Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/1642 |
Resumo: | The aim of the present study was to evaluate the QOL (Quality of Life) in patients suffering from head and neck cancer related to oral health conditions. Several social and economic factors and habits were analyzed, including aspects related to tumor and oral health conditions - DMF-T (Caries Index is constituted by decayed teeth, missing teeth and tooth fillings), uses the need of prosthesis, xerostomia, and dentist appointments in the previous six months, mucositis and curtailment. Two questionnaires - Quality of Life Questionnaire - Cancer30_Portuguese Brazilian, version 3.0 and EORTC Quality of Life Questionnaire - Head&Neck35_Portuguese Brazilian – were used. At first, the QOL was considered as median, with a moderate functional level and low symptomatology. There was no significant statistic correlation between lost and decayed components of the DMF-T with QOL. The group of patients who needed prostheses reported minor performance and social function. The group of patients with xerostomia showed a lower QOL, with a lower level of functioning and higher symptomatology. During the follow up, patients showed no QOL changes when compared to the first period of the study; however, the symptoms increased and the function level decreased. The CPOD increased and the use of prosthesis decreased, whereas the need of it increased. It was not possible to verify the relationship between QOL and mucositis, as only few patients were affected by this condition. Curtailment was negatively connected to the performance function, nausea, vomiting and appetite loss. Clinic evaluation of oral health alone was not enough to establish its connections with QOL. Nevertheless a dentist must be part of the multidisciplinary oncology staff to minimize the damage to the patient's oral health, in order to increase the patients QOL. |
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Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto AlegreAvaliação da Condição de Saúde Bucal e da Qualidade de Vida de Pacientes com Câncer de Cabeça e Pescoço Atendidos em um Hospital Público de Porto Alegre Qualidade de vidaSaúde bucalNeoplasias de cabeça e pescoçoEpidemiologiaQuality of lifeOral healthHead and neck neoplasmsEpidemiologyThe aim of the present study was to evaluate the QOL (Quality of Life) in patients suffering from head and neck cancer related to oral health conditions. Several social and economic factors and habits were analyzed, including aspects related to tumor and oral health conditions - DMF-T (Caries Index is constituted by decayed teeth, missing teeth and tooth fillings), uses the need of prosthesis, xerostomia, and dentist appointments in the previous six months, mucositis and curtailment. Two questionnaires - Quality of Life Questionnaire - Cancer30_Portuguese Brazilian, version 3.0 and EORTC Quality of Life Questionnaire - Head&Neck35_Portuguese Brazilian – were used. At first, the QOL was considered as median, with a moderate functional level and low symptomatology. There was no significant statistic correlation between lost and decayed components of the DMF-T with QOL. The group of patients who needed prostheses reported minor performance and social function. The group of patients with xerostomia showed a lower QOL, with a lower level of functioning and higher symptomatology. During the follow up, patients showed no QOL changes when compared to the first period of the study; however, the symptoms increased and the function level decreased. The CPOD increased and the use of prosthesis decreased, whereas the need of it increased. It was not possible to verify the relationship between QOL and mucositis, as only few patients were affected by this condition. Curtailment was negatively connected to the performance function, nausea, vomiting and appetite loss. Clinic evaluation of oral health alone was not enough to establish its connections with QOL. Nevertheless a dentist must be part of the multidisciplinary oncology staff to minimize the damage to the patient's oral health, in order to increase the patients QOL.Este estudo teve por objetivo avaliar a Qualidade de Vida (QV) em pacientes com câncer de cabeça e pescoço, relacionado-a às condições de saúde bucal. Foram pesquisados: variáveis socioeconômicas, hábitos e aspectos associados ao tumor, além de variáveis relacionadas à saúde bucal - índice de cárie composto por número de dentes cariados, perdidos e restaurados (CPOD), uso e necessidades protéticas, xerostomia e consulta ao dentista nos últimos seis meses, mucosite e mutilação. Foi utilizado o questionário de QV para câncer, QLQ-C30_Portuguese Brazilian, versão 3.0 e o questionário para pacientes com Câncer de cabeça e pescoço, EORTC QLQ - H&N35_Portuguese Brazilian. A QV, no primeiro momento do estudo, foi considerada mediana, o nível funcional moderado e de baixa sintomatologia. Não houve correlação estatisticamente significativa entre o número de dentes perdidos e cariados com a QV. O grupo de pacientes que necessitava de próteses relatou desempenho funcional e função social menores. O grupo de pacientes com xerostomia demonstrou menor QV, menor nível funcional e maior sintomatologia. A QV dos pacientes no acompanhamento foi semelhante à primeira parte do estudo, porém houve aumento dos sintomas e diminuição do nível funcional. O CPOD aumentou e o uso de próteses decresceu, enquanto a necessidade das mesmas aumentou. Não