Only sociodemographic variables predict quality of life after radiography in patients with head-and-neck cancer
Purpose : Psychosocial factors influence patient compliance and have an effect on survival. Identifying patients at risk of decreased quality of life (QOL) with no extra expenditure in terms of hospital staff time or resources is mandatory to plan psychosocial support. Methods and Materials : Betwee...
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| Veröffentlicht in: | International journal of radiation oncology, biology, physics biology, physics, 2002-03, Vol.52 (3), p.779-783 |
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| container_issue | 3 |
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| container_title | International journal of radiation oncology, biology, physics |
| container_volume | 52 |
| creator | Sehlen, Susanne Hollenhorst, Helmuth Lenk, Markus Schymura, Beatrice Herschbach, Peter Aydemir, Uelker Dühmke, Eckhart |
| description | Purpose
: Psychosocial factors influence patient compliance and have an effect on survival. Identifying patients at risk of decreased quality of life (QOL) with no extra expenditure in terms of hospital staff time or resources is mandatory to plan psychosocial support.
Methods and Materials
: Between 1997 and 2000, 242 patients with head-and-neck cancer (30% pharyngeal, 29% oropharyngeal, and 13% laryngeal cancer) were screened. Of these, 28.5% refused to participate and 19.0% were excluded (Karnofsky performance score |
| doi_str_mv | 10.1016/S0360-3016(01)02600-1 |
| format | Article |
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: Psychosocial factors influence patient compliance and have an effect on survival. Identifying patients at risk of decreased quality of life (QOL) with no extra expenditure in terms of hospital staff time or resources is mandatory to plan psychosocial support.
Methods and Materials
: Between 1997 and 2000, 242 patients with head-and-neck cancer (30% pharyngeal, 29% oropharyngeal, and 13% laryngeal cancer) were screened. Of these, 28.5% refused to participate and 19.0% were excluded (Karnofsky performance score <50, language and cognitive deficits, death, or noncompliance). A total of 124 patients were assessed with the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire at ti1 (beginning of radiotherapy [RT]). Eighty-three patients from this group were examined, with complete data from ti1 to ti3 (6 weeks after RT).
Results
: The QOL did not change during RT. In logistic regression analysis, medical information, in contrast to sociodemographic variables, turned out to have no influence on the ability to predict low QOL (sensitivity 80% vs. 32%). Four sociodemographic variables were entered in the regression model (children, currently employment, ethanol abuse, level of secondary education) and accounted for 26% of variance in QOL at ti3.
Conclusion
: By routinely obtaining clinical information from the patient’s history, patients at risk of low QOL after RT can be identified and could benefit from early psychosocial support.</description><identifier>ISSN: 0360-3016</identifier><identifier>EISSN: 1879-355X</identifier><identifier>DOI: 10.1016/S0360-3016(01)02600-1</identifier><identifier>PMID: 11849801</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Demography ; Female ; Head and Neck Neoplasms - radiotherapy ; Head-and-neck cancer ; Humans ; Laryngeal Neoplasms - radiotherapy ; Logistic Models ; Male ; Middle Aged ; Oropharyngeal Neoplasms - radiotherapy ; Pharyngeal Neoplasms - radiotherapy ; Quality of Life ; Radiotherapy ; Sensitivity and Specificity ; Surveys and Questionnaires</subject><ispartof>International journal of radiation oncology, biology, physics, 2002-03, Vol.52 (3), p.779-783</ispartof><rights>2002 Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c276t-4aec3e5e5eea6870c78bc272d60f8a249a7d9342b47468e447a9ba34d91afc93</citedby><cites>FETCH-LOGICAL-c276t-4aec3e5e5eea6870c78bc272d60f8a249a7d9342b47468e447a9ba34d91afc93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0360301601026001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11849801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sehlen, Susanne</creatorcontrib><creatorcontrib>Hollenhorst, Helmuth</creatorcontrib><creatorcontrib>Lenk, Markus</creatorcontrib><creatorcontrib>Schymura, Beatrice</creatorcontrib><creatorcontrib>Herschbach, Peter</creatorcontrib><creatorcontrib>Aydemir, Uelker</creatorcontrib><creatorcontrib>Dühmke, Eckhart</creatorcontrib><title>Only sociodemographic variables predict quality of life after radiography in patients with head-and-neck cancer</title><title>International journal of radiation oncology, biology, physics</title><addtitle>Int J Radiat Oncol Biol Phys</addtitle><description>Purpose
: Psychosocial factors influence patient compliance and have an effect on survival. Identifying patients at risk of decreased quality of life (QOL) with no extra expenditure in terms of hospital staff time or resources is mandatory to plan psychosocial support.
