Utility approach to decision-making in extended T1 and limited T2 glottic carcinoma
Background: It is still undecided if endoscopic laser surgery or radiotherapy is the preferable treatment in extended T1 and limited T2 glottic tumors. Health utilities assessed from patients can aid in decision-making. Methods: Patients treated for extended T1 or limited T2 glottic carcinoma by laser surgery (n = 12) or radiotherapy (n = 14) assigned health utilities using a visual analog scale (VAS), time tradeoff (TTO) technique and scored their voice handicap using the Voice Handicap Index (VHI). Results: VAS and TTO scores were slightly lower for the laser group compared to the radiotherapy group, however, not significantly so. The VHI showed a correlation with the VAS score, which was very low in both groups and can be considered (near) normal. Conclusion: Patients show no clear preference for the outcomes of laser surgery or radiotherapy from a quality of life (QOL) or voice handicap point of view. These data can now be incorporated into decision-making models.
|Keywords||decision making, glottic cancer, laser surgery, radiotherapy, utility|
|Persistent URL||dx.doi.org/10.1002/hed.24689, hdl.handle.net/1765/108132|
|Journal||Head & Neck: journal for the sciences and specialities of the head and neck|
van Loon, Y. (Yda), Stiggelbout, A.M, Hakkesteegt, M.M, Langeveld, T.P.M, de Jong, R.J.B, & Sjögren, E.V. (2017). Utility approach to decision-making in extended T1 and limited T2 glottic carcinoma. Head & Neck: journal for the sciences and specialities of the head and neck, 39(4), 779–785. doi:10.1002/hed.24689