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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container_issue 1
container_start_page 47
container_title Japanese journal of clinical oncology
container_volume 47
creator 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
description 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.
doi_str_mv 10.1093/jjco/hyw138
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Aged
Enteral Nutrition
Female
Head and Neck Neoplasms - mortality
Head and Neck Neoplasms - pathology
Health Status
Humans
Intubation, Gastrointestinal
Japan
Length of Stay
Male
Middle Aged
Prospective Studies
Quality of Life
Survival Rate
Terminally Ill
Tertiary Care Centers
title 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
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