Physical and psychosocial correlates of head and neck cancer: an update of the literature and challenges for the future (1996–2003)

Clinical Otolaryngology - Tập 30 Số 4 - Trang 303-319 - 2005
Quirine C. P. Ledeboer1, L.A. van der Velden1, Maarten F. de Boer1, Louw Feenstra1, J.F.A. Pruyn2,3,4
1Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus MC, Rotterdam
2Comprehensive Cancer Centre South (IKZ), Eindhoven, The Netherlands
3Department of Psychology and Health, University of Tilburg, Tilburg,
4Institute for Health and Environmental Issues/IGO, Schijf

Tóm tắt

Keypoints• An update of the literature on physical and psychosocial aspects of head and neck cancer, with special emphasis on effects of treatment, patient‐related factors and psychosocial intervention on quality of life (QoL).• QoL deteriorates during and directly after treatment and returns only slowly to pre‐treatment values.• Organ preservation, gender and coping‐strategies are factors related to QoL after treatment.• As prognosis and survival were found to be comparable under different treatment regimes, we noticed a gradual shift in therapy towards organ preservation.• Systematic care, using specific instruments is important for improving the QoL.• We feel that more attention should be given to improving support, in order to optimize the QoL of patients during the palliative stage.

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Clinical Otolaryngology

Tập 30 Số 4

303-319

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