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Quality of Life: Measures and Pursuit

  • Vijay V. Haribhakti
Chapter

Abstract

Head and neck cancer affects functions that are essential to daily living including swallowing, eating, communicating and appearance. Methods to measure how our treatments affect patients’ wellbeing should be seamlessly integrated into patient care. While PROs (Patient Reported Outcomes) and QOL (Quality of Life) have been measured in the past as part of research studies, future goals should include PROs as standard clinical care. Collecting information on all patients with head and neck cancer will provide normative data which will allow clinicians to set appropriate expectations for patients and allow them to make informed decisions on treatment options. A better understanding of normative data would also enable clinicians to use educational tools for modulating patient expectations about their disease and its treatment. We are currently exploring the influence of patient education materials developed using normative PROs data on patient satisfaction and QOL after thyroid surgery. Additionally, analyzing historic patient responses will allow clinicians to identify patients who are at high risk for treatment related morbidity. Finally using PROs to trigger consultations to support services such as pain management, physical therapy, speech pathology, and nutrition will allow clinicians to refer patients in a more appropriate manner. Head and neck oncologists should lead this effort in order to continue to advance patient-centered treatment of head and neck cancers.

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    Prosthetic Rehabilitation

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    3. Cordeiro PG, Santamaria E (2000) A classification system and algorithm for reconstruction of maxillary and midfacial defects. Plast Reconstr Surg 105:2331–2346PubMedPubMedCentralCrossRefGoogle Scholar
    4. Brown JS, Shaw RJ (2010) Reconstruction of the maxilla and midface: introducing a new classification. Lancet Oncol 11(10):1001–1008PubMedPubMedCentralCrossRefGoogle Scholar
    5. Florie M, Baijens L, Kremer B, Kross K, Lacko M, Verhees F, Winkens B (2016) Relationship between swallow-specific quality of life and fiber-optic endoscopic evaluation of swallowing findings in patients with head and neck cancer. Head Neck 38(Suppl 1):E1848–E1856PubMedCrossRefGoogle Scholar
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    7. Nuñez-Aguilar J, Fernández-Olavarría A, Oliveros-López LG, Torres-Lagares D, Serrera-Figallo MA, Gutiérrez-Corrales A, Gutiérrez-Pérez JL (2018) Evolution of oral health in oral cancer patients with and without dental treatment in place: before, during and after cancer treatment. J Clin Exp Dent 10(2):e158–e165PubMedPubMedCentralGoogle Scholar
    8. Klimczak J, Helman S, Kadakia S, Sawhney R, Abraham M, Vest AK, Ducic Y (2018) Prosthetics in facial reconstruction. Craniomaxillofac Trauma Reconstr 11(1):6–14PubMedCrossRefGoogle Scholar
    9. Rieger J, Bohle Iii G, Huryn J, Tang JL, Harris J, Seikaly H (2009) Surgical reconstruction versus prosthetic obturation of extensive soft palate defects: a comparison of speech outcomes. Int J Prosthodont 22(6):566–572PubMedGoogle Scholar
    10. Rohner D, Bucher P, Hammer B (2013) Prefabricated fibular flaps for reconstruction of defects of the maxillofacial skeleton: planning, technique, and long-term experience. Int J Oral Maxillofac Implants 28(5):e221–e229PubMedCrossRefGoogle Scholar
    11. Schepers RH, Kraeima J, Vissink A, Lahoda LU, Roodenburg JL, Reintsema H, Raghoebar GM, Witjes MJ (2016) Accuracy of secondary maxillofacial reconstruction with prefabricated fibula grafts using 3D planning and guided reconstruction. J Craniomaxillofac Surg 44(4):392–399PubMedCrossRefGoogle Scholar
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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Vijay V. Haribhakti
    • 1
  1. 1.Department of OncologySir HN Reliance Foundation HospitalMumbaiIndia

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