Correlations between long-term quality of life and patient needs and concerns following head and neck cancer treatment a
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HEAD AND NECK
Correlations between long‑term quality of life and patient needs and concerns following head and neck cancer treatment and the impact of psychological distress. A multicentric cross‑sectional study Roxane Elaldi1 · Lise‑Marie Roussel2 · Jocelyn Gal3 · Boris Scheller1 · Emmanuel Chamorey3 · Renaud Schiappa3 · Audrey Lasne‑Cardon2 · Marie‑Yolande Louis2 · Dorian Culié1 · Olivier Dassonville1 · Gilles Poissonnet1 · Esma Saada4 · Karen Benezery5 · Emmanuel Babin6 · Alexandre Bozec1 Received: 11 June 2020 / Accepted: 24 August 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objectives To assess patient needs and concerns after head and neck squamous cell carcinoma (HNSCC) treatment and their possible correlations with long-term quality of life (QoL) and to examine the potential impact of psychological distress on these results. Methods Alive and disease-free HNSCC patients at least 1 year after treatment were enrolled in this cross-sectional multicentric study and completed the EORTC QLQ-C30 and H&N35 QoL questionnaires, the head and neck cancer-specific patient concerns inventory (PCI-HN) questionnaire and the hospital anxiety and depression scale (HADS). Correlations between QoL outcomes and patient needs and concerns were investigated using Spearman’s correlation tests. Results Seventy-two patients were enrolled in the study. Fear of cancer recurrence was the main patient concern followed by dental, salivary, fatigue, speech, and eating problems. The leading patient needs in terms of consultation were to be referred to the surgeon, the speech, and swallow therapist and the oral rehabilitation team. The number of patient concerns correlated negatively (r .40) with general and head and neck symptoms. Psychological distress was the main determinant of QoL outcomes (p
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