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Long‐term quality of life after definitive treatment of sinonasal and nasopharyngeal malignancies
Author(s) -
Tyler Matthew A.,
Mohamed Abdallah S.R.,
Smith Joshua B.,
Aymard Jeremy M.,
Fuller Clifton D.,
Phan Jack,
Frank Steven J.,
Ferrarotto Renata,
Kupferman Michael E.,
Hanna Ehab Y.,
Gunn Gary B.,
Su Shirley Y.
Publication year - 2020
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27849
Subject(s) - medicine , quality of life (healthcare) , visual analogue scale , physical therapy , health related quality of life , disease , nursing
Objective To evaluate long‐term global and site‐specific health‐related quality of life (HRQoL) in patients treated for sinonasal and nasopharyngeal malignancies. Study Design Cross‐sectional. Methods One hundred fourteen patients with sinonasal and nasopharyngeal malignancies received surgery, radiation, systemic chemotherapy, or a combination thereof, with curative intent. Validated global ([EuroQol‐5D] Visual Analogue Scale [EQ‐5D VAS]) and disease‐specific instruments (MD Anderson Symptom Inventory–Head and Neck [MDASI‐HN], Anterior Skull Base Questionnaire [ASBQ]) were administered to patients who were both free of disease and had completed treatment at least 12 months previously. Associations between instruments, instrument domains, and specific clinical parameters were analyzed. Results The median age was 55 years. The mean EQ‐5D VAS, MDASI‐22 composite score, and ASBQ score were 74 (standard deviation [SD] 21), 48 (SD 36), and 130 (SD 27), respectively. The most frequently reported high‐severity items in MDASI‐HN were dry mouth and difficulty tasting food. The most frequently reported high‐severity items in ASBQ were difficulty with smell and nasal secretions. Advanced Tumor (T) classification was associated with worse overall ASBQ sum score ( P = 0.02). ASBQ performance at home and MDASI‐HN drowsy symptom items independently predicted worse global HRQoL as measured by the EQ‐5D VAS ( P < 0.001). Conclusion Global HRQoL for survivors of sinonasal and nasopharyngeal malignancies after multimodality treatment approximates that of the U.S. population for the same age group. ASBQ and MDASI‐HN correlate well with global HRQoL outcomes as measured by EQ‐5D VAS. MDASI‐HN and ASBQ elicited unique symptoms, highlighting the complex symptom burden experienced by these patients. Further studies should identify patients predisposed to reduced long‐term QOL. Level of Evidence 3 Laryngoscope , 130:86–93, 2020