Tahani Bahareh, Razavi Sayed Mohammad, Emami Hamid, Alamchi Fatemeh
Dental Research Center, Department of Oral Public Health, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Implant Research Center, Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Oral Maxillofac Surg. 2017 Dec;21(4):429-437. doi: 10.1007/s10006-017-0651-0. Epub 2017 Sep 25.
PURPOSE: Oral cancer diagnosis and treatment could influence the well-being of patients. The aim of this study was to assess the quality of life (QOL) of oral cancer patients after their treatments. METHOD: In this descriptive-analytical study, all oral cancer patients' records were retrieved from the archives of the oral pathology departments of Isfahan dental school and Sayed-al-Shohada from 2004 to 2015. Telephone interviews were conducted to collect data using the short form 36 (SF-36) and Head and Neck (H&N35) questionnaire. Demographic information of participants as well as tumor-related information, including last treatment date, therapy method, differentiation grade (mild, moderate, poorly differentiated), primary place of tumor in the mouth, and history of recurrence were recorded. Analysis of variance (ANOVA), t test, and Pearson and Spearman correlation coefficients were used for data analysis (α = 0.5). RESULTS: From 223 registered patients, 73 were available. Most of the participants were in the age group of 29-87 years (61 ± 16.3). The mean of SF36 and H&N QOL was 63.77 ± 23.44 (from 100) and 63.7 ± 15.36 (35-140). Females and those receiving combined therapy had lower QOL status. Participants who received their last treatment earlier had a significantly better QOL for both scores (P value < 0.001). History of recurrence, older age, and lower education had a significant correlation with general and disease specific QOL (P value < 0.001). CONCLUSION: The general QOL of patients with oral cancer was lower than that of the normal population in most domains. The postoperative QOL in our patients was significantly influenced by demographic and tumor-related factors. These factors should be considered by the treatment teams.
目的:口腔癌的诊断和治疗会影响患者的健康状况。本研究旨在评估口腔癌患者治疗后的生活质量(QOL)。 方法:在这项描述性分析研究中,从2004年至2015年伊斯法罕牙科学院口腔病理科和赛义德 - 阿尔 - 肖哈达医院的档案中检索了所有口腔癌患者的记录。通过电话访谈使用简短健康调查问卷36(SF - 36)和头颈问卷(H&N35)收集数据。记录参与者的人口统计学信息以及肿瘤相关信息,包括最后治疗日期、治疗方法、分化程度(高分化、中分化、低分化)、口腔肿瘤的原发部位以及复发史。采用方差分析(ANOVA)、t检验以及Pearson和Spearman相关系数进行数据分析(α = 0.5)。 结果:在223名登记患者中,73名患者可供研究。大多数参与者年龄在29 - 87岁之间(61 ± 16.3)。SF36和H&N生活质量的平均值分别为63.77 ± 23.44(满分100)和63.7 ± 15.36(35 - 140)。女性和接受联合治疗的患者生活质量较低。最后一次治疗时间较早的参与者在这两个评分中的生活质量明显更好(P值 < 0.001)。复发史、年龄较大和教育程度较低与总体和疾病特异性生活质量显著相关(P值 < 0.001)。 结论:在大多数领域,口腔癌患者的总体生活质量低于正常人群。我们患者的术后生活质量受到人口统计学和肿瘤相关因素的显著影响。治疗团队应考虑这些因素。
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