Quality of Life of the Patient with Head and Neck Cancer Submitted to Radiotherapy and the Overload of Their Caregivers

Abstract

Introduction Esthetic and functional changes are frequent in patients with head and neck cancer, and they can be caused by both tumor and treatment. Physical and functional impairment often requires the need of a caregiver, who may feel overwhelmed with the tasks of care.

Objective This study aims to evaluate the quality of life of patients with head and neck cancer submitted to radiotherapy and the overload of their caregivers.

Method This is a quantitative cross-sectional study with 42 patients with head and neck cancer and 17 caregivers evaluated during the radiotherapy treatment. Patients responded to the following questionnaires: Functional Assessment of Cancer Therapy for Head and Neck Cancer (FACT-H&N) and Shame and Stigma Scale (SSS), while the caregivers responded to the Zarit Burden Interview Scale (ZBI) and Palliative Performance Scale (PPS).

Results Head and neck cancer patients showed a decline in the quality of life in all FACT-H&N domains, with the domain of additional concerns having the worst outcome. Among the feelings reported by patients, the most important was penitence. Less than half of the patients needed caregivers. It was observed that the greater the degree of commitment of the patient, the greater the degree of overload of the caregiver.

Conclusion Therefore, the quality of life of the patient with head and neck cancer is an important aspect to be considered during the therapeutic choice and in the follow-up of the patient, since it has influenced both the patient and his caregiver.

