Socioeconomic status and quality of life in patients with locally advanced head and neck cancer; [Sozioökonomischer Status und Lebensqualität bei Patienten mit lokal fortgeschrittenen Kopf-Hals-Tumoren]

被引：0
作者：
Tribius S. [1 ]
Meyer M.S. [2 ]
Pflug C. [3 ]
Hanken H. [4 ]
Busch C.-J. [5 ]
Krüll A. [2 ]
Petersen C. [2 ]
Bergelt C. [6 ]
机构：
[1] Department of Radiation Oncology, Asklepios Hospital St. Georg, Lohmühlenstraße 5, Hamburg
[2] Department of Radiation Oncology, University Medical Center Hamburg-Eppendorf, Hamburg
[3] Department of Voice, Speech and Hearing Disorders, Center for Clinical Neurosciences, University Medical Center Hamburg-Eppendorf, Hamburg
[4] Department of Oral & Maxillofacial Surgery, Center for Clinical Neurosciences, University Medical Center Hamburg-Eppendorf, Hamburg
[5] Department of Otolaryngology, Center for Clinical Neurosciences, University Medical Center Hamburg-Eppendorf, Hamburg
[6] Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg
来源：
Strahlentherapie und Onkologie | 2018年 / 194卷 / 8期
关键词：
Head and neck cancer; Intensity-modulated radiotherapy; Quality of life; Rehabilitation; Socioeconomic status;
D O I：
10.1007/s00066-018-1305-3
中图分类号：
学科分类号：
摘要：
Purpose: Socioeconomic aspects play an important role in health care. Patients with locally advanced head and neck cancer (LAHNC) experience detrimental effects on their quality of life (QoL). This prospective study examines QoL differences between patients with different socioeconomic status (SES) after intensity-modulated radiation therapy (IMRT). Patients and methods: In all, 161 patients were questioned at the end of IMRT and at 12 and 24 months follow-up using the questionnaires of the European Organization for Research and Treatment of Cancer (EORTC) QLQ-30 and QLQ-HN35. Patients’ QoL 2 years after IMRT was compared to a population reference sample and QoL of patients from lower, middle, and higher social class 2 years after IMRT was analyzed by ANCOVA using baseline QoL (end of radiation treatment) as a covariate. Results: Patients with high SES report worse QoL at the end of IMRT in the domains global health status (−15.2; p = 0.005), role function (−23.8; p = 0.002), and social function (−19.4; p = 0.023) compared to patients with middle and low SES. QoL improved during the first 12 and 24 months. However, 2 years after IMRT, middle and low SES patients report lower QoL in the domains global health status, physical function, and role function, and report a higher general (fatigue, pain, dyspnea) and head and neck cancer-specific symptom burden (pain, swallowing, senses, speech, social eating, opening mouth, and felt ill) than patients with high SES. Conclusion: After IMRT for LAHNC, patients with high SES report worse QoL compared to patients with middle or low SES. There is a marked improvement within the first 24 months in many domains. However, the magnitude of improvement in patients with middle or low SES is significantly smaller compared to patients with high SES. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
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页码：737 / 749
页数：12
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