Poor Quality of Life after Neck Dissection is Associated to Depressive Symptoms Instead of Cancer or Operation-Related Factors
Molnar, Krisztina; Kakilehto; Sanna, Lahtinen, Sanna; Nurkkala, Juho; Koivunen, Petri; Liisanantti, Janne (2024-03-18)
Scholars.Direct
18.03.2024
Molnar K, Kakilehto S, Lahtinen S, et al. (2024) Poor Quality of Life after Neck Dissection is Associated to Depressive Symptoms Instead of Cancer or Operation- Related Factors. J Head Neck Surg 5(1):212-218.
https://creativecommons.org/licenses/by/4.0/
© 2024 Molnar K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
https://creativecommons.org/licenses/by/4.0/
© 2024 Molnar K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
https://creativecommons.org/licenses/by/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202408095282
https://urn.fi/URN:NBN:fi:oulu-202408095282
Tiivistelmä
Abstract
Background
Neck dissection (ND) is a common surgical procedure in the treatment of the head and neck cancer (HNC). The present study focused on patients` psychosocial well-being and quality of life (QoL) after ND.
Methods
A cohort of 63 (54.3%) of the 116 eligible patients answered the QoL-questionnaires at average 4.5 years from the operation. RAND 36-item Health Survey (RAND-36), EORTC QLQ-C30, EORTC-QLQ-H&N35, Beck Depression Inventory (BDI) and Short version of Pain Anxiety Symptoms Scale (PASS20) were used in assessment. QoL was considered poor if at least one RAND-36 dimension was scored below 2SDs from age-adjusted reference values.
Results
A total of 23 respondents had poor QoL according to RAND-36 scores. Age, chronic comorbidities, postoperative complications or other adverse events during the postoperative phase had no effect on QoL. Respondents with poor QoL had significantly higher scores on BDI (17.0 (8.8) vs. 5.5 (12.5), P < 0.001) and PASS20 assessments (29.5 (19.3) vs. 15.2 (16.2), P = 0.004).
Conclusion
Poor QoL after ND was related primarily to psychosocial factors and mental well-being. Chronic comorbidities or operation-related factors did not have impact on the QoL.
Background
Neck dissection (ND) is a common surgical procedure in the treatment of the head and neck cancer (HNC). The present study focused on patients` psychosocial well-being and quality of life (QoL) after ND.
Methods
A cohort of 63 (54.3%) of the 116 eligible patients answered the QoL-questionnaires at average 4.5 years from the operation. RAND 36-item Health Survey (RAND-36), EORTC QLQ-C30, EORTC-QLQ-H&N35, Beck Depression Inventory (BDI) and Short version of Pain Anxiety Symptoms Scale (PASS20) were used in assessment. QoL was considered poor if at least one RAND-36 dimension was scored below 2SDs from age-adjusted reference values.
Results
A total of 23 respondents had poor QoL according to RAND-36 scores. Age, chronic comorbidities, postoperative complications or other adverse events during the postoperative phase had no effect on QoL. Respondents with poor QoL had significantly higher scores on BDI (17.0 (8.8) vs. 5.5 (12.5), P < 0.001) and PASS20 assessments (29.5 (19.3) vs. 15.2 (16.2), P = 0.004).
Conclusion
Poor QoL after ND was related primarily to psychosocial factors and mental well-being. Chronic comorbidities or operation-related factors did not have impact on the QoL.
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