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Quality of life after total laryngectomy: impact of different vocal rehabilitation methods in a middle income country.
Souza, F G R; Santos, I C; Bergmann, A; Thuler, L C S; Freitas, A S; Freitas, E Q; Dias, F L.
Afiliación
  • Souza FGR; Researcher Psychologist from Department of Head and Neck Surgery, Brazilian National Cancer Institute, INCA, Praça da Cruz Vermelha, 23, Rio de Janeiro, 20230-130, Brazil. nandars@hotmail.com.
  • Santos IC; Head and Neck Surgeon from the Department of Head and Neck Surgery, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
  • Bergmann A; Clinical Research and Technology Incorporation Coordination, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
  • Thuler LCS; Clinical Research and Technology Incorporation Coordination, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
  • Freitas AS; Speech-Language Pathologist from Department of Head and Neck Surgery, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
  • Freitas EQ; Head and Neck Surgeon from the Department of Head and Neck Surgery, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
  • Dias FL; Head and Neck Surgeon from the Department of Head and Neck Surgery, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
Health Qual Life Outcomes ; 18(1): 92, 2020 Apr 03.
Article en En | MEDLINE | ID: mdl-32245483
INTRODUCTION: The impact of advanced laryngeal cancer and its extensive surgical treatments cause significant morbidity for these patients. Total laryngectomy impacts essential functions such as breathing, communication and swallowing, and may influence the quality of life as well as affecting the social life of laryngeal cancer patients. OBJECTIVE: Describe the quality of life and analyze the factors associated with the reduced quality of life in patients who have undergone total laryngectomy. METHOD: Observational cross-sectional study was carried out to evaluate the quality of life of patients who had undergone total laryngectomy due to laryngeal cancer. The fourth version of the UW-QOL Quality of Life Assessment Questionnaire from Washington University, validated for Portuguese, was used. RESULTS: The study population was 95 patients, and the mean composite score of the QOL was 80.4. In the subjective domains the majority of the patients (38.9%) reported they felt much better at present compared to the month before being diagnosed with cancer. When questioned about how they evaluated their health-related quality of life, there was a predominance of those who considered it good (43.2%), and most considered they had a good quality of life (46.3%) considering personal well-being. The overall quality of life was considered good to excellent by 83.2% of the patients. Patients with tracheoesophageal prosthesis reported a better quality of life, compared to patients using an electrolarynx or esophageal voice. CONCLUSION: The high mean value of the composite score for quality of life revealed that the patients assessed their quality of life positively. The absence of vocal emission was the only variable associated with a lower quality of life within the composite score according to the UW-QOL questionnaire.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Laringectomía Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Health Qual Life Outcomes Asunto de la revista: SAUDE PUBLICA Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Laringectomía Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Health Qual Life Outcomes Asunto de la revista: SAUDE PUBLICA Año: 2020 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido