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- Title
Quality of life and functional status of terminally ill head and neck cancer patients: a nation-wide, prospective observational study at tertiary cancer centers in Japan.
- Authors
Takeshi Shinozaki; Mitsuru Ebihara; Satoru Iwase; Takuhiro Yamaguchi; Hitoshi Hirakawa; Wataru Shimbashi; Tomoyuki Kamijo; Makito Okamoto; Takeshi Beppu; Junichiro Ohori; Kazuto Matsuura; Motoyuki Suzuki; Hiroshi Nishino; Yuichiro Sato; Hiroto Ishiki
- Abstract
Background: Little is known about quality of life and functional status of patients with terminally ill head and neck cancers. Methods: We conducted a multicenter, prospective, observational study to examine quality of life and functional status in terminally ill head and neck cancer patients. Results: Of the 100 patients meeting inclusion criteria, 72 were observed until death. There was no significant difference in the quality of life score between baseline and Week 3. Forty patients (54.9%) could speak and 22 patients (30.5%) could have oral intake upon study entry. Fifty-three patients (74.6%) received enteral nutrition. Twenty-six patients (36.6%) required dressing changes for fungating tumors. The route of nutritional intake (nasogastric tube vs. percutaneous gastric -- tube) might be predictive for the duration of hospital stay (64 vs. 21 days, P = 0.0372). Conclusion: There was no significant relationship between quality of life and functional status seen in this study. Feeding tube type could have the most impact on quality of life.
- Publication
Japanese Journal of Clinical Oncology, 2017, Vol 47, Issue 1, p47
- ISSN
0368-2811
- Publication type
Article
- DOI
10.1093/jjco/hyw138