Human papillomavirus-positive oral cavity and oropharyngeal cancer patients do not have better quality-of-life trajectories

Arun Sharma, Eduardo Méndez, Bevan Yueh, Pawadee Lohavanichbutr, John Houck, David R. Doody, Neal D. Futran, Melissa P. Upton, Stephen M. Schwartz, Chu Chen

Research output: Contribution to journalArticlepeer-review

49 Scopus citations

Abstract

Objective. To determine the role of human papillomavirus (HPV) status on quality of life (QOL) in patients with oral cavity and oropharyngeal squamous cell carcinoma (OSCC). Since OSCC that are associated with high-risk HPV have an improved response to treatment and survival, we hypothesized that patients with these tumors would have better QOL trajectories.Study Design. Prospective cohort study.Setting. Tertiary care academic medical center and 2 affiliated hospitals.Subjects and Methods. Head and neck-specific QOL was determined using the University of Washington Quality of Life scale version 4 in patients with newly diagnosed invasive OSSC (N = 228).Results. Pretreatment QOL was higher in patients with high-risk HPV-associated tumors compared with patients with HPV-negative or low-risk HPV-associated tumors (P =.015). Patients with high-risk HPV-associated tumors had larger decreases in QOL from pretreatment to immediate posttreatment compared with patients with HPV-negative or low-risk HPV-associated tumors (P =.041). There was no association between HPV status and 1-year posttreatment QOL.Conclusion. Among OSCC patients, high-risk HPV-associated tumors were associated with higher pretreatment QOL and a larger decrease in QOL from pretreatment to immediate posttreatment, suggesting that treatment intensity in this unique population may adversely affect QOL.

Original languageEnglish (US)
Pages (from-to)739-745
Number of pages7
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume146
Issue number5
DOIs
StatePublished - May 2012

Keywords

  • epidemiology/outcomes research
  • head and neck cancer
  • head and neck surgery
  • human papillomavirus
  • oropharyngeal squamous cell carcinoma
  • quality of life

Fingerprint Dive into the research topics of 'Human papillomavirus-positive oral cavity and oropharyngeal cancer patients do not have better quality-of-life trajectories'. Together they form a unique fingerprint.

Cite this