviewed 110 patients (85 men and 25 women) who had undergone exclusive radiotherapy (25.5%) or concomitant chemoradiotherapy (74.5%) from 6 to 12 months before the study. The Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire was employed to evaluate dysphagia-related QOL.
Results The QOL was reduced in all domains for all patients. The scores were worse among men. There was a relationship between oral cavity as the primary cancer site and the fatigue domain and also between advanced cancer stage and the impact of food selection, communication, and social function domains. Chemoradiotherapy association, the presence of nasogastric tube and tracheotomy, and the persistence of alcoholism and smoking had also a negative effect on the QOL.
Conclusions According to the SWAL-QOL questionnaire, the dysphagia-related impact on QOL was observed 6 to 12 months after the treatment ended. |
| first_indexed | 2024-12-11T23:58:55Z |
| format | Article |
| id | doaj.art-18f23e61ff4049f388fcf7d108fadcfe |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-12-11T23:58:55Z |
| publishDate | 2015-01-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-18f23e61ff4049f388fcf7d108fadcfe2022-12-22T00:45:17ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642015-01-01190104605410.1055/s-0034-1395790Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck CancerMarta Halina Silveira0Rogerio A. Dedivitis1Débora Santos Queija2Paulo César Nascimento3Department of Otorhinolaryngology–Head and Neck Surgery, Universidade Metropolitana de Santos, Santos, São Paulo, BrazilDepartment of Head and Neck Surgery, Hospital das Clinicas, University of Sao Paulo School of Medicine, Santos, São Paulo, BrazilDepartment of Otorhinolaryngology–Head and Neck Surgery, Universidade Metropolitana de Santos, Santos, São Paulo, BrazilDepartment of Radiotherapy, Irmandade da Santa Casa da Misericórdia de Santos, Santos, São Paulo, BrazilAbstract Introduction Radiotherapy or chemoradiotherapy can result in severe swallowing disorders with potential risk for aspiration and can negatively impact the patient's quality of life (QOL). Objective To assess swallowing-related QOL in patients who underwent radiotherapy/chemoradiotherapy for head and neck cancer. Methods We interviewed 110 patients (85 men and 25 women) who had undergone exclusive radiotherapy (25.5%) or concomitant chemoradiotherapy (74.5%) from 6 to 12 months before the study. The Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire was employed to evaluate dysphagia-related QOL. Results The QOL was reduced in all domains for all patients. The scores were worse among men. There was a relationship between oral cavity as the primary cancer site and the fatigue domain and also between advanced cancer stage and the impact of food selection, communication, and social function domains. Chemoradiotherapy association, the presence of nasogastric tube and tracheotomy, and the persistence of alcoholism and smoking had also a negative effect on the QOL. Conclusions According to the SWAL-QOL questionnaire, the dysphagia-related impact on QOL was observed 6 to 12 months after the treatment ended.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395790head and neck neoplasmsdysphagiadeglutition disordersquality of liferadiotherapychemotherapy |
| spellingShingle | Marta Halina Silveira Rogerio A. Dedivitis Débora Santos Queija Paulo César Nascimento Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer International Archives of Otorhinolaryngology head and neck neoplasms dysphagia deglutition disorders quality of life radiotherapy chemotherapy |
| title | Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
| title_full | Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
| title_fullStr | Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
| title_full_unstemmed | Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
| title_short | Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
| title_sort | quality of life in swallowing disorders after nonsurgical treatment for head and neck cancer |
| topic | head and neck neoplasms dysphagia deglutition disorders quality of life radiotherapy chemotherapy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1395790 |
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