title: Quality of life following total laryngectomy: assessment using the UW-QOL scale.
abstract: OBJECTIVE
  To determine the quality of life (QOL) in patients using valved speech following total laryngectomy with a validated patient self-report scale.
  
  
  METHODS
  Cross-sectional cohort study.
  
  
  METHODS
  63 patients following total laryngectomy using valved speech.
  
  
  METHODS
  University of Washington Quality of Life (UW-QOL) questionnaire.
  
  
  METHODS
  Patient perception of the QOL over the last 7 days following total laryngectomy in response to specific questions and correlated with sociodemographic and treatment factors.
  
  
  RESULTS
  Responses were received from 44 males and 11 females (response rate: 87.3%) with a median age of 66 years (range: 40-84). The mean (SD) composite score of the QOL in our series of patients with total laryngectomy was 81.3 (10.9). As regards the overall QOL, 80% of our patients cited it as very good (45.5%) to good (34.5%). Patients identified speech, appearance, and activity as the most important issues following total laryngectomy. Only age and pharyngo-oesophageal segment closure were significant predictors of QOL scores (Student t test, p < 0.05) and not other demographic and treatment variables.
  
  
  CONCLUSIONS
  The composite score and overall QOL were high in our series of total laryngectomy patients and this possibly reflects adequate multidisciplinary management. We strongly urge the use of prospective longitudinal studies that will adequately identify any QOL changes over time. Although the UW-QOL questionnaire is a simple and brief scale, it has limitations that can curtail its effective use in laryngectomy patients and we advise supplementing it with the use of domain-specific questionnaires.
authors.affiliation: Head and Neck Unit, Royal Marsden Hospital, London, UK. rehan.kazi@rmh.nhs.uk
authors.forename: R
authors.initials: R
authors.lastname: Kazi
authors.forename: J
authors.initials: J
authors.lastname: De Cordova
authors.forename: J
authors.initials: J
authors.lastname: Kanagalingam
authors.forename: R
authors.initials: R
authors.lastname: Venkitaraman
authors.forename: C M
authors.initials: CM
authors.lastname: Nutting
authors.forename: P
authors.initials: P
authors.lastname: Clarke
authors.forename: P
authors.initials: P
authors.lastname: Rhys-Evans
authors.forename: K J
authors.initials: KJ
authors.lastname: Harrington
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires