Background: Head and neck cancer (HNC) survivors are particularly vulnerable to the deleterious consequences of lockdown and social distancing. The psychosocial effects of the COVID-19 pandemic on this group are still unknown, and we want to explore how their quality of life (QoL) has changed in this unique situation. Materials and methods: An online survey, composed of pandemic-specific items, plus the EORTC QLQ-C30, was administered to a cohort of HNC survivors. Using previously published reference values as a control group, we have evaluated the impact of the pandemic on their QoL. We have also explored the differences between those who had received a total laryngectomy (LP, laryngectomized population) vs other HNC patients, in order to assess the role of tracheostomy in this regard. Results: One hundred and twenty-one HNC patients completed the survey. The scores of the physical (80.5 vs 85, p = 0.028), role (78 vs 84, p = 0.030), and emotional functioning (76 vs 81, p = 0.041) were significantly different in the two groups, with worse functioning in our patients. Comparing LP with the other HNC patients, social (76.6 vs 88.9, p = 0.008) and physical functioning (75.5 vs 86.1, p = 0.006) were significantly worse in the former group. LP also reported a greater perception that others are afraid to be close to them (1.67 vs 1.32, p = 0.020). No differences were found between LP with and without voice prosthesis. Conclusions: Our results show how HNC patients are at high risk for a worsening in QoL because of the ongoing COVID-19 global pandemic.

Gallo, O., Bruno, C., Locatello, L.G., Martelli, F., Cilona, M., Orlando, P., et al. (2021). The impact of the COVID-19 pandemic on the quality of life of head and neck cancer survivors. SUPPORTIVE CARE IN CANCER, 29(11), 6297-6304 [10.1007/s00520-021-06198-6].

The impact of the COVID-19 pandemic on the quality of life of head and neck cancer survivors

Martelli F.;Viberti F.;Boccuzzi S.;Mandala M.
2021-01-01

Abstract

Background: Head and neck cancer (HNC) survivors are particularly vulnerable to the deleterious consequences of lockdown and social distancing. The psychosocial effects of the COVID-19 pandemic on this group are still unknown, and we want to explore how their quality of life (QoL) has changed in this unique situation. Materials and methods: An online survey, composed of pandemic-specific items, plus the EORTC QLQ-C30, was administered to a cohort of HNC survivors. Using previously published reference values as a control group, we have evaluated the impact of the pandemic on their QoL. We have also explored the differences between those who had received a total laryngectomy (LP, laryngectomized population) vs other HNC patients, in order to assess the role of tracheostomy in this regard. Results: One hundred and twenty-one HNC patients completed the survey. The scores of the physical (80.5 vs 85, p = 0.028), role (78 vs 84, p = 0.030), and emotional functioning (76 vs 81, p = 0.041) were significantly different in the two groups, with worse functioning in our patients. Comparing LP with the other HNC patients, social (76.6 vs 88.9, p = 0.008) and physical functioning (75.5 vs 86.1, p = 0.006) were significantly worse in the former group. LP also reported a greater perception that others are afraid to be close to them (1.67 vs 1.32, p = 0.020). No differences were found between LP with and without voice prosthesis. Conclusions: Our results show how HNC patients are at high risk for a worsening in QoL because of the ongoing COVID-19 global pandemic.
2021
Gallo, O., Bruno, C., Locatello, L.G., Martelli, F., Cilona, M., Orlando, P., et al. (2021). The impact of the COVID-19 pandemic on the quality of life of head and neck cancer survivors. SUPPORTIVE CARE IN CANCER, 29(11), 6297-6304 [10.1007/s00520-021-06198-6].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/1220958
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