Quality of life in dysphagia and functional performance of cancer patients.
deglutition disorders; quality of life; palliative care; medical oncology; neoplasms;
functional status.
Objective: To correlate functional performance and the impact of dysphagia on the quality of life of cancer patients. Method: Article 1) Cross-sectional and analytical study that aimed to correlate the functional performance and impact of dysphagia on the quality of life of cancer patients in palliative care. Article 2) A cross-sectional, analytical study that aimed to compare the impact of dysphagia on the quality of life and functional performance of cancer patients with different tumor sites. Descriptive methods were used to analyze the data from the two articles for categorical variables, while measures of central tendency, mean and standard deviation were calculated for quantitative variables. Pearson's test was used to correlate the scores of the test instruments in the first article, where the variables were normal, while Spearman's correlation was used in the second article due to the non-normality of the variables, and Mann- Whitney was used to compare the means of the groups, with a significance level of 5%. Results of the first article: 39 patients took part, 29 from the outpatient clinic and 10 from the ward. A positive and moderate correlation was identified between the results of the M. D. Anderson Dysphagia Questionnaire (MDADI) and the level of functionality according to the Palliative Performance Scale (PPS) in outpatients. It was concluded that cancer patients at the palliative care outpatient clinic showed a correlation between functional performance and the impact of dysphagia on quality of life. Results of the second article: four patients with head and neck cancer (HNC) and eight with non-localized head and neck cancer (NSCLC) participated. A statistically significant difference was found between the two groups for the MDADI and the global and physical domains, while no difference was found between the groups for the PPS scale. It is concluded that there was a different perception of dysphagia in each group and that in this study, the determining factor for the severity of the perception of dysphagia was the location of the tumor, rather than functionality.