Purpose: Quality of life is a critical aspect in the management of older head and neck cancer patients. It needs to be considered alongside survival benefit, treatment burden, and longer-term outcomes. The purpose was to undertake a systematic review of empirical peer-reviewed studies with a primary focus on factors impacting quality of life for older head and neck cancer patients.
Methods: A systematic review, searching 5 electronic databases (PsychoINFO, MEDLINE, CINHAL, Embase, and Scopus) using PRISMA methodology was conducted. Data was appraised using the Newcastle-Ottawa scale and a narrative synthesis performed.
Results: Only 10 papers fulfilled the inclusion criteria. Two main themes emerged: 1) Impact of head and neck cancer on quality of life domains and 2) quality of life in treatment decision-making.
Conclusions: In an era of progressive personalised care, there is an evident need for more qualitative and quantitative studies focusing on quality of life for older head and neck cancer patients. However, older head and neck cancer patients experience notable differences, especially with poorer physical functioning and greater eating and drinking challenges. Quality of life impacts older patients decision-making, treatment planning and intensifies post-treatment support.
|Number of pages||10|
|Journal||European Journal of Oncology Nursing|
|Early online date||15 Feb 2023|
|Publication status||Published (in print/issue) - 30 Apr 2023|
Bibliographical noteFunding Information:
This work was supported by The Swedish Cancer Society [grant numbers 2018/502 and 2021/0371 ]; The Kamprad Family Foundation for Entrepreneurship, Research & Charity [grant numbers 20150003 ]; The P.O. Zetterling Foundation ; The Erik, Karin, Gösta Selander Foundation ; and The Geriatric Foundation, Uppsala University .
- Systematic review
- Head and neck cancer
- Quality of life