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Utility approach to decision‐making in extended T1 and limited T2 glottic carcinoma
Author(s) -
van Loon Yda,
Stiggelbout Anne M.,
Hakkesteegt Marieke M.,
Langeveld Ton P. M.,
de Jong Rob J. Baatenburg,
Sjögren Elisabeth V.
Publication year - 2017
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24689
Subject(s) - medicine , quality of life (healthcare) , visual analogue scale , radiation therapy , transoral laser microsurgery , head and neck , laser surgery , preference , physical therapy , surgery , head and neck cancer , laser , nursing , physics , optics , economics , microeconomics
Background It is still undecided if endoscopic laser surgery or radiotherapy is the preferable treatment in extended T1 and limited T2 glottic tumors. Health utilities assessed from patients can aid in decision‐making. Methods Patients treated for extended T1 or limited T2 glottic carcinoma by laser surgery ( n = 12) or radiotherapy ( n = 14) assigned health utilities using a visual analog scale (VAS), time tradeoff (TTO) technique and scored their voice handicap using the Voice Handicap Index (VHI). Results VAS and TTO scores were slightly lower for the laser group compared to the radiotherapy group, however, not significantly so. The VHI showed a correlation with the VAS score, which was very low in both groups and can be considered (near) normal. Conclusion Patients show no clear preference for the outcomes of laser surgery or radiotherapy from a quality of life (QOL) or voice handicap point of view. These data can now be incorporated into decision‐making models. © 2017 Wiley Periodicals, Inc. Head Neck , 2017 © 2016 Wiley Periodicals, Inc. Head Neck 39: 779–785, 2017