ABSTRACT
Objective@#To translate the University of Washington Quality of Life (UW-QOL) questionnaire into Filipino and to validate it among a sample of patients with head and neck cancer. @*Methods@#Design: Cross-sectional study. Setting: Tertiary Government Training Hospital. Participants: 33 patients.@*Results@#A total of 33 patients were recruited in this study. Eighteen (54.5%) were male, and 15 (45.5%) were female aged 24-79 years old (mean age 52.85 ± 11.81 years old) completed the study. All items in the Filipino translation of the UW-QOL had a content validity index. The raters in face validation had 100% agreement in almost all items except for the appropriateness of font size and space of the questionnaire. The Cronbach’s alpha of the Filipino version of the questionnaire was 0.8596. The alpha score when each of the items was deleted remained within the range of 0.83 – 0.86. The intraclass correlation coefficients of all items were greater than 0.9. For all items, there were no significant difference observed between the test and retest scores. @*Conclusion@#This study showed that the Filipino translation of the UW-QOL is culturally adapted, internally consistent and stable. It is as reliable as the original English version in assessing health related QOL, and valid for assessing HR-QOL among patients with head and neck cancers.
Subject(s)
Quality of Life , Reproducibility of Results , Head and Neck Neoplasms , Quality of LifeABSTRACT
Objective: To evaluate the life quality of the patients with oral cancer. Methods: A questionnaire survey was conducted on 200 patients with oral cancer who met the inclusion criteria by the Chinese version of the University of Washington Quality of Life Questionnaire (UW-QOL, V4. 0) . The data were statistically analyzed by SPSS 20. 0. Results: A total of 200 questionnaires were issued and 145 valid questionnaires (72. 50％) were returned. The scores of somatic function domain and social emotional health domain were 60. 29 ± 15. 62 and 46. 65 ± 23. 21 respectively (P ＜ 0. 05) . Physical health scores and social emotional health scores were positively correlated (r = 0. 584) . Conclusion: Oral cancer patients have poor social and psychological status. Necessary psychological intervention and clinical intervention are of great significance to improve the life quality of the patients. Strengthening of social support can improve their physical health of the patients.
ABSTRACT
OBJETIVO: Avaliar a validade discriminante do questionário de qualidade de vida da Universidade de Washington para pacientes com câncer de cabeça e pescoço e identificar possíveis fatores sociodemográficos que modifiquem seus resultados. MÉTODOS: Foram entrevistados 47 pacientes com câncer de boca e orofaringe em estágio pré-cirúrgico em um hospital no sul do município de São Paulo em 2007, e 141 pacientes sem câncer, pareados por sexo e idade em uma proporção de três para um, que foram atendidos em ambulatórios do mesmo hospital em 2008. Os resultados obtidos para os dois grupos foram comparados pelo teste t de Student. Para os pacientes sem câncer utilizou-se análise de regressão de Poisson para avaliar possíveis fatores de modificação da qualidade de vida. RESULTADOS: O escore geral de qualidade de vida foi significantemente mais elevado (p < 0,001) para os pacientes sem câncer (91,1) do que para os pacientes com câncer (80,6). Observações análogas foram efetuadas para oito dos doze domínios de qualidade de vida compreendidos no questionário (dor, aparência, deglutição, mastigação, fala, ombros, paladar e ansiedade). Como possíveis fatores de modificação dos escores de qualidade de vida foram identificados renda familiar (com impacto nos domínios de recreação, p = 0,017, e função dos ombros, p = 0,049), escolaridade (em ansiedade, p = 0,003), sexo (em função dos ombros, p = 0,038) e dor de dente (em mastigação, p = 0,015). CONCLUSÕES: O questionário tem validade discriminante, pois seus escores são especificamente mais afetados para pacientes com câncer. Reforça-se a indicação do questionário para monitorar o tratamento e recomenda-se avaliar os fatores que podem causar impacto nesses indicadores.
