Quality of life and functional status of terminally ill head and neck cancer patients: a nation-wide, prospective observational study at tertiary cancer centers in Japan

Little is known about quality of life and functional status of patients with terminally ill head and neck cancers. We conducted a multicenter, prospective, observational study to examine quality of life and functional status in terminally ill head and neck cancer patients. Of the 100 patients meetin...

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Veröffentlicht in:Japanese journal of clinical oncology 2017-01, Vol.47 (1), p.47-53
Hauptverfasser: Shinozaki, Takeshi, Ebihara, Mitsuru, Iwase, Satoru, Yamaguchi, Takuhiro, Hirakawa, Hitoshi, Shimbashi, Wataru, Kamijo, Tomoyuki, Okamoto, Makito, Beppu, Takeshi, Ohori, Junichiro, Matsuura, Kazuto, Suzuki, Motoyuki, Nishino, Hiroshi, Sato, Yuichiro, Ishiki, Hiroto
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Sprache:eng
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Zusammenfassung:Little is known about quality of life and functional status of patients with terminally ill head and neck cancers. We conducted a multicenter, prospective, observational study to examine quality of life and functional status in terminally ill head and neck cancer patients. Of the 100 patients meeting inclusion criteria, 72 were observed until death. There was no significant difference in the quality of life score between baseline and Week 3. Forty patients (54.9%) could speak and 22 patients (30.5%) could have oral intake upon study entry. Fifty-three patients (74.6%) received enteral nutrition. Twenty-six patients (36.6%) required dressing changes for fungating tumors. The route of nutritional intake (nasogastric tube vs. percutaneous gastric tube) might be predictive for the duration of hospital stay (64 vs. 21 days, P = 0.0372). There was no significant relationship between quality of life and functional status seen in this study. Feeding tube type could have the most impact on quality of life.
ISSN:0368-2811
1465-3621
DOI:10.1093/jjco/hyw138