Quality of Life-Related Factors in Patients with Long-Term Disease after Laryngectomy for Head and Neck Cancer
- VernacularTitle:頭頚部がん喉頭摘出術後長期経過者におけるQOL関連因子の検討
- Author:
Hiroyuki MIURA
1
;
Takuhiko KATO
2
;
Makoto TANAKA
2
;
Koshi SUMIGAWA
2
Author Information
- Keywords: malignant tumor; quality of life; activities of daily living; upper limb function; cancer
- From:The Japanese Journal of Rehabilitation Medicine 2023;():22026-
- CountryJapan
- Language:Japanese
- Abstract: Objective:To research studies on patients with head and neck cancer who underwent laryngectomy (patients with laryngectomy) in terms of function, activity, participation, and environment, and examine quality of life (QOL) -related factors.Methods:The participants were patients who underwent laryngectomy and belonged to the Japanese Laryngectomy Clubs. We investigated basic attributes, QOL, sarcopenia, neck and upper limb function, and upper limb-related activities of daily living (ULADL). Statistical analysis was performed using multiple logistic regression analysis after correlation analysis to investigate QOL-related factors.Results:The number of valid responders was 272 patients, median age was 74.0 years, median postoperative follow-up was 8.7 years, and 94 were still employed after surgery. Multiple logistic regression analysis results revealed that factors related to QOL included ULADL, sarcopenia, and neck and upper limb function.Conclusions:The QOL-related factors of laryngectomy were neck and upper limb function, ULADL, and sarcopenia. Rehabilitation for these factors is considered important in improving QOL.
