Quality of life of patients with cancer of mouth and oropharynx using the questionnaire UW-QOL / "Qualidade de vida de pacientes com câncer bucal e da orofaringe através do questionário UW-QOL"
AUTOR(ES)
Katia Silva Matias
DATA DE PUBLICAÇÃO
2005
RESUMO
This study performed a field trial of a Portuguese version of the University of Washington quality of life questionnaire (UW-QOL, fourth version), aiming at fostering these studies in cross-cultural contexts, and at appraising the questionnaires ability in identifying differential patterns of health-related quality of life of patients with cancer of mouth and oropharynx in the Brazilian context. We interviewed 143 patients undergoing treatment for oral squamous cell carcinoma at a large Brazilian hospital (Complexo Hospitalar Heliópolis), using a questionnaire specifically developed for this purpose. Hospital records informed socio-demographic characteristics of these patients, their clinical status, and treatments already performed. The self-report of quality of life was stratified by categories of socio-demographic and clinical characteristics of patients, as a strategy for assessing the ability of the questionnaire in discriminating the most affected domains for patients presenting different conditions. Patients presenting larger tumours, neoplasm in the oropharynx or in posterior parts of the mouth, those affected by regional metastasis and those already treated with radiotherapy presented significantly (p <0.05) poorer scores of quality of life. Chewing, anxiety, swallowing and saliva were the poorest rated domain; pain, swallowing, chewing and saliva were the most frequent complaints during the week preceding the interview. The questionnaire was well accepted and easily answered by patients, and allowed the identification of relevant contrasts and similarities among subsets of respondents. Its regular use in hospital settings can contribute for anticipating interventions aimed at reducing the impact of therapeutic applications and at subsequent patient management.
ASSUNTO(S)
uw-qol oral cancer quality of life mastigação brazil chewing uw-qol brasil qualidade de vida câncer bucal
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