title: Early and late physical and psychosocial effects of primary surgery in patients with oral and oropharyngeal cancers: a systematic review.
abstract: The purpose of this systematic review is to explore early and late physical and psychosocial effects of primary surgery for oral and oropharyngeal cancers and to investigate the factors that influence these effects. PubMed, Cinahl, and PsycInfo were searched for studies concerning patients diagnosed with oral and oropharyngeal cancers and treated with primary surgery and which followed the treatment trajectory from time of diagnosis to 10 years after surgery; these studies reported the quantitative assessments and qualitative experiences of the patient's physical and psychosocial well-being. Of the 438 articles accessed, 20 qualified for inclusion, of which 16 and 4 were quantitative and qualitative articles, respectively, and mainly quality-of-life assessments. Time of measurement ranged from time of diagnosis to 9 years after the surgical procedure. The total number of patients included in this review was 3386; of these, 1996 were treated by surgery alone and 1390 with combined surgery and adjuvant radiation therapy and/or chemotherapy. The studies showed that because of the nature of their disease, patients are negatively affected by the different types of surgical treatment for oral and oropharyngeal cancers, with both early and late interrelated effects, and by the side effects of adjuvant therapy.
authors.affiliation: Department of Otorhinolaryngology and Audiology, Head and Neck Surgery, Copenhagen University Hospital, Copenhagen, Denmark. Electronic address: annelise.mortensen.01@regionh.dk.
authors.forename: Annelise
authors.initials: A
authors.lastname: Mortensen
authors.affiliation: University Hospitals Center for Health Research, Copenhagen University Hospital and University of Copenhagen, Denmark.
authors.forename: Mary
authors.initials: M
authors.lastname: Jarden
mesh_terms: D003131:Combined Modality Therapy; D006801:Humans; D009062:Mouth Neoplasms / Q000523:psychology* / Q000601:surgery* / Q000628:therapy; D009959:Oropharyngeal Neoplasms / Q000523:psychology* / Q000601:surgery* / Q000628:therapy; D016896:Treatment Outcome