TY - JOUR
T1 - Patients’ perspective on the impact of sentinel node biopsy in oral cancer treatment
AU - Flach, Géke B.
AU - Verdonck-de Leeuw, Irma M.
AU - Witte, Birgit I.
AU - Klop, W. Martin C.
AU - van Es, Robert J.J.
AU - Schepman, Kees Pieter
AU - de Bree, Remco
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Objective Assessment of the impact of a sentinel node biopsy (SNB)–based strategy in cT1/T2 N0 oral cancer on the course of health related quality of life, psychological distress, and shoulder disability, and evaluation of the patients’ perspective on neck management strategies. Study Design Fifty-two patients (39 SNB negative; 13 SNB positive) completed the European Organization for Research and Treatment of Cancer (EORTC) questionnaires—QLQ-C30 and QLQ-H&N35, and the HADS, IES, and SDQ questionnaires at baseline, after SNB diagnosis and at 6 months of follow-up. Objective shoulder measurements were performed after 2 years and interviews were conducted after 4.5 months of follow-up. Results All the scores of the questionnaires were not significantly different between SNB negative and SNB positive patients. Objective shoulder functioning was similar. Most patients preferred a SNB-based strategy to an elective neck dissection strategy. Conclusions The impact of a SNB-based strategy in patients with cT1/T2 N0 oral cancer is comparable for SNB-negative and SNB-positive patients in terms of health-related quality of life, psychological distress and shoulder functioning. Most patients preferred the SNB-based strategy over the elective neck dissection strategy.
AB - Objective Assessment of the impact of a sentinel node biopsy (SNB)–based strategy in cT1/T2 N0 oral cancer on the course of health related quality of life, psychological distress, and shoulder disability, and evaluation of the patients’ perspective on neck management strategies. Study Design Fifty-two patients (39 SNB negative; 13 SNB positive) completed the European Organization for Research and Treatment of Cancer (EORTC) questionnaires—QLQ-C30 and QLQ-H&N35, and the HADS, IES, and SDQ questionnaires at baseline, after SNB diagnosis and at 6 months of follow-up. Objective shoulder measurements were performed after 2 years and interviews were conducted after 4.5 months of follow-up. Results All the scores of the questionnaires were not significantly different between SNB negative and SNB positive patients. Objective shoulder functioning was similar. Most patients preferred a SNB-based strategy to an elective neck dissection strategy. Conclusions The impact of a SNB-based strategy in patients with cT1/T2 N0 oral cancer is comparable for SNB-negative and SNB-positive patients in terms of health-related quality of life, psychological distress and shoulder functioning. Most patients preferred the SNB-based strategy over the elective neck dissection strategy.
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U2 - 10.1016/j.oooo.2016.03.014
DO - 10.1016/j.oooo.2016.03.014
M3 - Article
C2 - 27262509
AN - SCOPUS:84973880483
SN - 2212-4403
VL - 122
SP - 279
EP - 286
JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
IS - 3
ER -
