A dohányzás hatása a fej-nyak régió daganata miatt sebészi terápiában részesült betegek
protetikai rehabilitációt követő életminőség-javulására = The effect of smoking on
the quality of life enhancement following prosthetic rehabilitation in head and neck
cancer patients who underwent surgical treatment
INTRODUCTION: It is known that the quality of life (QoL) of patients surgically treated
for head and neck cancer (HNC) is significantly enhanced by rehabilitation. It is
also known that some of these patients will not quit smoking. AIM: To assess if smoking
hampers rehabilitation-related QoL enhancement after surgery. METHOD: Applying the
H&N 35 questionnaire of EORTC, we assessed the QoL of 38 smoking and non-smoking patients
who underwent surgical therapy for HNC and subsequent rehabilitation. QoL was assessed
after surgery (after the healing period) and 6 months after rehabilitation. RESULTS:
While the QoL enhancement of nonsmokers was significant in almost all aspects, that
of smoking patients did not reach the level of significance on a number of scales.
The results suggest that smoking does not hamper rehabilitation directly, rather,
it prevents rehabilitation from exerting its beneficial effects through its own effects.
CONCLUSIONS: Smoking is a factor that measurably acts against the efforts to enhance
the QoL of the surgically treated HNC patient. Therefore, it is essential that emphasis
is put on smoking cessation right from the cancer diagnosis also for this reason.
Orv. Hetil., 2017, 158(5), 172-177.