Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Archives of Otorhinolaryngology |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000100046 |
Resumo: | 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. |
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Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancerhead and neck neoplasmsdysphagiadeglutition disordersquality of liferadiotherapychemotherapy 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. Fundação Otorrinolaringologia2015-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000100046International Archives of Otorhinolaryngology v.19 n.1 2015reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.1055/s-0034-1395790info:eu-repo/semantics/openAccessSilveira,Marta HalinaDedivitis,Rogerio A.Queija,Débora SantosNascimento,Paulo Césareng2015-12-09T00:00:00Zoai:scielo:S1809-48642015000100046Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2015-12-09T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false |
dc.title.none.fl_str_mv |
Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
title |
Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
spellingShingle |
Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer Silveira,Marta Halina head and neck neoplasms dysphagia deglutition disorders quality of life radiotherapy chemotherapy |
title_short |
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_sort |
Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer |
author |
Silveira,Marta Halina |
author_facet |
Silveira,Marta Halina Dedivitis,Rogerio A. Queija,Débora Santos Nascimento,Paulo César |
author_role |
author |
author2 |
Dedivitis,Rogerio A. Queija,Débora Santos Nascimento,Paulo César |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Silveira,Marta Halina Dedivitis,Rogerio A. Queija,Débora Santos Nascimento,Paulo César |
dc.subject.por.fl_str_mv |
head and neck neoplasms dysphagia deglutition disorders quality of life radiotherapy chemotherapy |
topic |
head and neck neoplasms dysphagia deglutition disorders quality of life radiotherapy chemotherapy |
description |
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. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000100046 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000100046 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0034-1395790 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
dc.source.none.fl_str_mv |
International Archives of Otorhinolaryngology v.19 n.1 2015 reponame:International Archives of Otorhinolaryngology instname:Fundação Otorrinolaringologia (FORL) instacron:FORL |
instname_str |
Fundação Otorrinolaringologia (FORL) |
instacron_str |
FORL |
institution |
FORL |
reponame_str |
International Archives of Otorhinolaryngology |
collection |
International Archives of Otorhinolaryngology |
repository.name.fl_str_mv |
International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL) |
repository.mail.fl_str_mv |
||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br |
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1754203975200014336 |