OBJECTIVE: To assess discriminant validity of the University of Washington quality of life questionnaire for patients with head and neck cancer, and to identify socio-demographic factors that may modify its results. METHODS: We interviewed 47 patients with oral and oropharyngeal cancer in pre-surgical stage in a hospital located in the South region of the city of São Paulo, in 2007, and 141 patients without cancer, matched by sex and age in a ratio of three to one, who were attending outpatient clinics of the same hospital in 2008. The results for the two groups were compared by the Student t test. Poisson regression models to evaluate factors that may modify quality of life scores among patients without cancer. RESULTS: The overall quality of life score was significantly higher (p < 0.001) for patients without cancer (91.1) than for patients with cancer (80.6). Similar observations were made for eight of the twelve quality of life domains included in the questionnaire (pain, appearance, swallowing, chewing, speech, shoulder, taste, and anxiety). As factors that may modify the quality of life scores, we identified family income (which impacted in recreation, p = 0.017, and shoulder function, p = 0.049), schooling (in anxiety, p = 0.003), sex (in shoulder function, p = 0.038) and toothache (in chewing, p = 0.015). CONCLUSIONS: The questionnaire has discriminant validity, because its scores are specifically more reduced among cancer patients. The use of the questionnaire for monitoring the treatment of cancer patients is reinforced, and the assessment of factors that may impact in its results is recommended.
Subject(s)
Female , Humans , Male , Middle Aged , Mouth Neoplasms , Oropharyngeal Neoplasms , Quality of Life , Surveys and Questionnaires , Brazil , Mouth Neoplasms/diagnosis , Oropharyngeal Neoplasms/diagnosis , Reproducibility of ResultsABSTRACT
Objetivo: Avaliar a qualidade de vida (QV) de pacientes com carcinoma de células escamosas (CCE) na região de cabeça e pescoço atendidos no Hospital Napoleão Laureano - HNL, na cidade de João Pessoa - PB. Material e método: A amostra foi composta de 41 pacientes referidos ao Programa Multidisciplinar de Odontologia aplicado a Oncologia (PROMO), durante e após o tratamento oncológico. Os questionários de qualidade de vida da Universidade de Washington - UW-QOL (4ª Versão) foram aplicados na forma de entrevista e os dados demográficos, clínicos e terapêuticos dos pacientes foram coletados dos prontuários médicos. Os domínios de QV do questionário foram correlacionados com as características dos pacientes por meio do teste de correlação de Spearman (rs). Resultado: A localização e o estágio do tumor primário apresentaram correlação com os domínios aparência, recreação, deglutição e ansiedade. Quanto à fase e ao tipo de tratamento, correlações estatísticas foram encontradas com os domínios dor, saliva e ansiedade. A fase de tratamento e os pacientes submetidos à radioterapia apresentaram correlação moderada com o domínio saliva. Dificuldades com mastigação, saliva e fala foram as queixas mais frequentes na semana que antecedeu a entrevista. Conclusão: O domínio mastigação foi o mais afetado, recebendo as menores pontuações médias em relação às características dos pacientes avaliados, e, apesar das deficiências em domínios específicos, na avaliação global, a maioria dos pacientes relatou uma qualidade de vida entre boa e muito boa.
Objective: Evaluate the quality of life (QOL) of patients with squamous cell carcinoma-SCC of the head and neck, treated at Hospital Napoleão Laureano (HNL), in the city of João Pessoa - PB. Material and method: The sample consisted of 41 patients, referred to PROMO (Multidisciplinary Dental Program applied to Oncology), during and after cancer treatment. UW-QOL quality of life questionnaires (4th version) were administered in the form of interview and the clinical and therapeutic demographic data of patients were collected from medical records. The quality of life domain of the questionnaire was correlated with the characteristics of patients through the Spearman correlation test (rs). Result: The location and stage of primary tumor showed correlation with the appearance, recreation, swallowing and anxiety domains. As for the stage and type of treatment, positive statistical correlations were found with the pain, saliva and anxiety. The stage of treatment and patients who had radiotherapy showed moderate correlation with the saliva domain. Chewing, saliva and speech were the most frequent complaints in the week preceding the interview. Conclusion: The chewing domain was the most affected, receiving the worse mean scores in relation to the characteristics of treated patients and despite the weaknesses in specific areas, in the overall assessment, most patients reported a quality of life between good and very good.