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Explorative study on quality of life in relation to salivary secretion rate in head and neck cancer patients treated with radiotherapy.

Artikel i vetenskaplig tidskrift
Författare Annica Almståhl
Torgny Alstad
Bodil Fagerberg-Mohlin
Anette Carlén
Caterina Finizia
Publicerad i Head & neck
Volym 38
Nummer/häfte 5
Sidor 782-791
ISSN 1097-0347
Publiceringsår 2016
Publicerad vid Institutionen för odontologi
Institutionen för kliniska vetenskaper, Avdelningen för öron-, näs- och halssjukdomar
Institutionen för odontologi, sektion 3
Sidor 782-791
Språk en
Länkar dx.doi.org/10.1002/hed.23964
Ämnesord quality of life;radiation therapy;cancer;saliva;minor gland saliva
Ämneskategorier Cancer och onkologi

Sammanfattning

Background: Radiation therapy (RT) to the head and neck (H&N) region often results in oral complications. In this explorative study, the pretreatment and posttreatment (6 months and 12 months) quality of life (QoL) was analysed for patients with H&N cancer. The associations between QoL and salivary secretion rates were analysed. Methods: In 29 patients (19 men and 10 women, mean age 59±8 years), the stimulated whole salivary secretion and buccal minor gland secretion were measured. The patients completed the European Organisation for Research and Treatment of Cancer Quality of Life questionnaires (QLQ-C30 and H&N35) and the Hospital Anxiety and Depression scale (HADS). Results: One year after the completion of radiotherapy, subjects with hyposalivation (≤ 0.7 ml/min) reported clinically meaningful, but not statistically significant differences, in cognitive functioning, insomnia, swallowing, social eating, dry mouth, sticky saliva and use of painkillers. Statistically significant differences were found for emotional functioning, sticky saliva and dyspnea (p<0.05). Thirtythree percent of them had a HADS score suggesting anxiety problems compared to 8% for those with whole stimulated salivary secretion rates > 0.7 ml/min. Conclusion: Radiotherapy in the H&N region, also using intensity-modulated radiotherapy, is associated with many aspects of life such as cognitive functioning, insomnia, dry mouth and sticky saliva, especially for those with hyposalivation. This article is protected by copyright. All rights reserved.

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