The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer Patients
Introduction: Head and Neck Cancer (HNC) is the sixth most common cancer across globe, more common in Asian countries. HNC patients are at a significant risk of developing body image and functionality-related concerns, which in turn impact their overall Quality of Life (QoL). This study provides...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18868/66178_CE[Ra1]_F(SS)_QC_PAT.(SD_RN_SHU)_PF1(AG_DK)_PFA(OM)_PB(AG_OM)_PN(OM).pdf |
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| author | Aneri Shah Ritu Sharma Dushyant Mandlik Kaustubh Patel |
| author_facet | Aneri Shah Ritu Sharma Dushyant Mandlik Kaustubh Patel |
| author_sort | Aneri Shah |
| collection | DOAJ |
| description | Introduction: Head and Neck Cancer (HNC) is the sixth most
common cancer across globe, more common in Asian countries.
HNC patients are at a significant risk of developing body image
and functionality-related concerns, which in turn impact their
overall Quality of Life (QoL). This study provides factual insights
into the QoL of Indian male HNC patients three months after
completing their treatment.
Aim: To assess patients’ perceptions of self and overall QoL in
context of body image and occupation.
Materials and Methods: This mixed-method study included 32
male HNC patients and was conducted at a tertiary cancer centre
in Ahmedabad, India, from March 2022 to April 2022. Patients
who underwent surgery, with or without radiation therapy or
chemotherapy, were included. The Functional Assessment of
Chronic Illness Therapy-Head and Neck version (FACT-HN) and
the Body Image Scale (BIS) were used as assessment tools.
Qualitative responses were also recorded by the interviewer.
Statistical analysis was performed using Statistical Package for
Social Sciences (SPSS) version 23.0, including both parametric
and non parametric tests.
Results: The mean age was 45.50 years. The overall QoL of
the HNC population was found to be positive, with a mean
score of 117.88±12.72. Higher scores indicated better QoL
(total score range: 0-148). Similar trends were observed across
all domains. Analysis of variance was conducted for three
groups: ‘3-11 months’, ‘1-3 years’, and ‘more than three years’.
A significant difference in mean HNC scores between these
groups (p-value=0.004) was observed, with ‘3-12 months’
(mean=108) and ‘more than three years’ (mean=124.6) showing
notable differences. QoL between these two groups was
compared using the Kruskal-Wallis test, revealing significant
differences in their physical, social, and HNC-specific index
(HNCS). Approximately 43% of patients reported returning to
work within 3-4 months post-treatment, while 46% experienced
reduced work hours due to concerns related to functionality
and appearance.
Conclusion: This data highlights the subjective impact of
physical, social, and head and neck-specific QoL issues on
patients, particularly in the immediate post-treatment phase,
which may persist for upto three years in some cases. Over
time, patients’ overall QoL improves post-treatment.
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| first_indexed | 2024-03-08T18:09:09Z |
| format | Article |
| id | doaj.art-f5ac78cabec5435ebb2ea401e342b2c9 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-08T18:09:09Z |
| publishDate | 2023-12-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-f5ac78cabec5435ebb2ea401e342b2c92024-01-01T11:52:22ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-12-011712091410.7860/JCDR/2023/66178.18868The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer PatientsAneri Shah0Ritu Sharma1Dushyant Mandlik2Kaustubh Patel3Ph.D Scholar, Department of Social Sciences, Pandit Deendayal Energy University, Gandhinagar, Gujarat, India.Associate Professor, Department of Social Sciences, Pandit Deendayal Energy University, Gandhinagar, Gujarat, India.Senior Consultant, Department of Head and Neck Surgical Oncology, Robotics and Reconstructive Services, Aastha Oncology Associates, HCG Cancer Centre, Ahmedabad, Gujarat, India.Director and Head and Neck Surgical Oncologist, Department of Head and Neck Surgical Oncology Robotics and Reconstructive Services, Aastha Oncology Associates, HCG Cancer Centre, Ahmedabad, Gujarat, India.Introduction: Head and Neck Cancer (HNC) is the sixth most common cancer across globe, more common in Asian countries. HNC patients are at a significant risk of developing body image and functionality-related concerns, which in turn impact their overall Quality of Life (QoL). This study provides factual insights into the QoL of Indian male HNC patients three months after completing their treatment. Aim: To assess patients’ perceptions of self and overall QoL in context of body image and occupation. Materials and Methods: This mixed-method study included 32 male HNC patients and was conducted at a tertiary cancer centre in Ahmedabad, India, from March 2022 to April 2022. Patients who underwent surgery, with or without radiation therapy or chemotherapy, were included. The Functional Assessment of Chronic Illness Therapy-Head and Neck version (FACT-HN) and the Body Image Scale (BIS) were used as assessment tools. Qualitative responses were also recorded by the interviewer. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 23.0, including both parametric and non parametric tests. Results: The mean age was 45.50 years. The overall QoL of the HNC population was found to be positive, with a mean score of 117.88±12.72. Higher scores indicated better QoL (total score range: 0-148). Similar trends were observed across all domains. Analysis of variance was conducted for three groups: ‘3-11 months’, ‘1-3 years’, and ‘more than three years’. A significant difference in mean HNC scores between these groups (p-value=0.004) was observed, with ‘3-12 months’ (mean=108) and ‘more than three years’ (mean=124.6) showing notable differences. QoL between these two groups was compared using the Kruskal-Wallis test, revealing significant differences in their physical, social, and HNC-specific index (HNCS). Approximately 43% of patients reported returning to work within 3-4 months post-treatment, while 46% experienced reduced work hours due to concerns related to functionality and appearance. Conclusion: This data highlights the subjective impact of physical, social, and head and neck-specific QoL issues on patients, particularly in the immediate post-treatment phase, which may persist for upto three years in some cases. Over time, patients’ overall QoL improves post-treatment. https://www.jcdr.net/articles/PDF/18868/66178_CE[Ra1]_F(SS)_QC_PAT.(SD_RN_SHU)_PF1(AG_DK)_PFA(OM)_PB(AG_OM)_PN(OM).pdffollow-up studyhead and neck surgeryoccupation. |
| spellingShingle | Aneri Shah Ritu Sharma Dushyant Mandlik Kaustubh Patel The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer Patients Journal of Clinical and Diagnostic Research follow-up study head and neck surgery occupation. |
| title | The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer Patients |
| title_full | The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer Patients |
| title_fullStr | The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer Patients |
| title_full_unstemmed | The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer Patients |
| title_short | The Post-treatment Impact on Quality of Life, Body Image, and Occupational Concerns among Head and Neck Cancer Patients |
| title_sort | post treatment impact on quality of life body image and occupational concerns among head and neck cancer patients |
| topic | follow-up study head and neck surgery occupation. |
| url | https://www.jcdr.net/articles/PDF/18868/66178_CE[Ra1]_F(SS)_QC_PAT.(SD_RN_SHU)_PF1(AG_DK)_PFA(OM)_PB(AG_OM)_PN(OM).pdf |
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