Table 3.
Effect of neck dissection type on quality of life outcome measures for entire group (N=105)
| No neck surgery (N=56) | Nerve sparing (N=33) | Nerve sacrifice (N=16) | p-value (among all groups) | p-value (between surgery groups) | ||
|---|---|---|---|---|---|---|
| UWQOL mean score (SD) | Pain | 1.57 (0.97) | 1.70 (0.73) | 1.88 (0.62) | .44 | .40 |
| Disfigurement | 1.60 (0.71) | 2.12 (0.60) | 2.38 (0.72) | <.0001* | .20 | |
| Activity | 1.70 (0.83) | 2.12 (0.82) | 2.19 (0.83) | .03* | .79 | |
| Recreation/ Entertainment | 1.68 (0.61) | 1.94 (0.79) | 2.13 (0.62) | .04* | .41 | |
| Employment | 3.43 (1.80) | 4.03 (1.62) | 4.44 (1.36) | .07 | .39 | |
| Chewing | 1.41 (0.56) | 1.58 (0.66) | 1.63 (0.72) | .32 | .81 | |
| Swallowing | 1.61 (0.65) | 1.79 (0.93) | 1.81 (0.54) | .42 | .92 | |
| Speech | 1.58 (0.63) | 1.88 (0.82) | 2.00 (0.63) | .045* | .61 | |
| Shoulder Disability | 1.41 (0.63) | 1.85 (0.76) | 2.38 (0.81) | <.0001* | .03* | |
| PSS-HN mean score (SD) | Eating in public | 88.64 (21.95) | 75.76 (31.55) | 75.00 (24.15) | .04* | .93 |
| Understandability of Speech | 82.40 (20.86) | 73.48 (23.33) | 70.31 (22.76) | .07 | .66 | |
| Normalcy of Diet | 83.15 (26.05) | 77.58 (30.11) | 76.25 (22.17) | .52 | .88 | |
| FACT mean score (SD) | Physical | 25.09 (3.55) | 24.94 (3.05) | 23.81 (3.95) | .43 | .28 |
| Social /Family | 24.70 (4.02) | 23.21 (4.35) | 23.51 (5.44) | .27 | .84 | |
| Emotional | 21.80 (2.43) | 22.00 (2.38) | 19.94 (4.99) | .05 | .05 | |
| Functional | 24.95 (4.13) | 22.61 (5.12) | 21.50 (5.87) | .01* | .50 | |
| FACT-HN mean score (SD) | Additional Concerns | 27.10 (6.68) | 24.67 (6.60) | 22.63 (6.93) | .04* | .32 |
| ADL mean score | Activities of Daily Living | 1.13 | 1.26 | 1.48 | NS | .0001* |
UWQOL = University of Washington Quality of Life scale; PSS-HN = Performance Status Scale for Head and Neck; FACT = Functional Assessment of Cancer Treatment; FACT-HN = Functional Assessment of Cancer Therapy Additional Concerns for Head and Neck; ADL = Activities of Daily Living; SD = standard deviation.
*
p<.05