Abstract:
OBJECTIVE:We aimed to compare frailty status between patients with head and neck cancer (HNC) and other solid malignancies. METHODS:Data collection was prospective, and the following were compared between cohorts at baseline: patient and tumour characteristics, Charlson Comorbidity Index (CCI), Groningen Frailty Indicator (GFI), Mini Mental State Examination (MMSE), Activities of Daily Living (ADLs), Instrumental ADLs (IADLs), Timed Up and Go (TUG) and Quality of Life (QoL). Univariate and multivariate logistic regression analyses were performed, and odds ratios (ORs) with their 95% confidence intervals (95% CIs) were estimated. RESULTS:In total, 242 patients with HNC and 180 with other oncology diagnoses were enrolled, of whom 32.6% and 21.8% were frail according to the GFI respectively. Comorbidity scores were not significantly different between the cohorts (7.4% vs. 13.1%; OR 0.54; 95% CI 0.28-1.02). In the univariate analysis, the GFI was significantly worse in the HNC cohort (OR 1.74; 95% CI 1.11-2.71). However, in the multivariate analysis, the MMSE, TUG and global QoL were significantly worse in the HNC cohort, with ORs of 20.03 (95% CI 2.44-164.31), 11.56 (95% CI 1.86-71.68) and 0.98 (95% CI 0.97-1.00) respectively. CONCLUSION:Patients with HNC appear to be frailer than patients with other solid malignancies despite comparable levels of comorbidity.
journal_name
Eur J Cancer Care (Engl)journal_title
European journal of cancer careauthors
Bras L,Driessen DAJJ,de Vries J,Festen S,van der Laan BFAM,van Leeuwen BL,de Bock GH,Halmos GBdoi
10.1111/ecc.13170subject
Has Abstractpub_date
2020-01-01 00:00:00pages
e13170issue
1eissn
0961-5423issn
1365-2354journal_volume
29pub_type
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