The efficiency of head and neck cancer patients-self report quality of life and its relationship with survival rates / 中国基层医药

ABSTRACT

Objective To investigate the effectiveness of head and neck cancer patient subjective assessment of forecast of the disease and prognosis .Methods 79 patients with head and neck squamous cell carcinoma were col-lected for newly diagnosed cases .Swal-QOL scale and EuroQOL-5D-3L questionnaire was used to detect subjec-tive evaluation .Clinical adult disease assessment scale -27 evaluation was used to detect objective assessment of the extent of the disease .The tumor organization standard was used to evaluate physical state .Results The average follow-up time was 29 months(4~65 months),19 patients died during the follow -up period,the main causes of death were tumor progression(63.2%).0%~5%decreased body mass of 73.4%patients,60 patients(75.9%) between ACE-27 grade was between 0~1,47 patients(59.5%) ECOG score between 0~1.T staging,loss of body mass ra-tio,sex with multiple patient subjective evaluation index ( daily gain ability , pain or discomfort and dysphagia ) , the differences were statistically significant ( OR=1.9~7.7,P<0.05).Conclusion The correlation is higher in pa-tients with head and neck cancer subjective evaluation and clinical indexes ,which can well predict the severity and duration of tumor .Dysphagia is the most effective index for evaluating tumor mortality rate .