Background. The improvement in locoregional control of head and neck carcinomas over the last decades does not appear to modify the final survival of these patients, mainly due to the appearance of distant metastases and second neoplasms. We ran a study to evaluate the incidence of second neoplasms
Continued alcohol use in patients with head and neck cancer
β Scribed by Andrea E. Potash; Lucy Hynds Karnell; Alan J. Christensen; Mark W. Vander Weg; Gerry F. Funk
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 130 KB
- Volume
- 32
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Background
The effect of posttreatment alcohol consumption on healthβrelated quality of life (QOL) and factors predicting overall QOL and continued alcohol consumption were examined in patients with head and neck cancer.
Methods
Selfβreported alcohol use and abuse 1 year after diagnosis was analyzed.
Results
Although current drinkers (44.5% of 283 patients) had better overall QOL and fewer depressive symptoms, current social drinkers had the best scores, whereas current problem drinkers had the worst. Female sex, fewer depressive symptoms, less pain, and better eating function predicted better QOL. Oral function was the only predictor of 12βmonth alcohol use.
Conclusion
Depression, pain, and eating function predicted overall QOL. Alcohol consumption was not associated with QOL, but was associated with better oral function, which in turn predicted better QOL. Alcohol consumption itself does not improve QOL in this population, and these patients should be counseled regarding detrimental effects of continued drinking after treatment. Β© 2009 Wiley Periodicals, Inc. Head Neck, 2010
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