Validation of the Turkish version of the Liverpool Oral Rehabilitation Questionnaire version 3 (LORQv3) in prosthetically rehabilitated patients with head and neck cancer (original) (raw)
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The Journal of Prosthetic Dentistry, 2017
Prosthodontic rehabilitation enables head and neck cancer patient to optimally restore function, thereby improving and enhancing the oral health related quality of life of cancer patients. The liverpool oral rehabilitation questionnaire (LORQ-v3) and oral health impact profile (OHIP) are specific tools that measure OHRQOL. Hundred patients with head and neck cancer were included in the study. Patients were asked to rate their experience of dental problems before fabrication of prosthesis and after 1 year using LORQv3 and OHIP-14. The responses were compared on Likert scale. There were extreme problems reported by head and neck cancer patients before dental rehabilitation. After 1 year of prosthetic rehabilitation, there was improvement noticed in all the domain of LORQ-v3 and OHIP-14. Complete compliance to the use of prosthetic appliances for 1 year study period was noted. For all the items of LORQ-v3 there was 10 to 38% improvement in function. OHIP-14 showed an 11 to 26% improvements in all the domains. Prosthetic rehabilitation contributed to an improvement of patients with head and neck cancer, in view of the decreased scores on the Likert scale after prosthetic treatment. The study of hundred patients with head and neck cancer showed that the oral health-related quality of life improved after prosthodontic rehabilitation.
Indian Journal of Otolaryngology and Head & Neck Surgery, 2020
Prosthodontic rehabilitation enables head and neck cancer patient to optimally restore function, thereby improving and enhancing the oral health related quality of life of cancer patients. The liverpool oral rehabilitation questionnaire (LORQ-v3) and oral health impact profile (OHIP) are specific tools that measure OHRQOL. Hundred patients with head and neck cancer were included in the study. Patients were asked to rate their experience of dental problems before fabrication of prosthesis and after 1 year using LORQv3 and OHIP-14. The responses were compared on Likert scale. There were extreme problems reported by head and neck cancer patients before dental rehabilitation. After 1 year of prosthetic rehabilitation, there was improvement noticed in all the domain of LORQ-v3 and OHIP-14. Complete compliance to the use of prosthetic appliances for 1 year study period was noted. For all the items of LORQ-v3 there was 10 to 38% improvement in function. OHIP-14 showed an 11 to 26% improvements in all the domains. Prosthetic rehabilitation contributed to an improvement of patients with head and neck cancer, in view of the decreased scores on the Likert scale after prosthetic treatment. The study of hundred patients with head and neck cancer showed that the oral health-related quality of life improved after prosthodontic rehabilitation.
Health and Quality of Life Outcomes
Background Oral cancer surgery can have a deep effect on the quality of life in the patient both in terms of functional and psychological aspects. This study aimed to translate and validate the European Organization for Research and Treatment of Cancer head and neck cancer specific quality of life questionnaire (EORTC QLQ-H&N43) in Azerbaijan. Methods Forward-backward translation was applied in order to translate the EORTC QLQ-H&N43 from English into Azeri. Then, a sample of patients with oral cancer attending a teaching hospital affiliated to Azerbaijan Medical University completed the EORTC QLQ-C30 (the core cancer specific questionnaire), and the EORTC QLQ-H&N43. To evaluate psychometric properties of the QLQ-H&N43, known groups validity, convergent and divergent validity was performed. Internal consistency reliability was examined by estimating the Crornbach’s alpha coefficient. Results Ninety-six patients with confirmed diagnosis of oral cancer were entered into the study. The ...
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2013
Purpose The aim of the study was to evaluate patient-reported quality of life effects of post-treatment intraoral and extraoral rehabilitation in head and neck cancer by repeated measures. Methods Fifty-nine patients were involved. Basic socio-demographic, oncological and epidemiological data were gathered, and the type of rehabilitation was recorded. For the assessment of quality of life changes, two widely used brief questionnaires, the University of Washington Quality of Life Questionnaire and the Head and Neck module of the European Organization of Research and Treatment for Cancer Quality of Life Questionnaire, were used. The questionnaires were administered to patients two times: the first time after tumor therapy, but before rehabilitation (upon arriving for rehabilitation) and the second time 6 months after the application of any particular method of rehabilitation. Quality of life data were gathered prospectively, while socio-demographic data were gathered from patient files. Results Quality of life after rehabilitation was significantly enhanced as compared to the post-treatment status, in all domains of both questionnaires (p < 0.05 and p < 0.01, Mann–Whitney U). Conclusions The results support the hypothesis that post-treatment maxillofacial rehabilitation in head and neck cancer does not only restore lost physical capabilities, but also brings about profound changes in patients’ quality of life in general.
The British journal of oral & maxillofacial surgery, 2018
HaNDLE-on-QoL (Head And Neck Database Listing Evidence on QoL) is a searchable database that comprises abstracts of papers that have used questionnaires to report on quality of life (QoL) in patients with cancer of the head and neck. It can be searched by title, first author, year of publication, words used in the abstract, site of cancer, study design, and questionnaires used. The aim of this paper was to summarise its contents. In May 2017 we searched the website using the criteria above. It contained 1498 papers (including 149 reviews), and the number is increasing each year. Most studies concerned a combination of subsites in the head and neck (n=871); 180 focused specifically on oral sites, and 109 on the larynx. The commonest topics were swallowing (n=353), speech (n=299), pain (n=292), emotions (n=226), and depression (n=193). Nearly all the papers concerned function or predictors of health-related QoL (HRQoL), but 98 were clinical or randomised controlled trials. The site in...
