口腔癌患者における quality of life (QOL) の判定に関する新しい試み

概要

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We tried a new measurement of QOL in oral carcinomas by evaluating patients' answers to a questionnaire regarding the disturbances which were induced by cancer treatments. The questionnaire was composed of such items as taste, salivation, mastication, swallowing, speech, pain, movements, palsy, deformity, performance status, information of the disease, mental disturbance and satisfactory treatment of the disease. In each impairment, scoring was made corresponding to the severity. As the results, the followings were obtained: first, the highest score was in mouth floor carcinomas, and gingival, tongue and buccal carcinomas followed in this order. Second, impairment scores were correlated with T stages, and unsuccessful cases showed high disability scores. Third, there was a clear correlation between the result of social (domestic) performance status by the usual 5-step evaluation and the impaired degrees determined by the score. Further, it was clarified that many patients had hoped to be more satisfactorily informed of the oral condition and the name of the disease. These results indicate that objective measuring of QOL can be made by expressing the impairment degrees with appropriate scores, and both the device of not destructive treatments and reasonable information of the disease condition are needed for obtaining satisfactory QOL in oral malignancies.
社団法人日本口腔外科学会の論文