Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer
Background We performed a multicenter longitudinal study using our neck dissection questionnaire (NDQ) and arm abduction test (AAT) to assess the impact of rehabilitation and surgical modification on postoperative quality of life (QOL). Methods Patients who had undergone neck dissection for the trea...
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| Veröffentlicht in: | International journal of clinical oncology 2010-02, Vol.15 (1), p.33-38 |
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| container_title | International journal of clinical oncology |
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| creator | Nibu, Ken-ichi Ebihara, Yasuhiro Ebihara, Mitsuru Kawabata, Kazuyoshi Onitsuka, Tetsuro Fujii, Takashi Saikawa, Masahisa |
| description | Background
We performed a multicenter longitudinal study using our neck dissection questionnaire (NDQ) and arm abduction test (AAT) to assess the impact of rehabilitation and surgical modification on postoperative quality of life (QOL).
Methods
Patients who had undergone neck dissection for the treatment of head and neck cancer answered the NDQ and completed the AAT 1, 3, 6, and 12 months after surgery. All patients enrolled in this study underwent a rehabilitation program designed for neck dissection. The obtained data were statistically analyzed according to the types of neck dissection and compared with the data of patients who had undergone neck dissection but not rehabilitation.
Results
A total of 224 patients were enrolled in this study. Our findings revealed that resection of the sternocleidomastoid muscle (SCM) and spinal accessory nerve (SAN) resulted in shoulder drop. Lowering the dissection level and preservation of the SAN and SCM significantly reduced various sensory symptoms of the neck, such as stiffness, pain, numbness, and constriction, and improved shoulder function. Postoperative rehabilitation had a significant effect on arm abduction ability, particularly when the SCM and SAN were resected.
Conclusions
The study demonstrated that rehabilitation, in addition to modifications to radical neck dissection, contributed to the improvement of postoperative QOL after neck dissection. |
| doi_str_mv | 10.1007/s10147-009-0020-6 |
| format | Article |
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We performed a multicenter longitudinal study using our neck dissection questionnaire (NDQ) and arm abduction test (AAT) to assess the impact of rehabilitation and surgical modification on postoperative quality of life (QOL).
Methods
Patients who had undergone neck dissection for the treatment of head and neck cancer answered the NDQ and completed the AAT 1, 3, 6, and 12 months after surgery. All patients enrolled in this study underwent a rehabilitation program designed for neck dissection. The obtained data were statistically analyzed according to the types of neck dissection and compared with the data of patients who had undergone neck dissection but not rehabilitation.
Results
A total of 224 patients were enrolled in this study. Our findings revealed that resection of the sternocleidomastoid muscle (SCM) and spinal accessory nerve (SAN) resulted in shoulder drop. Lowering the dissection level and preservation of the SAN and SCM significantly reduced various sensory symptoms of the neck, such as stiffness, pain, numbness, and constriction, and improved shoulder function. Postoperative rehabilitation had a significant effect on arm abduction ability, particularly when the SCM and SAN were resected.
Conclusions
The study demonstrated that rehabilitation, in addition to modifications to radical neck dissection, contributed to the improvement of postoperative QOL after neck dissection.</description><identifier>ISSN: 1341-9625</identifier><identifier>EISSN: 1437-7772</identifier><identifier>DOI: 10.1007/s10147-009-0020-6</identifier><identifier>PMID: 20101430</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Accessory Nerve - surgery ; Adult ; Aged ; Aged, 80 and over ; Cancer Research ; Head & neck cancer ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - psychology ; Head and Neck Neoplasms - rehabilitation ; Head and Neck Neoplasms - surgery ; Humans ; Longitudinal Studies ; Lymphatic Metastasis ; Medicine ; Medicine & Public Health ; Middle Aged ; Neck ; Neck Dissection - standards ; Neck Muscles - pathology ; Oncology ; Pain Measurement ; Quality of Life ; Questionnaires ; Range of Motion, Articular ; Rehabilitation ; Review Article ; Shoulder - physiopathology ; Surgical Oncology ; Surgical techniques ; Surveys and Questionnaires</subject><ispartof>International journal of clinical oncology, 2010-02, Vol.15 (1), p.33-38</ispartof><rights>Japan Society of Clinical Oncology 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-2fd8082e999169d81936ba7eca708783c832f794fcc25abad97275a5c69942b63</citedby><cites>FETCH-LOGICAL-c489t-2fd8082e999169d81936ba7eca708783c832f794fcc25abad97275a5c69942b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10147-009-0020-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10147-009-0020-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20101430$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nibu, Ken-ichi</creatorcontrib><creatorcontrib>Ebihara, Yasuhiro</creatorcontrib><creatorcontrib>Ebihara, Mitsuru</creatorcontrib><creatorcontrib>Kawabata, Kazuyoshi</creatorcontrib><creatorcontrib>Onitsuka, Tetsuro</creatorcontrib><creatorcontrib>Fujii, Takashi</creatorcontrib><creatorcontrib>Saikawa, Masahisa</creatorcontrib><title>Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer</title><title>International journal of clinical oncology</title><addtitle>Int J Clin Oncol</addtitle><addtitle>Int J Clin Oncol</addtitle><description>Background
We performed a multicenter longitudinal study using our neck dissection questionnaire (NDQ) and arm abduction test (AAT) to assess the impact of rehabilitation and surgical modification on postoperative quality of life (QOL).
