Abstract

Objectives: The purpose of this study was to describe the possibility of using three standardized instruments to assess quality of life aspects in a group of patients being treated for oral cancer. Forty-two patients with oral and pharyngeal cancer participated in the study 12 months after the surgery. Fifteen of these patients participated prospectively before surgery and up to 12 months after surgery. The three instruments were the Sickness Impact Profile, Health Index and Karnovsky Performance Status scale. The prospective patients were significantly worse in psychosocial functioning and well-being and non-significantly worse in physical and overall sickness after the surgery compared with before. The patients improved with regard to performance status, though not statistically significantly. There were fairly close significant intercorrelations between the instruments. Weight loss seemed to be less related to quality of life parameters than greater surgical procedures. It is suggested that, in measuring the quality of life in cases of oral cancer,several instruments should be included.

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