Health scores after 1 year may predict survival in head and neck cancer patients
Source: www.eurekalert.org Author: staff Changes in patients' physical health status during the year after being diagnosed with head and neck cancer appear to predict survival at five years, according to a report in the September issue of Archives of Otolaryngology–Head & Neck Surgery, one of the JAMA/Archives journals. The TNM staging system for cancer (based on the tumor, involvement of lymph nodes and any distant spread) is effective in predicting whether cancer patients will die of their disease, according to background information in the article. However, it considers only factors directly related to cancer and not information about other medical conditions or the patient's overall health status. "These factors may have a meaningful effect on the management of patients with head and neck cancer from the initial assessment through treatment selection and management of complications," the authors write. Mark J. Jameson, M.D., Ph.D., then of the University of Iowa College of Medicine, Iowa City, and now of the University of Virginia Health System, Charlottesville, and colleagues studied 403 patients (64 percent men, average age 58.7) who were diagnosed with head and neck cancer between 1995 and 2005. Participants completed general physical health assessments when they were diagnosed and again three, six, nine and 12 months later and then were followed up for five years. Among all patients, scores on the health assessments decreased between diagnosis and the three-month point. Those who died during the second or third year exhibited no recovery in their scores, while those who died within the [...]