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Decisional regret, symptom burden, and quality of life following transoral robotic surgery for oropharyngeal cancer
Transoral robotic surgery (TORS) has equivalent oncologic control to radiotherapy with potential for improved quality of life (QOL) and lower patient-reported decisional regret. Cross-sectional study between 2016 and 2021 of TORS patients with early-stage oropharyngeal squamous cell carcinoma who co...
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Published in: | Oral oncology 2023-11, Vol.146, p.106537-106537, Article 106537 |
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description | Transoral robotic surgery (TORS) has equivalent oncologic control to radiotherapy with potential for improved quality of life (QOL) and lower patient-reported decisional regret.
Cross-sectional study between 2016 and 2021 of TORS patients with early-stage oropharyngeal squamous cell carcinoma who completed the Decision Regret Scale (DRS), M. D. Anderson Dysphagia Inventory (MDADI), and University of Washington Quality of Life (UW-QOL). The median time from treatment to questionnaire completion was 1.8 years (IQR 1.4-3.3, range 1.0-5.6).
Of 65 patients, 84.6% expressed no or mild decisional regret. Regret was not associated with clinical parameters or adjuvant treatment but was correlated with MDADI (τ
= -0.23, p |
doi_str_mv | 10.1016/j.oraloncology.2023.106537 |
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Cross-sectional study between 2016 and 2021 of TORS patients with early-stage oropharyngeal squamous cell carcinoma who completed the Decision Regret Scale (DRS), M. D. Anderson Dysphagia Inventory (MDADI), and University of Washington Quality of Life (UW-QOL). The median time from treatment to questionnaire completion was 1.8 years (IQR 1.4-3.3, range 1.0-5.6).
Of 65 patients, 84.6% expressed no or mild decisional regret. Regret was not associated with clinical parameters or adjuvant treatment but was correlated with MDADI (τ
= -0.23, p < 0.001) and UW-QOL (τ
= -0.27, p < 0.001). Worse MDADI was associated with older age and worse UW-QOL was associated with multi-site operation and shorter time to survey.
Overall, the TORS cohort expressed very limited decisional regret. DRS scores were unaffected by clinicodemographics or additional adjuvant therapies, but decision regret was correlated with worse QOL and worse swallowing.</description><identifier>ISSN: 1368-8375</identifier><identifier>EISSN: 1879-0593</identifier><identifier>DOI: 10.1016/j.oraloncology.2023.106537</identifier><identifier>PMID: 37579543</identifier><language>eng</language><publisher>England</publisher><ispartof>Oral oncology, 2023-11, Vol.146, p.106537-106537, Article 106537</ispartof><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-b46d903c40afe03b3e1c4213fd991b4c49f6f52cee2c77f2745c998e4b9060b33</citedby><cites>FETCH-LOGICAL-c371t-b46d903c40afe03b3e1c4213fd991b4c49f6f52cee2c77f2745c998e4b9060b33</cites><orcidid>0000-0001-7201-6181</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37579543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwon, Jamie Jae Young</creatorcontrib><creatorcontrib>Liu, Alice Q</creatorcontrib><creatorcontrib>Milner, Thomas D</creatorcontrib><creatorcontrib>Prisman, Eitan</creatorcontrib><title>Decisional regret, symptom burden, and quality of life following transoral robotic surgery for oropharyngeal cancer</title><title>Oral oncology</title><addtitle>Oral Oncol</addtitle><description>Transoral robotic surgery (TORS) has equivalent oncologic control to radiotherapy with potential for improved quality of life (QOL) and lower patient-reported decisional regret.
Cross-sectional study between 2016 and 2021 of TORS patients with early-stage oropharyngeal squamous cell carcinoma who completed the Decision Regret Scale (DRS), M. D. Anderson Dysphagia Inventory (MDADI), and University of Washington Quality of Life (UW-QOL). The median time from treatment to questionnaire completion was 1.8 years (IQR 1.4-3.3, range 1.0-5.6).
Of 65 patients, 84.6% expressed no or mild decisional regret. Regret was not associated with clinical parameters or adjuvant treatment but was correlated with MDADI (τ
= -0.23, p < 0.001) and UW-QOL (τ
= -0.27, p < 0.001). Worse MDADI was associated with older age and worse UW-QOL was associated with multi-site operation and shorter time to survey.
