There is a growing elderly population presenting with, and surviving, oral cancer. Making decisions about treatment is complex, and is influenced in part by prognosis and expected outcomes for health-related quality of life (HRQoL). We used the University of Washington Head and Neck Quality of Life scale (UWQoL) to compare HRQoL in patients by age group at a time closest to one year after primary surgery. Survival was analysed using data from the Office for National Statistics. A consecutive series of 1091 patients treated curatively for oral squamous cell carcinoma (SCC) at the regional maxillofacial unit at Aintree University Hospital between 1992 and 2009 were included in the main analysis. UWQoL data for 638 patients were available from about one year after treatment. Older patients (65 years or over) reported better physical and emotional function notably in regard to appearance, speech, saliva (75 years and over), pain, shoulder, mood, and anxiety than younger patients with head and neck cancer treated by operation. In conclusion, older patients seem to cope and adjust well to treatment and this is reflected in their HRQoL scores, which are higher in many domains than those of younger patients with head and neck cancer.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to British Journal of Oral and Maxillofacial Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Radiotherapy in head and neck cancer in the elderly: a challenge.Crit Rev Oncol Hematol. 2000; 34: 195-203
- Elderly patients with head and neck cancer: short-term effects of surgical treatment on quality of life.Clin Otolaryngol Allied Sci. 2003; 28: 399-405
- Differences in coping style and locus of control between older and younger patients with head and neck cancer.Clin Otolaryngol. 2005; 30: 186-192
- Elderly patients with head and neck cancer: the influence of comorbidity on choice of therapy, complication rate, and survival.Curr Opin Otolaryngol Head Neck Surg. 2005; 13: 92-96
- Elderly patients with head and neck cancer: physical, social and psychological aspects after 1 year.Acta Otolaryngol. 2004; 124: 509-514
- Reasons for non-standard treatment in elderly patients with advanced head and neck cancer.Eur Arch Otorhinolaryngol. 2005; 262: 21-26
- Quality of life in elderly patients with head and neck cancer one year after diagnosis.Head Neck. 2004; 26: 1045-1052
- Treatment of head and neck cancer in the elderly. European consensus (panel 6) at the EUFOS Congress in Vienna 2007.Eur Arch Otorhinolaryngol. 2010; 267: 1619-1621
- A structured review of journal articles reporting outcomes using the University of Washington Quality of Life Scale.Br J Oral Maxillofac Surg. 2011; ([Epub ahead of print])
- The physical function and social-emotional function subscales of the University of Washington Quality of Life questionnaire.Arch Otolaryngol Head Neck Surg. 2010; 136: 352-357
- Screening for dysfunction to promote multidisciplinary intervention by using the University of Washington Quality of Life Questionnaire.Arch Otolaryngol Head Neck Surg. 2009; 135: 369-375
- Health-related quality of life measured by the UW-QoL questionnaire – reference values from a general dental practice.Oral Oncol. 2006; 42: 281-287
Published online: February 13, 2012
Accepted: January 19, 2012
© 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.