Implant-based dental rehabilitation in head and neck cancer patients after maxillofacial reconstruction with a free vascularized fibula flap: the effect on health-related quality of life
Purpose To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF). Methods Eligible patients were identified by retrospectively reviewing the med...
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| Published in | Supportive care in cancer Vol. 30; no. 6; pp. 5411 - 5420 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.06.2022
Springer Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0941-4355 1433-7339 1433-7339 |
| DOI | 10.1007/s00520-022-06944-4 |
Cover
| Abstract | Purpose
To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF).
Methods
Eligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T
0
) and after completing IDR (T
1
). Data were statistically analysed with the chi-square test, independent samples
t
test and linear mixed models.
Results
Out of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T
0
and T
1
. In the cross-sectional analysis, patients with IDR scored significantly better at T
0
and T
1
on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T
0
and T
1
for patients with IDR (
p
= 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without.
Conclusions
In this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR. |
|---|---|
| AbstractList | Abstract Purpose To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF).MethodsEligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T0) and after completing IDR (T1). Data were statistically analysed with the chi-square test, independent samples t test and linear mixed models.ResultsOut of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T0 and T1. In the cross-sectional analysis, patients with IDR scored significantly better at T0 and T1 on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T0 and T1 for patients with IDR (p = 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without.ConclusionsIn this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR. To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF).PURPOSETo evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF).Eligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T0) and after completing IDR (T1). Data were statistically analysed with the chi-square test, independent samples t test and linear mixed models.METHODSEligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T0) and after completing IDR (T1). Data were statistically analysed with the chi-square test, independent samples t test and linear mixed models.Out of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T0 and T1. In the cross-sectional analysis, patients with IDR scored significantly better at T0 and T1 on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T0 and T1 for patients with IDR (p = 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without.RESULTSOut of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T0 and T1. In the cross-sectional analysis, patients with IDR scored significantly better at T0 and T1 on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T0 and T1 for patients with IDR (p = 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without.In this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR.CONCLUSIONSIn this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR. To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF). Eligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T.sub.0) and after completing IDR (T.sub.1). Data were statistically analysed with the chi-square test, independent samples t test and linear mixed models. Out of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T.sub.0 and T.sub.1. In the cross-sectional analysis, patients with IDR scored significantly better at T.sub.0 and T.sub.1 on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T.sub.0 and T.sub.1 for patients with IDR (p = 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without. In this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR. Purpose To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF). Methods Eligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T.sub.0) and after completing IDR (T.sub.1). Data were statistically analysed with the chi-square test, independent samples t test and linear mixed models. Results Out of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T.sub.0 and T.sub.1. In the cross-sectional analysis, patients with IDR scored significantly better at T.sub.0 and T.sub.1 on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T.sub.0 and T.sub.1 for patients with IDR (p = 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without. Conclusions In this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR. To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF). Eligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T ) and after completing IDR (T ). Data were statistically analysed with the chi-square test, independent samples t test and linear mixed models. Out of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T and T . In the cross-sectional analysis, patients with IDR scored significantly better at T and T on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T and T for patients with IDR (p = 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without. In this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR. Purpose To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after reconstruction with a free vascularized fibula flap (FFF). Methods Eligible patients were identified by retrospectively reviewing the medical records of patients treated in Amsterdam UMC-VUmc. HRQoL data were used from OncoQuest, a hospital-based system to collect patient-reported outcome measures in routine care. Data were used of the EORTC QLQ-C30 and QLQ-H&N 35 before FFF reconstruction (T 0 ) and after completing IDR (T 1 ). Data were statistically analysed with the chi-square test, independent samples t test and linear mixed models. Results Out of 96 patients with maxillofacial FFF reconstruction between January 2006 and October 2017, 57 patients (19 with and 38 without IDR) had HRQoL data at T 0 and T 1 . In the cross-sectional analysis, patients with IDR scored significantly better at T 0 and T 1 on several EORTC domains compared to the patients without IDR. Weight loss was significantly different in the within-subject analysis between T 0 and T 1 for patients with IDR ( p = 0.011). However, there were no significant differences in the mean changes of all the EORTC QLQ-C30 and EORTC QLQ-H&N35 scores between the defined timepoints for patients with IDR compared to those without. Conclusions In this study, no differences were found in the course of HRQoL in HNC patients who had undergone IDR after maxillofacial FFF reconstruction, compared to those who had not. Patients should be preoperatively informed to have realistic expectations regarding the outcome of IDR. |
| Audience | Academic |
