Survival and quality of life of patients with oral and oropharyngeal cancer at 1-year follow-up of tumor resection

This study aimed to assess the survival and life quality evolution of patients subjected to surgical excision of oral and oropharyngeal squamous cell carcinoma. Forty-seven patients treated at a Brazilian healthcare unit specialized in head and neck surgery between 2006 and 2007 were enrolled in the...

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Bibliographic Details
Published in:Journal of applied oral science 2010-06, Vol.18 (3), p.279-284
Main Authors: Biazevic, Maria Gabriela Haye, Antunes, José Leopoldo Ferreira, Togni, Janina, de Andrade, Fabiana Paula, de Carvalho, Marcos Brasilino, Wünsch-Filho, Victor
Format: Article
Language:English
Subjects:
Activities of Daily Living
Affect
Anxiety - psychology
Carcinoma, Squamous Cell - psychology
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - surgery
Cohort Studies
Deglutition - physiology
Dentistry
DENTISTRY, ORAL SURGERY & MEDICINE
Esthetics
Female
Follow-Up Studies
Health Behavior
Humans
Lip Neoplasms - psychology
Lip Neoplasms - surgery
Male
Mastication - physiology
Middle Aged
Mouth neoplasms
Mouth Neoplasms - psychology
Mouth Neoplasms - surgery
Neoplasm Staging
Original
Oropharyngeal neoplasms
Oropharyngeal Neoplasms - psychology
Oropharyngeal Neoplasms - surgery
Pain Measurement
Quality of Life
Recreation
Saliva - metabolism
Speech - physiology
Surgery
Survival Rate
Taste - physiology
Tongue Neoplasms - psychology
Tongue Neoplasms - surgery
Treatment Outcome
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Summary:This study aimed to assess the survival and life quality evolution of patients subjected to surgical excision of oral and oropharyngeal squamous cell carcinoma. Forty-seven patients treated at a Brazilian healthcare unit specialized in head and neck surgery between 2006 and 2007 were enrolled in the study. The gathering of data comprised reviewing hospital files and applying the University of Washington Quality of Life (UW-QOL) questionnaire previously and 1 year after the surgery. Comparative analysis used Poisson regression to assess factors associated with survival and a paired t-test to compare preoperative and 1-year postoperative QOL ratings. 1 year after surgery, 7 patients were not found (dropout of the cohort); 15 had died and 25 fulfilled the UW-QOL again. The risk of death was associated with having regional metastasis previously to surgery (relative risk=2.18; 95% confidence interval=1.09-5.17) and tumor size T3 or T4 (RR=2.30; 95%CI=1.05-5.04). Survivors presented significantly (p
ISSN:1678-7757
1678-7765
1678-7765
1678-7757
DOI:10.1590/S1678-77572010000300015