Goetz Carolin, Raschka Julius, Wolff Klaus-Dietrich, Kolk Andreas, Bissinger Oliver
Department of Oral and Maxillofacial Surgery, Technische Universitaet München, Fakultaet für Medizin, Klinikum rechts der Isar, Ismaninger Str. 22, 81675 Munich, Germany.
Department of Oral and Maxillofacial Surgery, Medizinische Universitaet Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria.
Cancers (Basel). 2020 Aug 4;12(8):2152. doi: 10.3390/cancers12082152.
The diagnosis of cancer and its treatment have an incomparable impact on a patient's life. In the early postoperative stages after the surgical treatment of oral squamous cell carcinoma (OSCC), functions and well-being are limited, which leads to a fundamental decline of the quality of life (QoL). To date, no studies have been performed that focus on the development of special aspects during the time of the in-patient stay of OSCC patients. With the results of this cross-sectional study, we are able to identify those patients who tend to require special support. This cross-sectional study determined the postoperative QoL with a questionnaire (QU) that was handed out twice to OSCC patients after surgery during their inpatient stay. The questions were based on the European Organisation for Research and Treatment of Cancer (EORTC)'s Quality of Life Questionnaire (QLQ)-C30 and QLQ-H&N35. In our study, we found that for postoperative OSCC patients, eating, swallowing and speech were influenced the most. After decannulation, tracheotomy showed no impact on functions. Social contact was impaired at both timepoints. Especially female patients consider themselves to be more impaired on the scale of social contact. QoL should be checked with a standardized QU as an established tool during hospitalization in every oncology department. Only this procedure can pinpoint those patients who have struggles with their surgical outcome and need more assistance.
癌症的诊断及其治疗对患者的生活有着无与伦比的影响。在口腔鳞状细胞癌(OSCC)手术治疗后的术后早期阶段,功能和健康状况受到限制,这导致生活质量(QoL)从根本上下降。迄今为止,尚未有研究关注OSCC患者住院期间特殊方面的发展情况。通过这项横断面研究的结果,我们能够识别出那些倾向于需要特殊支持的患者。这项横断面研究通过一份问卷(QU)来确定术后生活质量,该问卷在OSCC患者术后住院期间分两次发放给他们。这些问题基于欧洲癌症研究与治疗组织(EORTC)的生活质量问卷(QLQ)-C30和QLQ-H&N35。在我们的研究中,我们发现对于术后OSCC患者,进食、吞咽和言语受到的影响最大。拔管后,气管切开术对功能没有影响。在两个时间点社交接触均受到损害。尤其是女性患者在社交接触量表上认为自己受损更严重。在每个肿瘤科室住院期间,应使用标准化的QU作为既定工具来检查生活质量。只有这个程序才能找出那些在手术结果方面存在困难且需要更多帮助的患者。