First year after head and neck cancer: quality of life. Export

@article{citeulike:590752, abstract = {PURPOSE: Treatment regimens for head and neck cancer patients profoundly affect several quality-of-life domains. Rehabilitative needs have been identified through cross-sectional analyses; however, few studies have prospectively assessed quality of life, included assessment of psychosocial variables, and identified predictors of long-term follow-up. PARTICIPANTS AND METHODS: The present study addresses these limitations through a prospective assessment of 105 patients with a newly diagnosed first primary squamous cell carcinoma of the oral cavity, pharynx, or larynx. Participants were enrolled onto a larger randomized controlled trial comparing a provider-delivered smoking cessation intervention with a usual-care-advice control condition. Participants completed a battery of self-report measures after diagnosis and before treatment and additional quality-of-life instruments at 1 and 12 months after initial smoking cessation advice. RESULTS: Participants displayed improvements at 12 months in functional status (P = .006) and in the areas of eating, diet, and speech; however, the latter three represent areas of continued dysfunction, and the changes were not statistically significant. Despite these improvements, patients reported a decline in certain quality-of-life domains, including marital (P = .002) and sexual functioning (P = .017), as well as an increase in alcohol use (P < .001). Predictors of quality of life at 12 months included treatment type, the Vigor subscale of the Profile of Mood States instrument, and quality-of-life scores obtained 1 month after initial smoking cessation advice. CONCLUSION: Results reinforce the need for rehabilitation management through the integration of psychologic and behavioral interventions in medical follow-up.}, address = {Department of Behavioral Science, University of Texas M.D. Anderson Cancer Center, Houston, TX 77030-4095, USA. egritz@notes.mdacc.tmc.edu}, author = {Gritz, E. R. and Carmack, C. L. and de Moor, C. and Coscarelli, A. and Schacherer, C. W. and Meyers, E. G. and Abemayor, E.}, citeulike-article-id = {590752}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/10458254}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=10458254}, issn = {0732-183X}, journal = {J Clin Oncol}, keywords = {cancer, headandneck, methodology, psychosocial, survivorship, transition}, month = {January}, number = {1}, pages = {352--360}, posted-at = {2006-04-18 22:21:23}, priority = {3}, title = {First year after head and neck cancer: quality of life.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/10458254}, volume = {17}, year = {1999} }

TY - JOUR ID - citeulike:590752 L3 - citeulike-article-id:590752 N2 - PURPOSE: Treatment regimens for head and neck cancer patients profoundly affect several quality-of-life domains. Rehabilitative needs have been identified through cross-sectional analyses; however, few studies have prospectively assessed quality of life, included assessment of psychosocial variables, and identified predictors of long-term follow-up. PARTICIPANTS AND METHODS: The present study addresses these limitations through a prospective assessment of 105 patients with a newly diagnosed first primary squamous cell carcinoma of the oral cavity, pharynx, or larynx. Participants were enrolled onto a larger randomized controlled trial comparing a provider-delivered smoking cessation intervention with a usual-care-advice control condition. Participants completed a battery of self-report measures after diagnosis and before treatment and additional quality-of-life instruments at 1 and 12 months after initial smoking cessation advice. RESULTS: Participants displayed improvements at 12 months in functional status (P = .006) and in the areas of eating, diet, and speech; however, the latter three represent areas of continued dysfunction, and the changes were not statistically significant. Despite these improvements, patients reported a decline in certain quality-of-life domains, including marital (P = .002) and sexual functioning (P = .017), as well as an increase in alcohol use (P < .001). Predictors of quality of life at 12 months included treatment type, the Vigor subscale of the Profile of Mood States instrument, and quality-of-life scores obtained 1 month after initial smoking cessation advice. CONCLUSION: Results reinforce the need for rehabilitation management through the integration of psychologic and behavioral interventions in medical follow-up. IS - 1 JF - J Clin Oncol SN - 0732-183X AD - Department of Behavioral Science, University of Texas M.D. Anderson Cancer Center, Houston, TX 77030-4095, USA. egritz@notes.mdacc.tmc.edu EP - 360 TI - First year after head and neck cancer: quality of life. VL - 17 SP - 352 KW - cancer KW - headandneck KW - methodology KW - psychosocial KW - survivorship KW - transition AU - Gritz, ER AU - Carmack, CL AU - de Moor, C AU - Coscarelli, A AU - Schacherer, CW AU - Meyers, EG AU - Abemayor, E PY - 1999/01// UR - http://view.ncbi.nlm.nih.gov/pubmed/10458254 ER -