Demez Pierre H, Moreau Pierre R
Otorhinolaryngology-Head and Neck Surgery Department, C.H.U. Liege, Domaine Universitaire du Sart Tilman, Bâtiment B 35, B-4000 Liège 1, Belgium.
Head Neck. 2009 Aug;31(8):1056-67. doi: 10.1002/hed.21069.
Physician's perception of quality of life of patients with cancer is unclear. No reports have evaluated its influence on patient management.
Five hundred otolaryngologists completed a questionnaire regarding the quality of life of patients with head and neck cancer.
Seventy-eight percent of responders thought that quality of life must be considered when choosing treatment, even if this meant decreased survival. Seventy-five percent thought it justified to withhold curative treatment if this would lead to impaired quality of life. Pain and breathing were the most important symptoms to consider. The perception was worse for physicians practicing in Latin culture, working in private practice, or with no personal acquaintance with a head and neck cancer victim and was better after radiotherapy than after surgery and chemotherapy.
Quality of life is important for physicians and is considered as essential as survival by many physicians. The perception of patient's quality of life influences the treatment choice.
医生对癌症患者生活质量的认知尚不清楚。尚无报告评估其对患者管理的影响。
500名耳鼻喉科医生完成了一份关于头颈癌患者生活质量的问卷。
78%的受访者认为，即使这意味着生存率降低，在选择治疗方案时也必须考虑生活质量。75%的人认为，如果这会导致生活质量受损，那么放弃根治性治疗是合理的。疼痛和呼吸是需要考虑的最重要症状。在拉丁文化环境中执业、从事私人执业或没有个人认识的头颈癌患者的医生，其认知较差；放疗后的认知比手术和化疗后的认知要好。
生活质量对医生很重要，许多医生认为其与生存率同样重要。对患者生活质量的认知会影响治疗选择。