Purpose To evaluate the validity, reliability, responsiveness to treatment, and gender invariance of the Persian version of the European Organization for Research and Treatment of Cancer Oral Health Questionnaire (QLQ-OH17) among Iranian cancer patients. Methods Cancer patients (n=729) from three oncology centers in Tehran and Qazvin were recruited. A forward and backward translation procedure was performed to develop a culturally acceptable version of Persian QLQ-OH17. Internal consistency and test–retest reliability of the QLQ-OH17 was assessed. In addition, convergent and discriminant validity, concurrent validity, construct validity, and known-groups validity were evaluated. The factor structure of the questionnaire was examined by exploratory factor analysis (EFA) and con-firmatory factor analysis (CFA). Responsiveness to change was measured in an independent sample of patients with head and neck cancer undergoing radiotherapy. Finally, factorial invariance of the QLQ-OH17 was assessed across gender. Results The Persian version of QLQ-OH17 showed good internal consistency (Cronbach's alpha coefficients of 0.71– 0.83) and reliability on repeated administration (intraclass correlation coefficients of 0.85–0.94). Persian QLQ-OH17 exhibited the original four-factor structure. Patients who perceived good oral health and satisfaction with their mouth reported significantly better oral-health-related quality of life (OHRQoL) than those who perceived poor oral health and dissatisfied with their mouth. Similarly, those who perceived a need for dental treatment reported significantly poorer OHRQoL than those who have not perceived any treatment need. Older patients, females, and those experiencing greater caries had poorer QoL than their comparative counterparts. All QLQ-OH17 subscales were correlated with QLQ-C30 subscales and global QoL. Both male and female patients with cancer interpreted items on the QLQ-OH17 in a similar manner. The QLQ-OH17 was found to be responsive to treatment in a sample of head and neck cancer patients. Conclusions The Persian version of QLQ-OH17 is a valid and reliable questionnaire for assessing OHRQoL in Iranian patients with various cancers.
European Archives of Oto-rhino-laryngology, 2008
The objective of this study is to provide a content comparison of frequently used questionnaires that assess health-related quality of life (hrQOL) in head and neck cancer (HNC) survivors. This systematic content comparison describes which specific areas of hr-QOL research are covered by each questionnaire. Thereby, it shall assist the clinician in the decision process of instrument selection depending on the content of the study question. As a reference, we chose the international classification of functioning, disability and health (ICF), which was adopted by the WHO in 2001. A systematic literature review identified current hrQOL questionnaires relevant for HNC. The concepts of functioning contained in each questionnaire were translated (linked”) to the ICF according to standardized guidelines. Nine questionnaires were selected for further analyses: EORTC-QLQ (C30 + HN35), FACT (G + HN), UW_QOL, QOL-RTI, HN-QOL, PSS-HN, VHI, LORQ, XQ. Within the selected questionnaires, there are 474 concepts, matching 74 second-level ICF categories. The results are presented in tables, showing for each of the validated questionnaires, which of these 74 categories of functioning are addressed. In terms of diversification of content among the questionnaires, there are just eight categories that are used rather frequently and apply to at least five (out of nine) of the questionnaires: e110 Products for personal consumption (i.e., food, drugs), b510 ingestion function, b152 emotional function, b280 sensation of pain, b310 voice, d550 eating, b130 energy and drive function and d850 employment. This ICF-based content comparison provides detailed information on the content that is covered in each questionnaire and thereby assists questionnaire selection. The results question the assumption that HNC-specific questionnaires generally cover the same content. Depending on the study question, the population to be studied and the intervention, there is no unique ideal questionnaire. Compared with other types of qualitative review, the most important advantage of content comparison based on the ICF is the use of an external and independent reference.
ASSESSMENT OF QUALITY OF LIFE IN HEAD AND NECK CANCER PATIENTS – A PROSPECTIVE QUESTIONNAIRE STUDY
Background: Head and neck cancers are commonly encountered malignant tumors in dental practice. Patients attending the clinics for the treatment of these conditions have their own expectations towards their illness. Aim: To assess the patient's perspectives on quality of life (QoL) in head and neck cancers. Material and methods: 276 patients were included for the study and a well-structured consumer quality of life (CQoL) questionnaire was designed and inputs from the patients were recorded and transferred to the database for statistical analysis. Statistical analysis was performed by SPSS 22. Descriptive statistics, paired t test, chi square test and Pearson correlation were done to compare the association between the subgroups. (P<0.05). Results: A total of 278 subjects were included for the study of which 191 male and 87 female. The mean age of diagnosis in males is 47.3 +/-11.1 years. And in female are 50.6 +/-13.9 years. The most preferred language for answering was Gujarati (187 67.2%), followed by Hindi (91, 32.8%) and English (0,0). the critical issues found in the questionnaire were 1) when questioned about the pain 153 (55%)subjects had pain and pain is negligible in 86 (30.9%) subjects. 2) appetite levels – good appetite 163 (58.6%), diminished in 72 (25.8%). 3) depression about having cancer – 114 (41%) stated yes and 37 (13%) were normal. 4) family relationship – 199 reported that their family relationship was not disturbed and in contrary 54 subjects were neglected by them. Conclusion: It is important to identify factors that are predictors of a poor physical and psychological outcome after treatment for head and neck cancer because rehabilitation programs could then be optimized on an individual basis and health-care workers could focus better on restoring function and assisting patients to achieve an acceptable QOL.