Utility approach to decision-making in extended T1 and limited T2 glottic carcinoma

作者：van Loon Yda; Stiggelbout Anne M; Hakkesteegt Marieke M; Langeveld Ton P M; de Jong Rob J Baatenburg; Sjogren Elisabeth V^*

来源：Head and Neck-Journal for the Sciences and Specialties of the Head and Neck, 2017, 39(4): 779-785.

DOI：10.1002/hed.24689

• glottic cancer
• radiotherapy
• laser surgery
• utility
• decision making

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.

• 出版日期2017-4