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. 2013:2013:601768.
doi: 10.1155/2013/601768. Epub 2013 Dec 25.

Shoulder pain, functional status, and health-related quality of life after head and neck cancer surgery

Hsiao-Lan Wang  1 , Juanita F Keck  2 , Michael T Weaver  2 , Alan Mikesky  3 , Karen Bunnell  4 , Janice M Buelow  2 , Susan M Rawl  2
Affiliations

Shoulder pain, functional status, and health-related quality of life after head and neck cancer surgery

Hsiao-Lan Wang et al. Rehabil Res Pract. 2013.

Abstract

Head and neck cancer (HNC) patients experience treatment-related complications that may interfere with health-related quality of life (HRQOL). The purpose of this study was to describe the symptom experience (shoulder pain) and functional status factors that are related to global and domain-specific HRQOL at one month after HNC surgery. In this exploratory study, we examined 29 patients. The outcome variables included global HRQOL as well as physical, functional, emotional, and social well-being. Symptom experience and functional status factors were the independent variables. In the symptom experience variables, shoulder pain distress was negatively associated with physical well-being (R (2) = 0.24). Among the functional status variables, eating impairment was negatively related to global HRQOL (R (2) = 0.18) and physical well-being (R (2) = 0.21). Speaking impairment and impaired body image explained a large amount of the variance in functional well-being (R (2) = 0.45). This study provided initial results regarding symptom experience and functional status factors related to poor HRQOL in the early postoperative period for HNC patients.

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Figures

Figure 1
Figure 1
Conceptual Framework.
Figure 2
Figure 2
Means of HRQOL variables from the FACIT among three studies. Participants in these studies had various types of HNC. Data collection in our study was one month after HNC surgery; data collection in the study by Rose and Yates [47] was one month after radiation; and data collection in the study by Campbell et al. [48] was more than 3 years after surgery and/or radiation.
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