Head & neck · 2017
One-year quality of life and functional outcomes of transoral robotic surgery for carcinoma of unknown primary.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ozbay Isa, Yumusakhuylu Ali Cemal, Sethia Rishabh, Wei Lai, Old Matthew, Agrawal Amit, Teknos Theodoros, Ozer Enver
Аннотация
BACKGROUND: The purpose of this study was to assess the quality of life (QOL) outcomes in patients who underwent transoral robotic surgery (TORS) for carcinoma of unknown primary (CUP).
METHODS: Twenty-nine patients with CUP were administered the Head and Neck Cancer Inventory (HNCI) prospectively to evaluate QOL preoperatively and postoperatively.
RESULTS: There was statistically and clinically significant deterioration in 2 of 4 domains (eating and social disruption) in the immediate aftermath of TORS. There was statistically and clinically meaningful deterioration in all 4 domains at 3 months relative to baseline, and there remained statistically and clinically meaningful deterioration in 2 of 4 domains at 6 months compared to baseline. These 2 domains remained statistically and clinically worse than baseline at 12 months. Speech and aesthetics domain scores were comparable at baseline and 12 months.
CONCLUSION: Patients reported difficulties with eating and social disruption over the course of 1 year, but problems with speech and appearance abated.
METHODS: Twenty-nine patients with CUP were administered the Head and Neck Cancer Inventory (HNCI) prospectively to evaluate QOL preoperatively and postoperatively.
RESULTS: There was statistically and clinically significant deterioration in 2 of 4 domains (eating and social disruption) in the immediate aftermath of TORS. There was statistically and clinically meaningful deterioration in all 4 domains at 3 months relative to baseline, and there remained statistically and clinically meaningful deterioration in 2 of 4 domains at 6 months compared to baseline. These 2 domains remained statistically and clinically worse than baseline at 12 months. Speech and aesthetics domain scores were comparable at baseline and 12 months.
CONCLUSION: Patients reported difficulties with eating and social disruption over the course of 1 year, but problems with speech and appearance abated.