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One‐year quality of life and functional outcomes of transoral robotic surgery for carcinoma of unknown primary
Author(s) -
Ozbay Isa,
Yumusakhuylu Ali Cemal,
Sethia Rishabh,
Wei Lai,
Old Matthew,
Agrawal Amit,
Teknos Theodoros,
Ozer Enver
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.24801
Subject(s) - transoral robotic surgery , medicine , quality of life (healthcare) , surgery , head and neck cancer , head and neck , baseline (sea) , carcinoma , radiation therapy , oceanography , nursing , geology
Background The purpose of this study was to assess the quality of life (QOL) outcomes in patients who underwent transoral robotic surgery (TORS) for carcinoma of unknown primary (CUP). Methods Twenty‐nine patients with CUP were administered the Head and Neck Cancer Inventory (HNCI) prospectively to evaluate QOL preoperatively and postoperatively. Results There was statistically and clinically significant deterioration in 2 of 4 domains (eating and social disruption) in the immediate aftermath of TORS. There was statistically and clinically meaningful deterioration in all 4 domains at 3 months relative to baseline, and there remained statistically and clinically meaningful deterioration in 2 of 4 domains at 6 months compared to baseline. These 2 domains remained statistically and clinically worse than baseline at 12 months. Speech and aesthetics domain scores were comparable at baseline and 12 months. Conclusion Patients reported difficulties with eating and social disruption over the course of 1 year, but problems with speech and appearance abated.