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Quality of life after total laryngectomy: evaluating the effect of socioeconomic status

Published online by Cambridge University Press:  18 February 2019

A J Scott ,
J K McGuire ,
K Manning ,
L Leach  and
J J Fagan
A J Scott*
Affiliation:
Department of Surgery, Paarl Hospital, South Africa
J K McGuire
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, University of Cape Town, South Africa
K Manning
Affiliation:
Department of Surgery, University of Cape Town, South Africa
L Leach
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, University of Cape Town, South Africa
J J Fagan
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, University of Cape Town, South Africa
*
Author for correspondence: Dr Alex J Scott, Department of Surgery, Paarl Hospital, Paarl 7646, South Africa E-mail: [email protected]
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Abstract

Objective

Total laryngectomy is considered the primary treatment modality for advanced laryngeal carcinoma. This study assessed the quality of life in patients after total laryngectomy, and ascertained whether quality of life is affected by socioeconomic status.

Method

Forty-seven patients (20 state- and 27 private-sector) who underwent total laryngectomy between 1998 and 2014 responded to the University of Washington Quality of Life Questionnaire, the Voice-Related Quality of Life Questionnaire and the Brief Illness Perception Questionnaire.

Results

Significant differences were found in socioeconomic status between state- and private-sector patients (p < 0.001). There was no significant difference in overall quality of life between groups (p = 0.210). State-sector patients scored significantly higher Voice-Related Quality of Life Questionnaire scores (p = 0.043). Perception of illness did not differ significantly between groups.

Conclusion

Overall quality of life after total laryngectomy appears to be similar in patients from different socioeconomic backgrounds. However, patients from lower socioeconomic circumstances have better voice-related quality of life. The results illustrate the importance of including socioeconomic status when reporting voice outcomes in total laryngectomy patients.

Keywords

Quality Of LifeLaryngectomySocioeconomic FactorsSurveys And Questionnaires
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 2 , February 2019 , pp. 129 - 134
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr A J Scott takes responsibility for the integrity of the content of the paper

Presented at the International Federation of ORL Societies (‘IFOS’) ENT World Congress, 24–28 June 2017, Paris, France, and the South African ENT Society Congress, 3–6 November 2017, Port Elizabeth, South Africa.

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