Late complications and long-term quality of life for survivors (>5 years) with history of head and neck cancer
Article first published online: 17 JUL 2012
Copyright © 2012 Wiley Periodicals, Inc.
Head & Neck
Volume 35, Issue 6, pages 819–825, June 2013
How to Cite
Payakachat, N., Ounpraseuth, S. and Suen, J. Y. (2013), Late complications and long-term quality of life for survivors (>5 years) with history of head and neck cancer. Head Neck, 35: 819–825. doi: 10.1002/hed.23035
- Issue published online: 21 MAY 2013
- Article first published online: 17 JUL 2012
- Manuscript Accepted: 14 MAR 2012
- late complications;
- long-term quality of life;
- health status;
- head and neck cancer;
- cancer survivors
Quality of life (QOL) outcomes become critical for survivors of head and neck cancer. Most QOL studies were based on <5-year outcomes and very few addressed >5-year outcomes. This study focused late complications and >5-year outcomes and also compared the 2 standard treatments.
The long-term problems were identified through mail surveys. The 2 treatment arms were compared for differences.
Seventy-three of 234 possible survivors were identified as still living. Forty-seven returned responses were analyzed to determined problems and QOL. Fifty-three percent reported delayed complications which occurred after 5 years. When the 2 treatments were compared, no statistically significant differences were noted. The survivors in the chemoradiotherapy (CRT) group reported greater difficulties with swallowing, sticky saliva, feeding tube, and weight gain. The survivors in the surgery and postoperative radiation therapy (SRT) group reported more problems with trismus.
Some complications do not occur until after 5 years. The CRT group tended to have more problems. Head Neck, 2012