Overall, the TORS cohort expressed very limited decisional regret. DRS scores were unaffected by clinicodemographics or additional adjuvant therapies, but decision regret was correlated with worse QOL and worse swallowing.</description><issn>1368-8375</issn><issn>1879-0593</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpNkE1LxDAQhoMorl9_QYInD3ZNmqRtvInfIHjRc0jTSe2SJmvSIv33dtlVPM0w874zLw9CF5QsKaHF9WoZonbBm-BCOy1zkrN5UQhW7qEjWpUyI0Ky_blnRZVVrBQLdJzSihAiqCCHaDGPSik4O0LpHkyXuuC1wxHaCMMVTlO_HkKP6zE24K-w9g3-GrXrhgkHi11nAdvgXPjufIuHqH3aBMIx1GHoDE5jbCFOsybiEMP6U8fJtzArjPYG4ik6sNolONvVE_Tx-PB-95y9vj293N2-ZoaVdMhqXjSSMMOJtkBYzYAanlNmGylpzQ2XtrAiNwC5KUubl1wYKSvgtSQFqRk7QZfbu-sYvkZIg-q7ZMA57SGMSeWVoJTnnBSz9GYrNTGkFMGqdez6ObeiRG2gq5X6D11toKst9Nl8vvsz1j00f9ZfyuwHVriFJw</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Kwon, Jamie Jae Young</creator><creator>Liu, Alice Q</creator><creator>Milner, Thomas D</creator><creator>Prisman, Eitan</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7201-6181</orcidid></search><sort><creationdate>20231101</creationdate><title>Decisional regret, symptom burden, and quality of life following transoral robotic surgery for oropharyngeal cancer</title><author>Kwon, Jamie Jae Young ; Liu, Alice Q ; Milner, Thomas D ; Prisman, Eitan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-b46d903c40afe03b3e1c4213fd991b4c49f6f52cee2c77f2745c998e4b9060b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwon, Jamie Jae Young</creatorcontrib><creatorcontrib>Liu, Alice Q</creatorcontrib><creatorcontrib>Milner, Thomas D</creatorcontrib><creatorcontrib>Prisman, Eitan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Oral oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwon, Jamie Jae Young</au><au>Liu, Alice Q</au><au>Milner, Thomas D</au><au>Prisman, Eitan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decisional regret, symptom burden, and quality of life following transoral robotic surgery for oropharyngeal cancer</atitle><jtitle>Oral oncology</jtitle><addtitle>Oral Oncol</addtitle><date>2023-11-01</date><risdate>2023</risdate><volume>146</volume><spage>106537</spage><epage>106537</epage><pages>106537-106537</pages><artnum>106537</artnum><issn>1368-8375</issn><eissn>1879-0593</eissn><abstract>Transoral robotic surgery (TORS) has equivalent oncologic control to radiotherapy with potential for improved quality of life (QOL) and lower patient-reported decisional regret.
Cross-sectional study between 2016 and 2021 of TORS patients with early-stage oropharyngeal squamous cell carcinoma who completed the Decision Regret Scale (DRS), M. D. Anderson Dysphagia Inventory (MDADI), and University of Washington Quality of Life (UW-QOL). The median time from treatment to questionnaire completion was 1.8 years (IQR 1.4-3.3, range 1.0-5.6).
Of 65 patients, 84.6% expressed no or mild decisional regret. Regret was not associated with clinical parameters or adjuvant treatment but was correlated with MDADI (τ
= -0.23, p < 0.001) and UW-QOL (τ
= -0.27, p < 0.001). Worse MDADI was associated with older age and worse UW-QOL was associated with multi-site operation and shorter time to survey.
Overall, the TORS cohort expressed very limited decisional regret. DRS scores were unaffected by clinicodemographics or additional adjuvant therapies, but decision regret was correlated with worse QOL and worse swallowing.</abstract><cop>England</cop><pmid>37579543</pmid><doi>10.1016/j.oraloncology.2023.106537</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-7201-6181</orcidid><oa>free_for_read</oa></addata></record> |
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title | Decisional regret, symptom burden, and quality of life following transoral robotic surgery for oropharyngeal cancer |
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