TY - JOUR
T1 - Influence of social factors on patient-reported late symptoms
T2 - Report from a controlled trial among long-term head and neck cancer survivors in Denmark
AU - Kjaer, Trille Kristina
AU - Johansen, Christoffer
AU - Andersen, Elo
AU - Karlsen, Randi V
AU - Nielsen, Anni Linnet
AU - Frederiksen, Kirsten
AU - Rørth, Mikael
AU - Ibfelt, Else
AU - Dalton, Susanne Oksbjerg
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Background The incidence of head and neck cancer and morbidity and mortality after treatment are associated with social factors. Whether social factors also play a role in the prevalence of late-onset symptoms after treatment for head and neck cancer is not clear. Methods Three hundred sixty-nine survivors completed questionnaires on late symptoms and functioning. Results Survivors with short education were more likely to report severe problems than those with medium or long education. In the fully adjusted model, the risk for problems with opening the mouth remained significantly increased (odds ratio [OR] = 3.20; 95% confidence interval [CI] = 1.18-8.63). For survivors who lived alone, the adjusted ORs were significantly increased for physical functioning (2.17; 95% CI = 1.01-4.68) and trouble with social eating (OR = 2.26; 95% CI = 1.14-4.47). Conclusion Self-reported severe late symptoms were more prevalent in survivors with short education and in those living alone, suggesting differences in perception of late symptoms between social groups.
AB - Background The incidence of head and neck cancer and morbidity and mortality after treatment are associated with social factors. Whether social factors also play a role in the prevalence of late-onset symptoms after treatment for head and neck cancer is not clear. Methods Three hundred sixty-nine survivors completed questionnaires on late symptoms and functioning. Results Survivors with short education were more likely to report severe problems than those with medium or long education. In the fully adjusted model, the risk for problems with opening the mouth remained significantly increased (odds ratio [OR] = 3.20; 95% confidence interval [CI] = 1.18-8.63). For survivors who lived alone, the adjusted ORs were significantly increased for physical functioning (2.17; 95% CI = 1.01-4.68) and trouble with social eating (OR = 2.26; 95% CI = 1.14-4.47). Conclusion Self-reported severe late symptoms were more prevalent in survivors with short education and in those living alone, suggesting differences in perception of late symptoms between social groups.
U2 - 10.1002/hed.24306
DO - 10.1002/hed.24306
M3 - Journal article
C2 - 26613661
SN - 1043-3074
VL - 38
SP - E1713-E1721
JO - Head & Neck (Print Edition)
JF - Head & Neck (Print Edition)
IS - S1
ER -