Quality of life, shoulder range of motion, and spinal accessory nerve status in 5-year survivors of head and neck cancer.
Quality of life, shoulder range of motion, and spinal accessory nerve status in 5-year survivors of head and neck cancer.
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DOI：
10.1016/j.pmrj.2014.05.015
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发表时间：
2014-12
期刊：
影响因子：
2.1
通讯作者：
Campbell, Bruce H.
中科院分区：
文献类型：
--
作者：
Eickmeyer, Sarah M.;Walczak, Christine K.;Myers, Katherine B.;Lindstrom, D. Richard;Layde, Peter;Campbell, Bruce H.
确定头颈癌（HNC）颈清扫术和放射治疗与5年生存者随后肩关节活动度（ROM）和生活质量（QOL）的相关性。收集三级保健医院和退伍军人事务医疗中心的耳鼻喉科门诊5年无病HNC幸存者的横断面便利样本人口统计学和癌症治疗信息，包括颈清扫术类型（无，脊髓附件“神经保留”和“神经牺牲”）和放射治疗。进行生活质量问卷调查，并测量肩关节活动度。华盛顿大学生活质量（UWQOL）、头颈部癌症治疗功能评估（FACT-HN）和头颈部体能状态量表（PSS-HN）。肩关节ROM测量包括外展、内收、屈曲、伸展、内旋和外旋。105名幸存者完成了QOL调查; 85名幸存者接受了额外的肩关节ROM评价。神经牺牲组在UWQOL测量中表现出明显较差的评分，包括毁容、活动水平、娱乐/娱乐、言语、肩部残疾和公共场所进食意愿、FACT功能健康和FACT-HN（p<0.05）。神经切除组的肩关节屈曲和外展活动度最差（p<0.05）。放射治疗与UWQOL吞咽显著恶化相关（p<0.05），但没有发现QOL或ROM测量的其他差异。QOL评分下降与肩关节屈曲和外展减少相关（p<0.05）。肩关节外展功能下降的幸存者在毁容、娱乐/消遣、就业、肩关节残疾和FACT情感健康方面的评分显著（p<0.05）更差。在颈清扫术中保留副神经与5年HNC存活者的长期肩关节功能障碍显著降低相关。QOL测量表明，无夹层组的功能水平最高，保留神经组的功能水平居中，而神经牺牲组的功能水平最差。肩关节屈曲度和外展度降低与长期HNC幸存者的生活质量降低相关。
To determine the association of neck dissection and radiation treatment for head and neck cancer (HNC) with subsequent shoulder range of motion (ROM) and quality of life (QOL) in 5-year survivors. Cross-sectional convenience sample Otolaryngology clinics at tertiary care hospital and Veterans Affairs medical center 5-year, disease-free, HNC survivors Demographic and cancer treatment information was collected, including type of neck dissection (none, spinal accessory “nerve sparing” and “nerve sacrificing”) and radiation. QOL questionnaires were administered, and shoulder ROM was measured. University of Washington Quality of Life (UWQOL), Functional Assessment of Cancer Therapy Head and Neck (FACT-HN), and Performance Status Scale for Head and Neck (PSS-HN). Shoulder ROM measurements included abduction, adduction, flexion, extension, internal and external rotation. One hundred and five survivors completed QOL surveys; 85 survivors underwent additional shoulder ROM evaluations. The nerve sacrifice group exhibited significantly poorer scores for UWQOL measures of disfigurement, level of activity, recreation/entertainment, speech, shoulder disability, and willingness to eat in public, FACT functional well-being, and FACT-HN (p<.05). Shoulder ROM for flexion and abduction was poorest in the nerve sacrifice group (p<.05). Radiation was associated with significantly worse UWQOL swallowing (p<.05), but no other differences were found for QOL or ROM measurements. Decreased QOL scores were associated with decreased shoulder flexion and abduction (p<.05). Survivors with decreased shoulder abduction had significantly (p<.05) worse scores in disfigurement, recreation/entertainment, employment, shoulder disability, and FACT emotional well-being. Sparing the spinal accessory nerve during neck dissection is associated with significantly less long-term shoulder disability in 5-year HNC survivors. QOL measures demonstrated the highest level of function in the no dissection group, an intermediate level of functioning with nerve sparing, and poorest function when the nerve is sacrificed. Decreased shoulder flexion and abduction is associated with reduced QOL in long-term HNC survivors.
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DOI：
10.1002/hed.20010
发表时间：
2004-06-01
影响因子：
2.9
作者：
McNeely, ML;Parliament, M;Hanson, J
通讯作者：
Hanson, J
DOI：
10.1002/hed.2880150603
发表时间：
1993-11-01
影响因子：
2.9
作者：
HASSAN, SJ;WEYMULLER, EA
通讯作者：
WEYMULLER, EA
影响因子：
0.9
作者：
Agha-Mir-Salim, P;Funk, WSMU;Berghaus, A
通讯作者：
Berghaus, A
影响因子：
6.2
作者：
McNeely, Margaret L.;Parliament, Matthew B.;Courneya, Kerry S.
通讯作者：
Courneya, Kerry S.
影响因子：
2.6
作者：
Campbell, BH;Marbella, A;Layde, PM
通讯作者：
Layde, PM