Quality of Life in Swallowing Disorders after Nonsurgical Treatment for Head and Neck Cancer
AUTOR(ES)
Silveira, Marta Halina, Dedivitis, Rogerio A., Queija, Débora Santos, Nascimento, Paulo César
FONTE
Int. Arch. Otorhinolaryngol.
DATA DE PUBLICAÇÃO
2015-03
RESUMO
Radiotherapy or chemoradiotherapy can result in severe swallowing disorders with potential risk for aspiration and can negatively impact the patient's quality of life (QOL). To assess swallowing-related QOL in patients who underwent radiotherapy/ chemoradiotherapy for head and neck cancer. We interviewed 110 patients (85 men and 25 women) who had undergone exclusive radiotherapy (25.5%) or concomitant chemoradiotherapy (74.5%) from 6 to 12 months before the study. The Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire was employed to evaluate dysphagia-related QOL. The QOL was reduced in all domains for all patients. The scores were worse among men. There was a relationship between oral cavity as the primary cancer site and the fatigue domain and also between advanced cancer stage and the impact of food selection, communication, and social function domains. Chemoradiotherapy association, the presence of nasogastric tube and tracheotomy, and the persistence of alcoholism and smoking had also a negative effect on the QOL. According to the SWAL-QOL questionnaire, the dysphagia-related impact on QOL was observed 6 to 12 months after the treatment ended.
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