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The role of family caregiver in the head and neck cancer: Psychological distress and quality of life evaluation.
J Clin Oncol 30, 2012 (suppl; abstr 5546)
Abstracts that were granted an exception in accordance with ASCO's Conflict of Interest Policy are designated with a caret symbol (^).
Background: The family caregiver (FCG) has become a hot topic. This figure among head and neck cancer patients is still largely un-investigated; aim of our study was: 1) to describe in a more detailed way the role of FCG, 2) to evaluate quality of life (QoL) and psychological distress of FCGs and patients 3) to investigate relationships between FCG’s wellbeing and patient’s QoL and emotional pattern. Methods: Sixty couples of patients and their caregivers were enrolled in this observational cross-sectional study between April 2007 and May 2011 at 1st ENT Division, 2th Medical Oncology Division and 2th Radiotherapy Division of San Giovanni Battista Hospital of Turin. Inclusion criteria were: diagnosis of SCC, advanced stage (III-IV), completion of curative treatment and no evidence of disease at the enrolment. Psycho-oncological assessment was performed using: Distress Thermometer (DT), Stay-Trait Anxiety Inventory Manual in Y1 and Y2 form (STAI Y1-Y2), Beck Depression Inventory (BDI) and Montgomery-Asberg Depression Rating Scale (MDRS), EORTC-QLQ-C30 and Head and Neck-35 module and Caregiver Quality of Life Index-Cancer (CQOLC). Results: Patients: state and trait anxiety are 46,7% (STAI Y1 mean value 40,2±10,2; cut-off 40) and 36,7% (STAI Y2 mean value 36,7±8,2; cut off 40) respectively; self reported and clinician rated depression are 31,6% (BDI mean value 8,2±5,3; cut-off 9) and 48,3% (MDRS mean value 7,9±5,9; cut-off 6) respectively.CGs: state and trait anxiety are 50% (STAI Y1 mean value 42,5±9,9; cut-off 40) and 41,7% (STAI Y2 mean value 39,1±8,7; cut off 40) respectively; self reported and clinician rated depression are 28.3% (BDI mean value 7,3±4,7; cut-off 9) and 41.7% (MDRS mean value 7,6±5,8; cut-off 6) respectively.Data analysis underlined a positive association among emotional scales of patients and caregivers. Patients’ psychological aspects are negatively associated with caregivers’ QoL and vice versa. Conclusions: Anxiety and depression are often present in FCGs and cured HNC patients. Long term patient's QoL is the result of a frail balance between FCG and patiet emotional and psychological distress. A psychological support for FCG could improve patient well-being.
Abstracts by Mario Airoldi:
Psychophysical functioning and quality of life in 94 patients affected by oropharyngeal cancer and treated with different therapeutic approaches.
Resectable central nervous system (CNS) metastases from colorectal cancer (CRC): Patient characteristics, outcome, and molecular correlations between primary tumor and metastases.
The results of first-line chemotherapy in 108 patients affected by recurrent or metastatic salivary gland malignacies (RMSGM).
Presentations by Mario Airoldi:
A comparison between surgery plus radiotherapy and exclusive chemoradiation therapy regimes in oral and oropharyngeal cancer: Long-term functional and psychological impact.Session: Head and Neck Cancer (General Poster Session)