How age affects health‐related‐quality‐of‐life outcomes in maxillomandibular reconstructive surgery

Author:

Patfield Alexander1ORCID,Wykes James23ORCID,Venchiarutti Rebecca24ORCID,Dunn Masako2ORCID,Clark Jonathan235ORCID,Froggatt Catriona2ORCID

Affiliation:

1. Faculty of Medicine and Health The University of New South Wales Sydney New South Wales Australia

2. Department of Head and Neck Surgery, Sydney Head and Neck Cancer Institute Chris O'Brien Lifehouse Sydney New South Wales Australia

3. Sydney Medical School, Faculty of Medicine and Health The University of Sydney Sydney Australia

4. Sydney School of Public Health, Faculty of Medicine and Health The University of Sydney Camperdown New South Wales Australia

5. Royal Prince Alfred Institute of Academic Surgery Sydney Local Health District Camperdown New South Wales Australia

Abstract

AbstractIntroductionMaxillomandibular reconstruction has various functional, aesthetic, and psychosocial effects that can decrease patients' health‐related quality of life (HRQOL). The aim of this study was to compare HRQOL outcomes in older and younger patients undergoing maxillomandibular reconstruction.MethodsA cross‐sectional study of patients undergoing maxillomandibular reconstruction surgery between November 2008 and January 2021 was conducted. Participants completed the FACE‐Q Head and Neck Cancer Module, M.D. Anderson Dysphagia Inventory (MDADI), and Speech Handicap Index (SHI). Results from these instruments were used to compare HRQOL outcomes in old (≥70 years) and young (<70 years) patients.ResultsNinety‐nine patients who underwent maxillomandibular reconstruction completed the instruments (response rate 50%), of which 33 (33%) were aged ≥70 years. Older age was associated with improved FACE‐Q speaking (+11.3, P = 0.045), FACE‐Q cancer worry (−9.97, P = 0.050), and SHI score (−16.6, P = 0.013). After adjusting for the effect of radiotherapy, age was associated with improved FACE‐Q speaking (+16.8, P = 0.012), FACE‐Q smiling distress (+12.6, P = 0.040), FACE‐Q worry (−11.0, P = 0.032), and SHI scores (−18.4, P = 0.004). Older age was associated with an increased likelihood of postoperative complications (odds ratio (OR) = 2.9, P = 0.02) and medical complications (OR = 4.6, P = 0.012).ConclusionIn patients undergoing maxillomandibular reconstruction, older age (≥70 years) was associated with better HRQOL outcomes in domains relating to speech and cancer worry. In all other HRQOL outcomes, the two age groups performed similarly.

Funder

Cancer Institute NSW

Royal Australasian College of Surgeons

Sydney Local Health District

Publisher

Wiley

Subject

General Medicine,Surgery

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3