Oral health-related quality of life among oropharyngeal cancer survivors

IF 4 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral oncology Pub Date : 2024-10-02 DOI:10.1016/j.oraloncology.2024.107062

Alzina Koric , Chun-Pin Chang , Siqi Hu , John Snyder , Vikrant G. Deshmukh , Michael G. Newman , Ankita P. Date , Marcus M. Monroe , Mia Hashibe

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Abstract

Objectives

The incidence of oropharyngeal cancer continues to rise in the United States, yet studies on the quality of life (QoL) of oropharyngeal cancer patients are limited. The objective of this pilot study was to assess the impact of oral health on the QoL in oropharyngeal cancer survivors.

Materials and Methods

Oropharyngeal cancer survivors with a confirmed cancer diagnosis from 1996 to 2016 were sampled from the Utah Cancer Registry. The Oral Health Impact Profile-14 (OHIP-14) questionnaire was administrated between January and May of 2019. The impact of oral health on QoL was evaluated using simple linear regression (β-coefficient).

Results

Among the 260 oropharyngeal cancer survivors, the majority were male (84.6 %) and ≥ 60 years of age at the time of cancer diagnosis (74.0 %). The most frequently reported symptoms of OHIP-14 were discomfort while eating any foods (19.2 %) and worsening sense of taste (16.0 %). The overall OHIP-14 mean score was 13.3. Significantly worse OHIP-14 scores were observed for females (β = 12.85, p = 0.01), chemotherapy recipients (β = 6.60, p = 0.02), and past smokers (β = 5.25, p = 0.04). Better OHIP-14 scores (better oral QoL) were observed in patients with distant cancer stage (β = −7.66, p = 0.01), higher income (β = −2.50, p = 0.05), and older age at cancer diagnosis (β = −0.35, p = 0.03).

Conclusion

The oral health-related quality of life scores observed in this pilot study suggest a need for improvement in patient symptom management over time.

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口咽癌幸存者与口腔健康相关的生活质量。

研究目的在美国，口咽癌的发病率持续上升，但有关口咽癌患者生活质量（QoL）的研究却十分有限。本试验性研究的目的是评估口咽癌幸存者口腔健康对生活质量的影响：从犹他州癌症登记处抽取了 1996 年至 2016 年确诊癌症的口咽癌幸存者。在 2019 年 1 月至 5 月期间进行了口腔健康影响档案-14（OHIP-14）问卷调查。采用简单线性回归（β系数）评估了口腔健康对QoL的影响：在260名口咽癌幸存者中，大多数为男性（84.6%），癌症确诊时年龄≥60岁（74.0%）。最常报告的 OHIP-14 症状是进食任何食物时感到不适（19.2%）和味觉恶化（16.0%）。OHIP-14 的总平均分为 13.3 分。女性（β = 12.85，p = 0.01）、化疗接受者（β = 6.60，p = 0.02）和既往吸烟者（β = 5.25，p = 0.04）的 OHIP-14 评分明显较低。在癌症分期较远（β = -7.66，p = 0.01）、收入较高（β = -2.50，p = 0.05）和癌症诊断年龄较大（β = -0.35，p = 0.03）的患者中观察到较好的 OHIP-14 评分（较好的口腔生活质量）：本试验研究中观察到的口腔健康相关生活质量评分表明，随着时间的推移，患者症状管理需要改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral oncology 医学-牙科与口腔外科

CiteScore

8.70

自引率

10.40%

发文量

505

审稿时长

20 days

期刊介绍： Oral Oncology is an international interdisciplinary journal which publishes high quality original research, clinical trials and review articles, editorials, and commentaries relating to the etiopathogenesis, epidemiology, prevention, clinical features, diagnosis, treatment and management of patients with neoplasms in the head and neck. Oral Oncology is of interest to head and neck surgeons, radiation and medical oncologists, maxillo-facial surgeons, oto-rhino-laryngologists, plastic surgeons, pathologists, scientists, oral medical specialists, special care dentists, dental care professionals, general dental practitioners, public health physicians, palliative care physicians, nurses, radiologists, radiographers, dieticians, occupational therapists, speech and language therapists, nutritionists, clinical and health psychologists and counselors, professionals in end of life care, as well as others interested in these fields.