Back to Search
Start Over
Body Image Disturbance in Surgically Treated Head and Neck Cancer Patients: A Prospective Cohort Pilot Study.
- Source :
-
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2019 Jul; Vol. 161 (1), pp. 105-110. Date of Electronic Publication: 2019 Mar 12. - Publication Year :
- 2019
-
Abstract
- This prospective cohort pilot study sought to characterize the short-term temporal trajectory of, and risk factors for, body image disturbance (BID) in patients with head and neck cancer (HNC). Most patients were male (35/56), had oral cavity cancer (33/56), and underwent microvascular reconstruction (37/56). Using the Body Image Scale (BIS), a validated patient-reported outcome measure of BID, the prevalence of BID (BIS ≥10) increased from 11% preoperatively to 25% at 1 month postoperatively and 27% at 3 months posttreatment ( P < .001 and P = .0014 relative to baseline, respectively). Risk factors for BID included female sex (odds ratio [OR], 4.8; 95% confidence interval [CI], 1.3-19.8), pT 3 to 4 tumors (OR, 8.9; 95% CI, 2.0-63.7), and more severe baseline shame and stigma (OR, 1.06; 95% CI, 1.01-1.13), depression (OR, 1.25; 95% CI, 1.06-1.51), and social isolation (OR, 1.21; 95% CI, 1.01-1.49). The prevalence and severity of BID increase immediately posttreatment. Demographic, oncologic, and psychosocial characteristics identify high-risk patients for targeted interventions.
- Subjects :
- Body Image psychology
Depression psychology
Female
Humans
Male
Patient Reported Outcome Measures
Pilot Projects
Prospective Studies
Quality of Life psychology
Plastic Surgery Procedures
Risk Factors
Social Isolation psychology
South Carolina
Head and Neck Neoplasms psychology
Head and Neck Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6817
- Volume :
- 161
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 30857488
- Full Text :
- https://doi.org/10.1177/0194599819835534