Long-term functional outcomes in surgically treated patients with oropharyngeal cancer

• Published in: The Laryngoscope Vol. 125; no. 7; pp. 1637 - 1643
• Main Authors: Dale, Oliver T., Han, Cheng, Burgess, Christopher A., Eves, Susannah, Harris, Carol E., White, Penny L., Shah, Rupali T., Howard, Alison, Winter, Stuart C.
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01-07-2015; Wiley Subscription Services, Inc
• Subjects: Carcinoma, Squamous Cell - mortality; Carcinoma, Squamous Cell - physiopathology; Carcinoma, Squamous Cell - surgery; Cross-Sectional Studies; Deglutition; Female; Follow-Up Studies; head and neck; Humans; Laryngectomy; Male; Oropharyngeal Neoplasms - mortality; Oropharyngeal Neoplasms - physiopathology; Oropharyngeal Neoplasms - surgery; oropharynx; Prognosis; Quality of Life; Surveys and Questionnaires; Survival Rate - trends; Time Factors; United Kingdom - epidemiology; oropharynx; head and neck; Quality of life
• ISSN: 0023-852X; 1531-4995
• DOI: 10.1002/lary.25226

Objectives/Hypothesis
As survival rates in oropharyngeal cancer improve, long‐term functional outcomes are increasingly important to understand. We report long‐term functional outcomes in a cohort of surviving patients with oropharyngeal squamous cell carcinoma treated with primary surgery ± radiotherapy.
Study Design
Cross‐sectional study.
Methods
Patients undergoing primary surgery for oropharyngeal cancer in Oxford, United Kingdom, between 2000 and 2010 were identified. The University of Washington Quality‐of‐ Life and MD Anderson Dysphagia Inventory questionnaires were sent to all patients. Multivariate analysis was performed to determine the relationship between clinical factors and swallowing outcomes.
Results
Twenty percent of patients required gastrostomy‐tube placement (mean feed duration, 114 days). On multivariate analysis, increased age, advanced T stage, and an open surgical approach were associated with significantly reduced quality‐of‐life scores.
Conclusions
Mean functional scores were comparable to previously published series of patients treated with primary surgery. Gastrostomy insertion rate was lower than in many previously published studies. Furthermore, specific variables have been identified that are associated with adverse functional outcome.
Level of Evidence
4 Laryngoscope, 125:1637–1643, 2015