Quality of life assessment after microvascular head and neck reconstruction: a systematic review of available tools
- Abstract:
- In this study, we aimed to appraise the quality and psychometric properties of quality of life (QOL) assessment tools used after microsurgical reconstruction for head and neck cancers. A systematic review of QOL assessment tools used in head and neck cancer patients after microsurgical reconstruction was performed; emphasis was placed on psychometric properties and validity. Fifty-four studies published between January 2010 and February 2023 fulfilled the criteria; in these, twenty-three different QOL assessment tools were identified. The most commonly used instrument was the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck version (EORTC-H&N). No assessment tool fulfilled all the quality criteria; no single tool presented evidence from all the components of validity. Almost all reported reliability coefficients were above 0.7; most papers reported an internal consistency coefficient (Cronbach's alpha) for the global score. The array of available tools allows for the choice of the most appropriate one depending on the context faced by the clinician or researcher.
- DOI:
- 10.1016/j.bjoms.2023.10.022
- Journal:
- Br J Oral Maxillofac Surg
- issn:
- 0266-4356
- Publication year:
- 2024
- pages:
- 23-29
- Overall quality of life:
- Overall quality of life
- Age:
- Adults (18-65)
Seniors (65+) - Disease:
- Neoplasms and related symptoms
- PRO / non-PRO:
- Patient Reported Outcome
- Type of measurement instrument:
- 1 - Questionnaires
- Instrument:
- 15D - 15 Dimensional Health-Related Quality Of Life Measure
BIS - Body Image Scale (versions: mBIS; BIS adapted; BIS-R)
DAS - Derriford Appearance Scale (versions: DAS-24; DAS-59; DAS-SF)
EAT-10 - Eating Assessment Tool
EORTC QLQ-C30 - European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Core-30 item (versions: EORTC QLQ-C24; EORTC QLQ-C30-v1; EORTC QLQ-C30-v2; EORTC QLQ-C30v3) | 
EORTC QLQ-H&N35 - European Organization for Research and Treatment of Cancer Quality of Life Questionnaires Head & Neck 35 (versions: EORTC QLQ-H&N43)
EQ-5D-5L - euroQoL 5-dimension 5-level
FACE-Q (evaluates outcomes from facial cosmetic procedures) (versions: FACE-Q Skin Ca; FACE-Q RM - Rhinoplasty Module; FACE-Q HN - FACE-Q Head and Neck Ca)
FACT-H&N - Functional Assessment of Cancer Therapy-Head and Neck
FADI - Foot and Ankle Disability Index (versions: FADI-Sport)
GOHAI - Geriatric Oral Health Assessment Index/General OHAI
LEFS - Lower Extremity Function Scale
MDADI - MD Anderson Dysphagia Inventory (versions: MiniDADI)
MHI - Mental Health Index (versions: MHI5)
OHIP - Oral Health Impact Profile (versions: OHIP-49; OHIP-14; Modified OHIP-14; OHIP-20; OHIP-G - German; OHIP-G5; OHIP-G21; OHIP-OFP - OHIP-Oro Facial Pain; OHIP-EDENT - OHIP assessing edentulous)
Performance Status Scale for Head & Neck Cancer Patients
POSAS - Patient and Observer Scar Assessment Scale (versions: mPOSAS) |
SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: MOS SF-36]] (versions: VSF-36 LoA - Visual Version of the SF-36 Limitations of Physical Activities domain; VR-36 - Veterans SF-36) | | also see: database.cosmin.nl
SHI - Speech Handicap Index
SWAL-QOL - Swallowing Quality of Life Questionnaire
UW-QoL - University of Washington Quality of Life Questionnaire (versions: UW-QoL-RTOG Modification)