foi possível verificar a associação entre a QV e a Mucosite, pois poucos pacientes foram afetados por essa condição. A mutilação foi correlacionada negativamente com o desempenho funcional, náusea e vômito, e perda de apetite. Apenas a avaliação clínica das variáveis de saúde bucal foi insuficiente para predizer a correlação entre a condição de saúde bucal e a QV, porém é essencial a atuação de uma equipe multidisciplinar de cuidado oncológico, na qual o cirurgião-dentista deve estar inserido de modo a minimizar os danos à saúde bucal desses pacientes, auxiliando na construção de uma melhor QV.INCA2009-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/164210.32635/2176-9745.RBC.2009v55n2.1642Revista Brasileira de Cancerologia; Vol. 55 No. 2 (2009): Apr/May/June; 129-138Revista Brasileira de Cancerologia; Vol. 55 Núm. 2 (2009): abr./mayo/jun.; 129-138Revista Brasileira de Cancerologia; v. 55 n. 2 (2009): abr./maio/jun.; 129-1382176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1642/970Araújo, Silvânia Suely Caribé de Padilha, Dalva Maria Pereira Baldisserotto, Julioinfo:eu-repo/semantics/openAccess2021-11-29T20:21:18Zoai:rbc.inca.gov.br:article/1642Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:21:18Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre Avaliação da Condição de Saúde Bucal e da Qualidade de Vida de Pacientes com Câncer de Cabeça e Pescoço Atendidos em um Hospital Público de Porto Alegre |
title |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre |
spellingShingle |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre Araújo, Silvânia Suely Caribé de Qualidade de vida Saúde bucal Neoplasias de cabeça e pescoço Epidemiologia Quality of life Oral health Head and neck neoplasms Epidemiology |
title_short |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre |
title_full |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre |
title_fullStr |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre |
title_full_unstemmed |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre |
title_sort |
Oral Health and Quality of Life Assessment of Patients with Head and Neck Cancer treated at a Free Clinic in Porto Alegre |
author |
Araújo, Silvânia Suely Caribé de |
author_facet |
Araújo, Silvânia Suely Caribé de Padilha, Dalva Maria Pereira Baldisserotto, Julio |
author_role |
author |
author2 |
Padilha, Dalva Maria Pereira Baldisserotto, Julio |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Araújo, Silvânia Suely Caribé de Padilha, Dalva Maria Pereira Baldisserotto, Julio |
dc.subject.por.fl_str_mv |
Qualidade de vida Saúde bucal Neoplasias de cabeça e pescoço Epidemiologia Quality of life Oral health Head and neck neoplasms Epidemiology |
topic |
Qualidade de vida Saúde bucal Neoplasias de cabeça e pescoço Epidemiologia Quality of life Oral health Head and neck neoplasms Epidemiology |
description |
The aim of the present study was to evaluate the QOL (Quality of Life) in patients suffering from head and neck cancer related to oral health conditions. Several social and economic factors and habits were analyzed, including aspects related to tumor and oral health conditions - DMF-T (Caries Index is constituted by decayed teeth, missing teeth and tooth fillings), uses the need of prosthesis, xerostomia, and dentist appointments in the previous six months, mucositis and curtailment. Two questionnaires - Quality of Life Questionnaire - Cancer30_Portuguese Brazilian, version 3.0 and EORTC Quality of Life Questionnaire - Head&Neck35_Portuguese Brazilian – were used. At first, the QOL was considered as median, with a moderate functional level and low symptomatology. There was no significant statistic correlation between lost and decayed components of the DMF-T with QOL. The group of patients who needed prostheses reported minor performance and social function. The group of patients with xerostomia showed a lower QOL, with a lower level of functioning and higher symptomatology. During the follow up, patients showed no QOL changes when compared to the first period of the study; however, the symptoms increased and the function level decreased. The CPOD increased and the use of prosthesis decreased, whereas the need of it increased. It was not possible to verify the relationship between QOL and mucositis, as only few patients were affected by this condition. Curtailment was negatively connected to the performance function, nausea, vomiting and appetite loss. Clinic evaluation of oral health alone was not enough to establish its connections with QOL. Nevertheless a dentist must be part of the multidisciplinary oncology staff to minimize the damage to the patient's oral health, in order to increase the patients QOL. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-06-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1642 10.32635/2176-9745.RBC.2009v55n2.1642 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1642 |
identifier_str_mv |
10.32635/2176-9745.RBC.2009v55n2.1642 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1642/970 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 55 No. 2 (2009): Apr/May/June; 129-138 Revista Brasileira de Cancerologia; Vol. 55 Núm. 2 (2009): abr./mayo/jun.; 129-138 Revista Brasileira de Cancerologia; v. 55 n. 2 (2009): abr./maio/jun.; 129-138 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
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rbc@inca.gov.br |
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