Back to Search
Start Over
Dysphagia, voice problems, and pain in head and neck cancer patients
- Source :
- European Archives of Oto-Rhino-Laryngology
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Purpose Head and neck cancer (HNC) and its treatment can leave devastating side effects with a relevant impact on physical and emotional quality of life (QoL) of HNC patients. The objectives were to examine the amount of dysphagia, voice problems, and pain in HNC patients, the impact of sociodemographic, behavioral, and clinical factors on these symptoms, the psychometric properties of the EAT-10, and the relationship between these symptoms and QoL variables. Methods HNC patients attending for regular follow-up from 07/2013 to 09/2019 completed questionnaires (Eating Assessment Tool-10 (EAT-10); questions from the EORTC QLQ-C30 and EORTC H&N35) on dysphagia, voice problems, pain, fatigue, and QoL collected with the software OncoFunction. Associations between prognostic factors and symptoms were tested with analyses of variance (ANOVAs). Associations between the symptom scales and QoL variables were expressed with Pearson correlations. Results Of 689 patients, 54.9% suffered from dysphagia, the EAT-10 proved to be a reliable measure. The mean voice score was 37.6 (± 33.9) [range 0–100], the mean pain score 1.98 (± 2.24) [range 0–10]. Trimodality treatment was associated with the highest dysphagia scores. Dysphagia, voice problems, and pain significantly correlated with each other, the highest association was found for dysphagia and pain (r = 0.51). QoL was strongly correlated with dysphagia and pain (r = − 0.39 and r = − 0.40, respectively), while the association with voice problems was weaker (r = − 0.28). Conclusion Dysphagia is an important symptom in HNC patients greatly affecting patients’ QoL and significantly correlating with voice problems and pain.
- Subjects :
- Voice impairment
medicine.medical_specialty
Pain
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
otorhinolaryngologic diseases
medicine
Humans
Cancer pain
Head and neck cancer
030223 otorhinolaryngology
Pain score
Voice Disorders
business.industry
Dysphagia
General Medicine
medicine.disease
Emotional quality
humanities
Otorhinolaryngology
Head and Neck Neoplasms
030220 oncology & carcinogenesis
Quality of Life
Head and neck surgery
Physical therapy
Symptom burden
Neurosurgery
medicine.symptom
Deglutition Disorders
business
Head and Neck
Subjects
Details
- ISSN :
- 14344726 and 09374477
- Volume :
- 278
- Database :
- OpenAIRE
- Journal :
- European Archives of Oto-Rhino-Laryngology
- Accession number :
- edsair.doi.dedup.....a7202a84f77719458a36d15afe8d66ef