Clinical and sociodemographic factors associated with oral health-related quality of life in survivors of head and neck cancer

Head Neck. 2020 May;42(5):886-897. doi: 10.1002/hed.26063. Epub 2020 Jan 21.

Abstract

Background: Factors related to head and neck cancer and the treatment of the disease can affect quality of life. The aim of this study was to determine factors associated with the severity of impact on oral health-related quality of life (OHRQoL) in survivors of head and neck cancer using a multivariate analysis.

Methods: This cross-sectional study evaluated 90 volunteers who had completed radiotherapy at least 3 months earlier. OHRQoL was assessed using oral health impact profile (OHIP-14) and the data were analyzed using robust variance poisson regression models.

Results: The mean total OHIP-14 score was 23.98 ± 12.55. Patients with hyposalivation had 56% higher (worse) mean OHIP-14 total scores (CI:1.11-2.18) and patients with advanced stage tumors had 31% higher mean OHIP-14 total scores (CI:1.03-1.66) in multivariate analyses.

Conclusion: OHRQoL of survivors of head and neck cancer experienced a negative impact following radiotherapy. The impact was associated with hyposalivation and advanced stage tumors.

Keywords: head and neck neoplasms; oral health; quality of life; radiotherapy; xerostomia.

MeSH terms

  • Cross-Sectional Studies
  • Head and Neck Neoplasms* / therapy
  • Humans
  • Quality of Life
  • Surveys and Questionnaires
  • Survivors
  • Xerostomia* / epidemiology
  • Xerostomia* / etiology