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Background <p>Neck dissection (ND) is a common surgical procedure in the treatment of the head and neck cancer (HNC). The present study focused on patients’ psychosocial well-being and quality of life (QoL) after ND.</p> Methods <p>A cohort of 63 (54.3%) of the 116 eligible patients answered the QoL questionnaires at average 4.5&#xa0;years from the operation. RAND 36-item Health Survey (RAND-36), EORTC QLQ-C30, EORTC-QLQ-H&amp;N35, Beck Depression Inventory (BDI) and Short version of Pain Anxiety Symptoms Scale (PASS20) were used in assessment. QoL was considered poor if at least one RAND-36 dimension was scored below 2SDs from age-adjusted reference values.</p> Results <p>A total of 23 respondents had poor QoL according to RAND-36 scores. Age, chronic comorbidities, postoperative complications or other adverse events during the postoperative phase had no effect on QoL. Respondents with poor QoL had significantly higher scores on BDI (17.0 (8.8) vs 5.5 (12.5), P &lt; 0.001) and PASS20 assessments (29.5 (19.3) vs 15.2 (16.2), P = 0.004).</p> Conclusion <p>Poor QoL after ND was related primarily to psychosocial factors and mental well-being. Chronic comorbidities or operation-related factors did not have impact on the QoL.</p>

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Poor Quality of life After Neck Dissection is Associated with Depressive Symptoms Instead of Cancer or Operation-Related Factors

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月8日

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  • Krisztina Molnár,
  • Sanni Käkilehto,
  • Sanna Lahtinen,
  • Nurkkala Juho,
  • Petri Koivunen,
  • Janne Liisanantti

摘要

Background

Neck dissection (ND) is a common surgical procedure in the treatment of the head and neck cancer (HNC). The present study focused on patients’ psychosocial well-being and quality of life (QoL) after ND.

Methods

A cohort of 63 (54.3%) of the 116 eligible patients answered the QoL questionnaires at average 4.5 years from the operation. RAND 36-item Health Survey (RAND-36), EORTC QLQ-C30, EORTC-QLQ-H&N35, Beck Depression Inventory (BDI) and Short version of Pain Anxiety Symptoms Scale (PASS20) were used in assessment. QoL was considered poor if at least one RAND-36 dimension was scored below 2SDs from age-adjusted reference values.

Results

A total of 23 respondents had poor QoL according to RAND-36 scores. Age, chronic comorbidities, postoperative complications or other adverse events during the postoperative phase had no effect on QoL. Respondents with poor QoL had significantly higher scores on BDI (17.0 (8.8) vs 5.5 (12.5), P < 0.001) and PASS20 assessments (29.5 (19.3) vs 15.2 (16.2), P = 0.004).

Conclusion

Poor QoL after ND was related primarily to psychosocial factors and mental well-being. Chronic comorbidities or operation-related factors did not have impact on the QoL.