Quality of life in patients older than 75 years following major head and neck surgery

Avi Khafif*, Jennie Posen, Yaron Yagil, Michael Beiser, Ziv Gil, Rami Ben-Yosef, Roee Landsberg, Dan M. Fliss

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background. This study was designed to evaluate the quality of life (QOL) of patients older than 75 years undergoing major head and neck surgery. Methods. Three groups of patients were included: elderly patients (>75, n = 35) and younger patients (65 to 75 years, n = 30) undergoing major head and neck surgery and healthy controls (>75, n = 40). Measurements were made using the SF-12 health survey, the University of Washington QOL questionnaire, and measurements of the "sense of burden" on the caregiver. Results. With the SF-12, the role physical, role emotional, and bodily pain were decreased by the surgical intervention, while physical function was affected by age alone. With the UW-QOL Questionnaire, overall QOL was preserved. "Appearance" and "Leisure" subscales were affected by the surgical intervention and old age. "Chewing" and "Activity" were decreased by the surgical intervention in the older patients, and "Speech" was affected by the surgical intervention alone. The "sense of burden" was alleviated by surgery in the elderly patients. Conclusions. Several QOL domains are decreased in elderly patients undergoing major head and neck surgery.

Original languageEnglish
Pages (from-to)932-939
Number of pages8
JournalHead and Neck
Volume29
Issue number10
DOIs
StatePublished - Oct 2007

Keywords

  • Cancer
  • Head and neck
  • Major surgery
  • Octogenarians
  • Quality of life

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