Methods and Materials
: Between 1997 and 2000, 242 patients with head-and-neck cancer (30% pharyngeal, 29% oropharyngeal, and 13% laryngeal cancer) were screened. Of these, 28.5% refused to participate and 19.0% were excluded (Karnofsky performance score <50, language and cognitive deficits, death, or noncompliance). A total of 124 patients were assessed with the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire at ti1 (beginning of radiotherapy [RT]). Eighty-three patients from this group were examined, with complete data from ti1 to ti3 (6 weeks after RT).
Results
: The QOL did not change during RT. In logistic regression analysis, medical information, in contrast to sociodemographic variables, turned out to have no influence on the ability to predict low QOL (sensitivity 80% vs. 32%). Four sociodemographic variables were entered in the regression model (children, currently employment, ethanol abuse, level of secondary education) and accounted for 26% of variance in QOL at ti3.
Conclusion
: By routinely obtaining clinical information from the patient’s history, patients at risk of low QOL after RT can be identified and could benefit from early psychosocial support.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Demography</subject><subject>Female</subject><subject>Head and Neck Neoplasms - radiotherapy</subject><subject>Head-and-neck cancer</subject><subject>Humans</subject><subject>Laryngeal Neoplasms - radiotherapy</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oropharyngeal Neoplasms - radiotherapy</subject><subject>Pharyngeal Neoplasms - radiotherapy</subject><subject>Quality of Life</subject><subject>Radiotherapy</subject><subject>Sensitivity and Specificity</subject><subject>Surveys and Questionnaires</subject><issn>0360-3016</issn><issn>1879-355X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFO3DAQhi3UCrbAI4B8qtpD2nHixMmpQghKJSQO5cDNmtgT1pCNg-3dat--hl21RzQHj-Tv9y9_jJ0J-CZANN9_Q9VAUeX1C4ivUDYAhThgC9Gqrqjq-uEDW_xDjtinGJ8AQAglD9mREK3sWhAL5u-mccujN85bWvnHgPPSGb7B4LAfKfI5kHUm8Zc1ji5tuR_46AbiOCQKPKB1u9CWu4nPmBxNKfI_Li35ktAWONliIvPMDU6Gwgn7OOAY6XR_HrP766v7y5vi9u7nr8uL28KUqkmFRDIV1XkIm1aBUW2fb0rbwNBiKTtUtqtk2Uslm5akVNj1WEnbCRxMVx2zz7tn5-Bf1hSTXrloaBxxIr-OWglZy7KFDNY70AQfY6BBz8GtMGy1AP0qWr-J1q8WNQj9JlqLnDvfF6z7Fdn_qb3ZDPzYAZR_uXEUdDTZjck2A5mkrXfvVPwFqB6PKw</recordid><startdate>20020301</startdate><enddate>20020301</enddate><creator>Sehlen, Susanne</creator><creator>Hollenhorst, Helmuth</creator><creator>Lenk, Markus</creator><creator>Schymura, Beatrice</creator><creator>Herschbach, Peter</creator><creator>Aydemir, Uelker</creator><creator>Dühmke, Eckhart</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020301</creationdate><title>Only sociodemographic variables predict quality of life after radiography in patients with head-and-neck cancer</title><author>Sehlen, Susanne ; Hollenhorst, Helmuth ; Lenk, Markus ; Schymura, Beatrice ; Herschbach, Peter ; Aydemir, Uelker ; Dühmke, Eckhart</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c276t-4aec3e5e5eea6870c78bc272d60f8a249a7d9342b47468e447a9ba34d91afc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Demography</topic><topic>Female</topic><topic>Head and Neck Neoplasms - radiotherapy</topic><topic>Head-and-neck cancer</topic><topic>Humans</topic><topic>Laryngeal Neoplasms - radiotherapy</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oropharyngeal Neoplasms - radiotherapy</topic><topic>Pharyngeal Neoplasms - radiotherapy</topic><topic>Quality of Life</topic><topic>Radiotherapy</topic><topic>Sensitivity