Functional outcomes and quality of life after a 6-month early intervention program for oral cancer survivors: A single-arm clinical trial
Journal
PeerJ
Journal Volume
2018
Journal Issue
2
Pages
e4419
Date Issued
2018
Author(s)
Abstract
Background. Advanced treatment of oral cancer increases survival rates; however, it also increases the risk of developing shoulder dysfunction, dysphagia, oral dysfunction, donor site morbidity and psychological issues. This single-arm preliminary pilot study aims to explore the effects of a six-month early intervention program following reconstructive surgery in oral cancer survivors. Methods. A total of 65 participants were analyzed following reconstructive surgery. Outcome measurements were taken during the first visit, and at one, three and six months after reconstructive surgery. Results. Scapular muscle strength and shoulder range of motion progressively improved during the 6-month follow-up. The mean Disability of the Arms, Shoulder and Hand (DASH) score showed significant improvement at 1 month (p < :001). Health related QoL showed significant differences between baseline and 6-months post-surgery scores on global health and on most of the function and symptom scales. The predicted return- to-work rate was 80% at one year after the operation. Return-to-work rate differs in different vocational types, with a higher rate of return in the skilled or semi-skilled (87.5%) and self-employed (86.7%). Conclusions. We suggest that early integrated intervention program with a follow-up of at least six months following reconstructive surgery may help develop and identify intervention guidelines and goals in the initial six months of treatment following neck dissection in oral cancer survivors. ? 2018 Chen et al.
SDGs
Other Subjects
adult; Article; cancer survivor; clinical outcome; clinical trial; cognition; constipation; Disabilities of the Arm, Shoulder and Hand (score); dyspnea; emotion; fatigue; female; hospital discharge; human; insomnia; joint characteristics and functions; major clinical study; male; microstomia; middle aged; mouth cancer; muscle strength; nausea; outcome assessment; pain; quality of life; questionnaire; reconstructive surgery; resistance training; scar; six minute walk test; temporomandibular joint; timed up and go test; visual analog scale; vomiting
Publisher
PeerJ Inc.
Type
journal article