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01-04-2019 | Original Article

Performance status scale for head and neck scores for oral cancer survivors: predictors and factors for improving quality of life

Authors: Takahide Kondo, Akinari Sugauchi, Yusuke Yabuno, Hironobu Kobashi, Katsuhiko Amano, Tomonao Aikawa, Mikihiko Kogo, Masaya Okura

Published in: Clinical Oral Investigations | Issue 4/2019

Abstract

Objectives

This study aimed to determine the factors associated with long-term quality of life of oral cancer survivors.

Materials and methods

A total of 508 survivors were assessed using the performance status scale for head and neck (PSS-HN), which comprises Eating in Public (E-Public), Normalcy of Diet (N-Diet), and Understandability of Speech (U-Speech). Stepwise multiple linear regression analysis was performed.

Results

The median time between the end of treatment and participating in the survey was 38 months (range, 6–250). Overall, 57–60% of survivors achieved full performance (100 score) of each PSS-HN score, whereas 15% had moderate or severe impairment (≤ 50 score) in E-Public and N-Diet, and 4% had impairment in U-Speech. These three scores deteriorated with increasing T-stage. Age, soft tissue reconstruction, trismus, and missing occlusal contacts on the contralateral side were significantly associated with E-Public and N-Diet. Neck dissection, hard tissue reconstruction, and missing occlusal contacts bilaterally were associated with U-Speech score.

Conclusion

Older age, T4 tumor, and soft tissue reconstruction were predictors of low E-Public and N-Diet performance scores. Increasing mouth opening and maintaining optimal occlusal contacts on the contralateral side may be effective ways to improve N-Diet and E-Public performance. Maintaining optimal occlusal contacts bilaterally may be effective for improving speech performance.

Clinical relevance

Oral health care to increase optimal occlusal contacts and rehabilitation of trismus may be promising factors to improve the functional performance of oral cancer survivors.

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Title: Performance status scale for head and neck scores for oral cancer survivors: predictors and factors for improving quality of life
Authors: Takahide Kondo
Akinari Sugauchi
Yusuke Yabuno
Hironobu Kobashi
Katsuhiko Amano
Tomonao Aikawa
Mikihiko Kogo
Masaya Okura
Publication date: 01-04-2019
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 4/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2587-7

At a glance: The STEP trials

Springer Medicine

Performance status scale for head and neck scores for oral cancer survivors: predictors and factors for improving quality of life

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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