Tschiesner U
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Ludwig Maximilians Universität München, München.
Laryngorhinootologie. 2012 Mar;91 Suppl 1:S48-62. doi: 10.1055/s-0031-1297245. Epub 2012 Mar 28.
Preservation of function is a crucial aspect for the evaluation of therapies applied in the field of head and neck cancer. However, preservation of anatomic structures does not equalize preservation of function. Particularly for the evaluation of alternative treatment options with equivalent oncologic outcome functional outcome becomes increasingly important. Present studies collect with varying emphasize (1) the effects of therapy on essential body functions, (2) additional therapy-induced toxic effects, and (3) health-related quality of life. The present article summarizes vital aspects of clinical research from the last years. Preservation of function after surgical and non-surgical treatment approaches are presented according to tumour localisation and staging criteria. Additional methodological aspects of study design and documentation as well as challenges and present activities for the transformation into clinical practise are discussed.
功能保留是评估头颈部癌治疗方法的关键方面。然而,解剖结构的保留并不等同于功能的保留。特别是对于具有同等肿瘤学结果的替代治疗方案的评估,功能结果变得越来越重要。目前的研究以不同的侧重点收集了以下方面的数据:(1)治疗对身体基本功能的影响;(2)治疗引起的额外毒性作用;(3)与健康相关的生活质量。本文总结了过去几年临床研究的重要方面。根据肿瘤定位和分期标准,介绍了手术和非手术治疗方法后的功能保留情况。还讨论了研究设计和记录的其他方法学方面,以及转化为临床实践面临的挑战和当前的活动。