| Author | Schulten, Engelbert A. J. M. Leusink, Frank K. J. Lodders, Johannes N. Jansen, Femke van Baar, Gustaaf J. C. Verdonck-de Leeuw, Irma M. Vergeer, Marije R. Lissenberg-Witte, Birgit I. Forouzanfar, Tymour |
| Author_xml | – sequence: 1 givenname: Johannes N. surname: Lodders fullname: Lodders, Johannes N. email: j.lodders@amsterdamumc.nl organization: Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit Amsterdam, Department of Oral and Maxillofacial Surgery/Oral Pathology, Cancer Center Amsterdam – sequence: 2 givenname: Gustaaf J. C. surname: van Baar fullname: van Baar, Gustaaf J. C. organization: Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit Amsterdam, Department of Oral and Maxillofacial Surgery/Oral Pathology, Cancer Center Amsterdam – sequence: 3 givenname: Marije R. surname: Vergeer fullname: Vergeer, Marije R. organization: Department of Radiation Oncology, Amsterdam UMC, VU University Medical Center – sequence: 4 givenname: Femke surname: Jansen fullname: Jansen, Femke organization: Department of Otolaryngology-Head and Neck Surgery, Amsterdam UMC, Vrije Universiteit Amsterdam – sequence: 5 givenname: Engelbert A. J. M. surname: Schulten fullname: Schulten, Engelbert A. J. M. organization: Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit Amsterdam, Department of Oral and Maxillofacial Surgery/Oral Pathology, Cancer Center Amsterdam – sequence: 6 givenname: Birgit I. surname: Lissenberg-Witte fullname: Lissenberg-Witte, Birgit I. organization: Department of Epidemiology and Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam – sequence: 7 givenname: Irma M. surname: Verdonck-de Leeuw fullname: Verdonck-de Leeuw, Irma M. organization: Department of Otolaryngology-Head and Neck Surgery, Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Behavioural and Movement Sciences, Section Clinical Psychology, Vrije Universiteit Amsterdam Public Health – sequence: 8 givenname: Tymour surname: Forouzanfar fullname: Forouzanfar, Tymour organization: Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit Amsterdam, Department of Oral and Maxillofacial Surgery/Oral Pathology, Cancer Center Amsterdam – sequence: 9 givenname: Frank K. J. surname: Leusink fullname: Leusink, Frank K. J. organization: Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), Vrije Universiteit Amsterdam, Department of Oral and Maxillofacial Surgery/Oral Pathology, Cancer Center Amsterdam |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35298715$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s11136_024_03795_w crossref_primary_10_1016_j_jcms_2023_10_008 crossref_primary_10_3390_jcm13113110 |
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| Keywords | Head and neck cancer Fibula free flap Rehabilitation Dental implants Quality of life |
| Language | English |
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| References_xml | – volume: 33 start-page: 831 year: 2011 end-page: 839 ident: CR26 article-title: Five-year follow-up of oral functioning and quality of life in patients with oral cancer with implant-retained mandibular overdentures publication-title: Head Neck doi: 10.1002/hed.21544 – volume: 101 start-page: 935 year: 1991 end-page: 950 ident: CR3 article-title: Functional evaluation following microvascular oromandibular reconstruction of the oral cancer patient: a comparative study of reconstructed and nonreconstructed patients publication-title: Laryngoscope doi: 10.1288/00005537-199109000-00004 – volume: 33 start-page: 879 year: 1994 end-page: 885 ident: CR19 article-title: Development of a European Organization for Research and Treatment of Cancer (EORTC) questionnaire module to be used in quality of life assessments in head and neck cancer patients publication-title: Acta Oncol (Madr) doi: 10.3109/02841869409098450 – volume: 48 start-page: 2391 year: 2012 end-page: 2408 ident: 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postcancer treatments publication-title: Implant Dent doi: 10.1097/ID.0b013e31820031ab – volume: 15 start-page: 425 year: 2016 end-page: 441 ident: CR7 article-title: Mandibular reconstruction: overview publication-title: J Maxillofac Oral Surg doi: 10.1007/s12663-015-0766-5 – volume: 69 start-page: 1024 year: 2016 end-page: 1036 ident: CR9 article-title: A systematic review of functional outcome and quality of life following reconstruction of maxillofacial defects using vascularized free fibula flaps and dental rehabilitation reveals poor data quality publication-title: J Plast Reconstr Aesthetic Surg doi: 10.1016/j.bjps.2016.05.003 – volume: 44 start-page: 800 year: 2016 end-page: 810 ident: CR16 article-title: Implant supported dental rehabilitation following segmental mandibular reconstruction- quality of life outcomes of a prospective randomized trial publication-title: J Cranio-Maxillofacial Surg doi: 10.1016/j.jcms.2016.04.013 – volume: 44 start-page: 571 year: 2008 end-page: 581 ident: CR10 article-title: Fibula free flap reconstruction of the mandible in cancer patients: evaluation of a combined surgical and prosthodontic treatment concept publication-title: Oral Oncol doi: 10.1016/j.oraloncology.2007.07.005 – volume: 79 start-page: 970 year: 2000 end-page: 975 ident: CR21 article-title: Self-perceived oral health status, psychological well-being, and life satisfaction in an older adult population publication-title: J Dent Res doi: 10.1177/00220345000790041301 – volume: 115 start-page: 215 year: 2008 ident: 6944_CR8 publication-title: Ned Tijdschr Tandheelkd – volume: 17 start-page: e23 year: 2016 ident: 6944_CR1 publication-title: Lancet Oncol doi: 10.1016/S1470-2045(15)00310-1 – volume: 27 start-page: 64 year: 2021 ident: 6944_CR24 publication-title: Oral Dis doi: 10.1111/odi.13374 – volume: 15 start-page: 425 year: 2016 ident: 6944_CR7 publication-title: J Maxillofac Oral Surg doi: 10.1007/s12663-015-0766-5 – volume: 25 start-page: 3775 year: 2017 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To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients... To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients after... Purpose To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC) patients... Abstract Purpose To evaluate the effect of implant-based dental rehabilitation (IDR) on health-related quality of life (HRQoL) in head and neck cancer (HNC)... |
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| SubjectTerms | Analysis Cancer patients Cancer surgery Care and treatment Cross-Sectional Studies Dental implants Fibula Head & neck cancer Head and neck cancer Head and Neck Neoplasms - surgery Health aspects Humans Implant dentures Maxillofacial surgery Medical records Medicine Medicine & Public Health Nursing Nursing Research Oncology Original Original Article Pain Medicine Quality of Life Reconstructive surgery Rehabilitation Medicine Retrospective Studies Surgical outcomes |
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| Title | Implant-based dental rehabilitation in head and neck cancer patients after maxillofacial reconstruction with a free vascularized fibula flap: the effect on health-related quality of life |
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