The EORTC QLQ43 and FACT H&N questionnaires of quality of life at 1 and 5 years after treatment and dental care in head and neck cancer patients: a pilot study

Purpose: This study aimed to examine health-related quality of life (HRQoL) in head and neck cancer patients at 1 and 5 years after successful treatment of their tumors, and to explore the usefulness of 2 instruments for assessing the need of dental care services. Methods: This cross-sectional pilot...

Descripción completa

Detalles Bibliográficos
Autores: Guedea, Marc, Sánchez Molins, Meritxell, Lozano, Alicia, Ferrer Forés, Maria Montserrat, Pont Acuña, Àngels, Guedea, Ferrán, Clotet, Sandra, Juárez, Marc, Araguas, Pablo, Ventura Alemany, Montserrat, Oliveira, Nuno Gustavo d', Ustrell, Josep Maria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/70130
Acceso en línea:http://hdl.handle.net/10230/70130
http://dx.doi.org/10.1007/s12094-024-03567-5
Access Level:acceso abierto
Palabra clave:Dental care
EORTC QLQ-H and N43
FACT H and N
Head and neck cancer
Health-related quality of life
Radiotherapy
Descripción
Sumario:Purpose: This study aimed to examine health-related quality of life (HRQoL) in head and neck cancer patients at 1 and 5 years after successful treatment of their tumors, and to explore the usefulness of 2 instruments for assessing the need of dental care services. Methods: This cross-sectional pilot study included 20 adult patients with head and neck cancer who completed the Functional Assessment of Cancer Therapy-Head and Neck (FACT H&N) Symptom Index and the European Organization for Research and Treatment of Cancer Quality of Life Head and Neck Module (EORTC QLQ-H&N43) after 1 and 5 years of treatment. Results: Mean (standard deviation, SD) scores of the FACT H&N Symptom Index were higher (better HRQoL) at 5 years than at 1 year (24.1 [4.4] vs. 21.1 [6.4]; p = 0.236). Only three of the ten items of FACT H&N (swallow, pain in mouth/throat or neck, and solid foods) evaluated oral health. In the EORTC QLQ-H&N43 questionnaire, scores were lower at 5 years (better HRQoL) in almost all multi- and single-item symptoms. This questionnaire includes four multi-item scales (pain in the mouth, social eating, swallowing, and problems with teeth) measuring dental and orthodontic needs. Conclusion: HRQoL in patients with head and neck cancer improved with the length of follow-up. The EORTC QLQ-H&N43 has more items addressing oral health compared to the FACT H&N Symptom Index and may be more adequate to assess the need of dental therapy in clinical practice.