Are head and neck specific quality of life measures necessary?

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Abstract
Background The purpose of this study was to determine whether head and neck-specific health status domains are distinct from those assessed by general measures of quality-of-life (QOL). Methods Cross-sectional study of 55 head and neck cancer patients in tertiary academic center was made. Three head and neck-specific measures,-including the Head & Neck Survey (H& NS); a brief, multi-item test which generates domain scores; and a general health measure,-were administered. Results The H& NS was highly reliable and more strongly correlated to the specific measures than to the general measure. Eating/swallowing (ES) and speech/communication (SC) were not well correlated with general health domains. Head and neck pain was highly correlated to general bodily pain (0.88, p < .0001). Despite correlations to some general health domains, appearance (AP) was not fully reflected by any other domain. Conclusions Head and neck-specific QOL measures are necessary and should include domains that reflect ES, SC, and AP. © 1997 John Wiley & Sons, Inc. Head Neck 19:474–480, 1997.