Comparison of quality of life outcomes in a de-intensification treatment regimen for p16 + oropharyngeal cancer

Background Platinum and taxane-based neoadjuvant chemotherapy with surgery (NAC + S) is a novel de-intensified treatment modality that is currently under investigation. Methods All patients treated for HPV positive OPSCC with NAC + S at a single institution between 2006 and 2020 were contacted to co...
Ausführliche Beschreibung

Background Platinum and taxane-based neoadjuvant chemotherapy with surgery (NAC + S) is a novel de-intensified treatment modality that is currently under investigation. Methods All patients treated for HPV positive OPSCC with NAC + S at a single institution between 2006 and 2020 were contacted to complete the University of Washington Quality of life questionnaire (UW-QOL) at least 2 years following the completion of treatment. Results The UW-QOL surveys were received from 25 of 48 eligible patients (52.1%). The mean follow-up time was 4.3 years (range 2.0–7.6 years). The overall mean score for the physical subscale was 92.4 (Standard deviation, SD = 10.9), and the social-emotional subscale was 91.1 (11.8). Compared to the normative cohort, the NAC + S cohort had a worse appearance (Mean scores Normative vs. NAC + S: 93 vs. 84.0, p = 0.009). Conclusion NAC + S offers favorable long-term QOL, as evidenced by near-normal scores in most QOL domains. Ausführliche Beschreibung