Keywords

head and neck neoplasms - quality of life - caregivers - radiotherapy

Publication History

Received: 25 November 2019

Accepted: 30 August 2020

Article published online:
29 March 2021

• References

• 1 Cervenka BP, Rao S, Bewley AF. Head and Neck Cancer and the Elderly Patient. Otolaryngol Clin North Am 2018; 51 (04) 741-751
• 2 Cohen N, Fedewa S, Chen AY. Epidemiology and Demographics of the Head and Neck Cancer Population. Oral Maxillofac Surg Clin North Am 2018; 30 (04) 381-395
• 3 Santos JF, Alves Mda S, Ferreira SMIL, de Sousa NSO, de Oliveira PS. Características dos pacientes com câncer atendidos em um ambulatório de cirurgia de cabeça e pescoço no interior da Bahia. Rev.Saúde. Com 2016; 12: 528-534
• 4 de Sousa AR, Koury GVH, Badaranne EBL, Cavalcante Hde A, Araújo CNF. Perfil clínico-epidemiológico de pacientes com câncer de cabeça e pescoço em hospital de referência. Rev Soc Bras Clin Med 2016; 14: 129-132
• 5 Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA), Estimativa 2020: incidência de câncer no Brasil. 2019 . Rio de Janeiro- RJ. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf
• 6 Rettig EM, D'Souza G. Epidemiology of head and neck cancer. Surg Oncol Clin N Am 2015; 24 (03) 379-396
• 7 Wang T-H, Hsia S-M, Shih Y-H, Shieh T-M. Association of Smoking, Alcohol Use, and Betel Quid Chewing with Epigenetic Aberrations in Cancers. Int J Mol Sci 2017; 18 (06) 1210
• 8 Galbiatti ALS, Padovani-Junior JA, Maníglia JV, Rodrigues CDS, Pavarino ÉC, Goloni-Bertollo EM. Head and neck cancer: causes, prevention and treatment. Rev Bras Otorrinolaringol (Engl Ed) 2013; 79 (02) 239-247
• 9 Rocha BQC, Eneas L, Oliveira RG, Junqueira RB, Verner FS. Características epidemiológicas de pacientes portadores de neoplasias de cabeça e pescoço submetidos à radioterapia em Juiz de Fora – MG. HU Revista 2017; 43: 71-75
• 10 Nogueira T-E, Adorno M, Mendonça E, Leles C. Factors associated with the quality of life of subjects with facial disfigurement due to surgical treatment of head and neck cancer. Med Oral Patol Oral Cir Bucal 2018; 23 (02) e132-e137
• 11 Richardson AE, Morton R, Broadbent E. Caregivers' Illness Perceptions Contribute to Quality of Life in Head and Neck Cancer Patients at Diagnosis. J Psychosoc Oncol 2015; 33 (04) 414-432
• 12 Pirola WE, Paiva BSR, Barroso EM, Kissane DW, Serrano CVMP, Paiva CE. Translation and cultural adaptation of the Shame and Stigma Scale (SSS) into Portuguese (Brazil) to evaluate patients with head and neck cancer. Rev Bras Otorrinolaringol (Engl Ed) 2017; 83 (06) 697-704
• 13 Silveira A, Gonçalves J, Sequeira T. et al. [Head and neck cancer: health related quality of life assessment considering clinical and epidemiological perspectives]. Rev Bras Epidemiol 2012; 15 (01) 38-48 . Doi: 10.1590/S1415-790 × 2012000100004
• 14 Maciel CTV, Leite ICG, Soares TV. Câncer de laringe: um olhar sobre a qualidade de vida. Rev Int Est Exp 2010; 2: 126-134
• 15 Ribeiro AF, de Souza CA. O cuidador familiar de doentes com câncer. Arq Ciênc Saúde 2010; 17: 22-26
• 16 de Melo Honório I, de Almeida Marques da Cruz FO, Ferreira EB. et al. Ser cuidador de familiar com câncer de cabeça e pescoço. Rev Bras Promoc Saúde 2015; 28: 337-343
• 17 Rigoni L, Bruhn RF, De Cicco R, Kanda JL, Matos LL. Quality of life impairment in patients with head and neck cancer and their caregivers: a comparative study. Rev Bras Otorrinolaringol (Engl Ed) 2016; 82 (06) 680-686
• 18 de Souza LR, Hanus JS, Dela Libera LB. et al. Sobrecarga no cuidado, estresse e impacto na qualidade de vida de cuidadores domiciliares assistidos na atenção básica. Cad Saude Colet 2015; 23: 140-149 . Doi: 10.1590/1414-462 × 201500020063
• 19 Vartanian JG, Carvalho AL, Furia CLB. et al. Questionários para a avaliação de Qualidade de Vida em pacientes com câncer de cabeça e pescoço validados no Brasil. Rev Bras Cir Cabeça Pescoço 2007; 36: 108-115
• 20 Kissane DW, Patel SG, Baser RE. et al. Preliminary evaluation of the reliability and validity of the Shame and Stigma Scale in head and neck cancer. Head Neck 2013; 35 (02) 172-183
• 21 Scazufca M. Brazilian version of the Burden Interview scale for the assessment of burden of care in carers of people with mental illnesses. Br J Psychiatry 2002; 24: 12-17
• 22 Conselho Regional de Medicina do Estado de São Paulo (CREMESP), Cuidado Paliativo. 2008 . São Paulo - SP. Disponível em: http://www.cremesp.org.br/library/modulos/publicacoes/pdf/livro_cuidado%20paliativo.pdf
• 23 Lau F, Downing GM, Lesperance M, Shaw J, Kuziemsky C. Use of Palliative Performance Scale in end-of-life prognostication. J Palliat Med 2006; 9 (05) 1066-1075
• 24 Almeida AF, Alves RC, Felix JD, Castro DS, Zandonade E, Rocha RM. Quality of Life in Patients Suffering from Upper Aerodigestive Tract Cancer at a University Hospital. Rev Bras Cancerol 2013; 59: 229-237
• 25 Melo Filho MR, Rocha BA, Pires MB. et al. Quality of life of patients with head and neck cancer. Rev Bras Otorrinolaringol (Engl Ed) 2013; 79 (01) 82-88
• 26 Sommerfeld CE, Garcia Andrade M da G, Santiago SM. et al. Qualidade de vida em pacientes com câncer de cabeça e pescoço. Rev bras cir cabeça pescoço 2012; 41: 172-177
• 27 Almeida AÁ, Bandeira CM, Gonçalves AJ, Araújo AJ. Nicotine dependence and smoking habits in patients with head and neck cancer. J Bras Pneumol 2014; 40 (03) 286-293
• 28 Le Campion ACOV, Santos KCB, Carmo ES. et al. Characterization of diagnostic delay in oral and oropharyngeal cancer at two referral centers. Cad Saude Colet 2016; 24: 178-184 . Doi: 10.1590/1414-462 × 201600020004
• 29 de Souza FRN, Barbosa Gde S, Prado Gda M, Schweitzer CM, Júnior EGJ. Qualidade de vida de pacientes submetidos à radioterapia para tratamento de lesões malignas de cabeça e pescoço. Arch Health Invest 2013; 2: 28-33
• 30 Franco P, Martini S, Di Muzio J. et al. Prospective assessment of oral mucositis and its impact on quality of life and patient-reported outcomes during radiotherapy for head and neck cancer. Med Oncol 2017; 34 (05) 81