Effects of psychosocial intervention on quality of life in patients with head and neck cancer
- PMID: 12808661
- DOI: 10.1002/hed.10243
Effects of psychosocial intervention on quality of life in patients with head and neck cancer
Abstract
Background: A longitudinal, prospective, case-control study evaluated if a psychosocial support program improved health-related quality of life (HRQL) in head and neck (H&N) cancer patients.
Methods: One hundred forty-four H&N cancer patients were included: 52 study patients and 92 controls. The study group met the support team repeatedly throughout the first year after diagnosis. HRQL was assessed three times during the first year and after 3 years using the EORTC QLQ-C30, EORTC QLQ-H&N35, and HADS.
Results: A few statistically significant differences were found, all favoring the controls. Controls reported better global quality of life after 1 year and felt less ill after 3 years. Depression and treatment-related side effects were prevalent in both groups.
Conclusions: Our psychosocial support program did not improve HRQL in H&N cancer patients. Its effectiveness may be improved by evaluating and actively integrating HRQL assessments during the program, thereby enabling rapid and adequate symptomatic treatment and/or psychologic intervention.
Copyright 2003 Wiley Periodicals, Inc. Head Neck 25: 576-584, 2003
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