Methods
Patients who had undergone neck dissection for the treatment of head and neck cancer answered the NDQ and completed the AAT 1, 3, 6, and 12 months after surgery. All patients enrolled in this study underwent a rehabilitation program designed for neck dissection. The obtained data were statistically analyzed according to the types of neck dissection and compared with the data of patients who had undergone neck dissection but not rehabilitation.
Results
A total of 224 patients were enrolled in this study. Our findings revealed that resection of the sternocleidomastoid muscle (SCM) and spinal accessory nerve (SAN) resulted in shoulder drop. Lowering the dissection level and preservation of the SAN and SCM significantly reduced various sensory symptoms of the neck, such as stiffness, pain, numbness, and constriction, and improved shoulder function. Postoperative rehabilitation had a significant effect on arm abduction ability, particularly when the SCM and SAN were resected.
Conclusions
The study demonstrated that rehabilitation, in addition to modifications to radical neck dissection, contributed to the improvement of postoperative QOL after neck dissection.</description><subject>Accessory Nerve - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cancer Research</subject><subject>Head & neck cancer</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - psychology</subject><subject>Head and Neck Neoplasms - rehabilitation</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Lymphatic Metastasis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Neck Dissection - standards</subject><subject>Neck Muscles - pathology</subject><subject>Oncology</subject><subject>Pain Measurement</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Range of Motion, Articular</subject><subject>Rehabilitation</subject><subject>Review Article</subject><subject>Shoulder - physiopathology</subject><subject>Surgical Oncology</subject><subject>Surgical techniques</subject><subject>Surveys and Questionnaires</subject><issn>1341-9625</issn><issn>1437-7772</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kctu1TAURSMEog_4ACbIYsIo4EcSx8zQFbSgSxGijC3HPmldEju1nUH4uH4bNreAhIRky8fa62w_dlU9I_gVwZi_jgSThtcYizwprrsH1TFpGK855_RhrllDatHR9qg6ifEGY8K7lj6ujigunQwfV3dfVjXZtCE_osmOgNSYICAH-jsyNkbQyXr3Bik0r1OyGlyRJ--ubFqNdWpCMRcbGjaUrgF9VItyEAHtJuuszvLXX_JZ8OuCvMtb5YwKxv5QxbmcexlApTk7o9EHtN_m5RpdeAPoEyQV87CxYOegDMrN6KJcbqechvCkejSqKcLT-_W0-vb-3eXuvN5_Pvuwe7uvddOLVNPR9LinIIQgnTA9EawbFAetOO55z3TP6MhFM2pNWzUoIzjlrWp1J0RDh46dVi8PvkvwtyvEJGcbNUxTfqxfo-SMtS1nvJAv_iFv_BryP0VJMRNtw3uSIXKAdPAxBhjlEuyswiYJliVaeYhW5mhliVYW4-f3xuswg_nT8TvLDNADELPkriD8Pfn_rj8BFdmwpg</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Nibu, Ken-ichi</creator><creator>Ebihara, Yasuhiro</creator><creator>Ebihara, Mitsuru</creator><creator>Kawabata, Kazuyoshi</creator><creator>Onitsuka, Tetsuro</creator><creator>Fujii, Takashi</creator><creator>Saikawa, Masahisa</creator><general>Springer Japan</general><general>Springer Nature B.V</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>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer</title><author>Nibu, Ken-ichi ; Ebihara, Yasuhiro ; Ebihara, Mitsuru ; Kawabata, Kazuyoshi ; Onitsuka, Tetsuro ; Fujii, Takashi ; Saikawa, Masahisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-2fd8082e999169d81936ba7eca708783c832f794fcc25abad97275a5c69942b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Accessory Nerve - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cancer Research</topic><topic>Head & neck cancer</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - psychology</topic><topic>Head and Neck Neoplasms - rehabilitation</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Lymphatic Metastasis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neck</topic><topic>Neck Dissection - standards</topic><topic>Neck Muscles - pathology</topic><topic>Oncology</topic><topic>Pain Measurement</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Range of Motion, Articular</topic><topic>Rehabilitation</topic><topic>Review Article</topic><topic>Shoulder - physiopathology</topic><topic>Surgical Oncology</topic><topic>Surgical techniques</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nibu, Ken-ichi</creatorcontrib><creatorcontrib>Ebihara, Yasuhiro</creatorcontrib><creatorcontrib>Ebihara, Mitsuru</creatorcontrib><creatorcontrib>Kawabata, Kazuyoshi</creatorcontrib><creatorcontrib>Onitsuka, Tetsuro</creatorcontrib><creatorcontrib>Fujii, Takashi</creatorcontrib><creatorcontrib>Saikawa, Masahisa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nibu, Ken-ichi</au><au>Ebihara, Yasuhiro</au><au>Ebihara, Mitsuru</au><au>Kawabata, Kazuyoshi</au><au>Onitsuka, Tetsuro</au><au>Fujii, Takashi</au><au>Saikawa, Masahisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer</atitle><jtitle>International journal of clinical oncology</jtitle><stitle>Int J Clin Oncol</stitle><addtitle>Int J Clin Oncol</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>15</volume><issue>1</issue><spage>33</spage><epage>38</epage><pages>33-38</pages><issn>1341-9625</issn><eissn>1437-7772</eissn><abstract>Background
We performed a multicenter longitudinal study using our neck dissection questionnaire (NDQ) and arm abduction test (AAT) to assess the impact of rehabilitation and surgical modification on postoperative quality of life (QOL).
Methods
Patients who had undergone neck dissection for the treatment of head and neck cancer answered the NDQ and completed the AAT 1, 3, 6, and 12 months after surgery. All patients enrolled in this study underwent a rehabilitation program designed for neck dissection. The obtained data were statistically analyzed according to the types of neck dissection and compared with the data of patients who had undergone neck dissection but not rehabilitation.
Results
A total of 224 patients were enrolled in this study. Our findings revealed that resection of the sternocleidomastoid muscle (SCM) and spinal accessory nerve (SAN) resulted in shoulder drop. Lowering the dissection level and preservation of the SAN and SCM significantly reduced various sensory symptoms of the neck, such as stiffness, pain, numbness, and constriction, and improved shoulder function. Postoperative rehabilitation had a significant effect on arm abduction ability, particularly when the SCM and SAN were resected.
Conclusions
The study demonstrated that rehabilitation, in addition to modifications to radical neck dissection, contributed to the improvement of postoperative QOL after neck dissection.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>20101430</pmid><doi>10.1007/s10147-009-0020-6</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 1341-9625 |
| ispartof | International journal of clinical oncology, 2010-02, Vol.15 (1), p.33-38 |
| issn | 1341-9625 1437-7772 |
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| subjects | Accessory Nerve - surgery Adult Aged Aged, 80 and over Cancer Research Head & neck cancer Head and Neck Neoplasms - pathology Head and Neck Neoplasms - psychology Head and Neck Neoplasms - rehabilitation Head and Neck Neoplasms - surgery Humans Longitudinal Studies Lymphatic Metastasis Medicine Medicine & Public Health Middle Aged Neck Neck Dissection - standards Neck Muscles - pathology Oncology Pain Measurement Quality of Life Questionnaires Range of Motion, Articular Rehabilitation Review Article Shoulder - physiopathology Surgical Oncology Surgical techniques Surveys and Questionnaires |
| title | Quality of life after neck dissection: a multicenter longitudinal study by the Japanese Clinical Study Group on Standardization of Treatment for Lymph Node Metastasis of Head and Neck Cancer |
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