Cargando…

Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM

Patients with cancer deal with problems related to physical, psychological, social, and emotional functions. The aim was to investigate malnutrition defined by the Global Leadership Initiative on Malnutrition (GLIM) criteria in relation to health-related quality of life, anxiety, and depression in p...

Descripción completa

Detalles Bibliográficos
Autores principales: Ehrsson, Ylva Tiblom, Fransson, Per, Einarsson, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8066581/
https://www.ncbi.nlm.nih.gov/pubmed/33916049
http://dx.doi.org/10.3390/nu13041167
_version_ 1783682602474930176
author Ehrsson, Ylva Tiblom
Fransson, Per
Einarsson, Sandra
author_facet Ehrsson, Ylva Tiblom
Fransson, Per
Einarsson, Sandra
author_sort Ehrsson, Ylva Tiblom
collection PubMed
description Patients with cancer deal with problems related to physical, psychological, social, and emotional functions. The aim was to investigate malnutrition defined by the Global Leadership Initiative on Malnutrition (GLIM) criteria in relation to health-related quality of life, anxiety, and depression in patients with head and neck cancer. This was a prospective observational research study with 273 patients followed at the start of treatment, seven weeks, and one year. Data collection included nutritional status and support, and the questionnaires: European Organization for Research and Treatment of Cancer Head and neck cancer module (EORTC QLQ-H&N35) and the Hospital Anxiety and Depression Scale (HADS). Malnutrition was defined using the GLIM criteria. The study showed that patients with malnutrition had significantly greater deterioration in their health-related quality of life at seven weeks. On a group level, health-related quality of life was most severe at this time point and some scores still implied problems at one year. Significantly, more patients reported anxiety at the start of treatment whereas significantly more patients reported depression at seven weeks. Over the trajectory of care, the need for support often varies. Psychosocial support is imperative and at the end of treatment extra focus should be put on nutritional interventions and managing treatment-related symptoms to improve nutritional status and health-related quality of life. In the long-term, head and neck cancer survivors need help to find strategies to cope with the remaining sequel.
format Online
Article
Text
id pubmed-8066581
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-80665812021-04-25 Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM Ehrsson, Ylva Tiblom Fransson, Per Einarsson, Sandra Nutrients Article Patients with cancer deal with problems related to physical, psychological, social, and emotional functions. The aim was to investigate malnutrition defined by the Global Leadership Initiative on Malnutrition (GLIM) criteria in relation to health-related quality of life, anxiety, and depression in patients with head and neck cancer. This was a prospective observational research study with 273 patients followed at the start of treatment, seven weeks, and one year. Data collection included nutritional status and support, and the questionnaires: European Organization for Research and Treatment of Cancer Head and neck cancer module (EORTC QLQ-H&N35) and the Hospital Anxiety and Depression Scale (HADS). Malnutrition was defined using the GLIM criteria. The study showed that patients with malnutrition had significantly greater deterioration in their health-related quality of life at seven weeks. On a group level, health-related quality of life was most severe at this time point and some scores still implied problems at one year. Significantly, more patients reported anxiety at the start of treatment whereas significantly more patients reported depression at seven weeks. Over the trajectory of care, the need for support often varies. Psychosocial support is imperative and at the end of treatment extra focus should be put on nutritional interventions and managing treatment-related symptoms to improve nutritional status and health-related quality of life. In the long-term, head and neck cancer survivors need help to find strategies to cope with the remaining sequel. MDPI 2021-04-01 /pmc/articles/PMC8066581/ /pubmed/33916049 http://dx.doi.org/10.3390/nu13041167 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ehrsson, Ylva Tiblom
Fransson, Per
Einarsson, Sandra
Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM
title Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM
title_full Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM
title_fullStr Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM
title_full_unstemmed Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM
title_short Mapping Health-Related Quality of Life, Anxiety, and Depression in Patients with Head and Neck Cancer Diagnosed with Malnutrition Defined by GLIM
title_sort mapping health-related quality of life, anxiety, and depression in patients with head and neck cancer diagnosed with malnutrition defined by glim
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8066581/
https://www.ncbi.nlm.nih.gov/pubmed/33916049
http://dx.doi.org/10.3390/nu13041167
work_keys_str_mv AT ehrssonylvatiblom mappinghealthrelatedqualityoflifeanxietyanddepressioninpatientswithheadandneckcancerdiagnosedwithmalnutritiondefinedbyglim
AT franssonper mappinghealthrelatedqualityoflifeanxietyanddepressioninpatientswithheadandneckcancerdiagnosedwithmalnutritiondefinedbyglim
AT einarssonsandra mappinghealthrelatedqualityoflifeanxietyanddepressioninpatientswithheadandneckcancerdiagnosedwithmalnutritiondefinedbyglim