and Specificity</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sehlen, Susanne</creatorcontrib><creatorcontrib>Hollenhorst, Helmuth</creatorcontrib><creatorcontrib>Lenk, Markus</creatorcontrib><creatorcontrib>Schymura, Beatrice</creatorcontrib><creatorcontrib>Herschbach, Peter</creatorcontrib><creatorcontrib>Aydemir, Uelker</creatorcontrib><creatorcontrib>Dühmke, Eckhart</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of radiation oncology, biology, physics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sehlen, Susanne</au><au>Hollenhorst, Helmuth</au><au>Lenk, Markus</au><au>Schymura, Beatrice</au><au>Herschbach, Peter</au><au>Aydemir, Uelker</au><au>Dühmke, Eckhart</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Only sociodemographic variables predict quality of life after radiography in patients with head-and-neck cancer</atitle><jtitle>International journal of radiation oncology, biology, physics</jtitle><addtitle>Int J Radiat Oncol Biol Phys</addtitle><date>2002-03-01</date><risdate>2002</risdate><volume>52</volume><issue>3</issue><spage>779</spage><epage>783</epage><pages>779-783</pages><issn>0360-3016</issn><eissn>1879-355X</eissn><abstract>Purpose
: Psychosocial factors influence patient compliance and have an effect on survival. Identifying patients at risk of decreased quality of life (QOL) with no extra expenditure in terms of hospital staff time or resources is mandatory to plan psychosocial support.
Methods and Materials
: Between 1997 and 2000, 242 patients with head-and-neck cancer (30% pharyngeal, 29% oropharyngeal, and 13% laryngeal cancer) were screened. Of these, 28.5% refused to participate and 19.0% were excluded (Karnofsky performance score <50, language and cognitive deficits, death, or noncompliance). A total of 124 patients were assessed with the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire at ti1 (beginning of radiotherapy [RT]). Eighty-three patients from this group were examined, with complete data from ti1 to ti3 (6 weeks after RT).
Results
: The QOL did not change during RT. In logistic regression analysis, medical information, in contrast to sociodemographic variables, turned out to have no influence on the ability to predict low QOL (sensitivity 80% vs. 32%). Four sociodemographic variables were entered in the regression model (children, currently employment, ethanol abuse, level of secondary education) and accounted for 26% of variance in QOL at ti3.
Conclusion
: By routinely obtaining clinical information from the patient’s history, patients at risk of low QOL after RT can be identified and could benefit from early psychosocial support.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>11849801</pmid><doi>10.1016/S0360-3016(01)02600-1</doi><tpages>5</tpages></addata></record> |
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| ispartof | International journal of radiation oncology, biology, physics, 2002-03, Vol.52 (3), p.779-783 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Aged Demography Female Head and Neck Neoplasms - radiotherapy Head-and-neck cancer Humans Laryngeal Neoplasms - radiotherapy Logistic Models Male Middle Aged Oropharyngeal Neoplasms - radiotherapy Pharyngeal Neoplasms - radiotherapy Quality of Life Radiotherapy Sensitivity and Specificity Surveys and Questionnaires |
| title | Only sociodemographic variables predict quality of life after radiography in patients with head-and-neck cancer |
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