Cancers 2021, 13, 3826. https://doi.org/10.3390/cancers13153826 www.mdpi.com/journal/cancers
Article
Randomized Trial Assessing the Impact of Routine Assessment
of Health‐Related Quality of Life in Patients with Head and
Neck Cancer
Oumar Billa
1,2,3
, Franck Bonnetain
4,†
, Jérôme Chamois
5,6
, Angeline Ligey
7
, Valérie Ganansia
8
, Georges Noel
8
,
Sophie Renard
9
, Sophie Maillard
10
, Magali Quivrin
5
, Noémie Vulquin
5
, Pierre Truntzer
8
,
Tienhan Sandrine Dabakuyo‐Yonli
1,2,3
* and Philippe Maingon
5,11
1
Georges‐François Leclerc Cancer Centre‐UNICANCER, Epidemiology and Quality of Life Unit, 21000 Dijon,
France; obilla@cgfl.fr
2
Lipids, Nutrition, Cancer Research Center, U1231 INSERM, 21000 Dijon, France
3
National Quality of Life and Cancer Clinical Research Platform, 21000 Dijon, France
4
Methodology and Quality of Life in Oncology Unit, Inserm UMR 1098, University Hospital of Besancon,
25000 Besancon, France; fb@chu‐besancon.fr
5
Georges‐François Leclerc Cancer Centre‐UNICANCER, Radiotherapy Department, 1 Rue Professeur
Marion, 21000 Dijon, France; jchamois@vivalto‐sante.com (J.C.); Mquivrin@cgfl.fr (M.Q.);
Nvulquin@cgfl.fr (N.V.); Philippe.maingon@aphp.fr (P.M.)
6
Centre Hospitalier Saint Gregoire, 35760 Saint‐Grégoire, France
7
Centre Hospitalier Fleriat, 01012 Bourg‐en‐Bresse, France; Aligey@ch‐bourg01.fr
8
Paul Strauss Cancer Centre‐Unicancer, 67000 Strasbourg, France; Vganansia@strasbourg.unicancer.fr (V.G.);
Gnoel@strasbourg.unicancer.fr (G.N.); Ptruntzer@strasbourg.unicancer.fr (P.T.)
9
Institut de cancérologie de Lorraine, 54519 Vandœuvre‐lès‐Nancy, France; Srenard@nancy.unicancer.fr
10
Centre Bourgogne, 59000 Lille, France; Smaillard@ch‐bourg01.fr
11
Radiotherapy Unit, Hôpital de la Pitié‐Salpêtrière‐APHP, 75013 Paris, France
* Correspondence: sdabakuyo@cgfl.fr; Tel.: +33‐345‐348‐067
†
Deceased.
Simple Summary: The purpose of this research was to investigate the impact of routine assessment
of health‐related quality of life (HRQoL) on quality of life and satisfaction with care in patients with
head and neck cancer (HNC). A randomized controlled open‐label clinical trial with 200 patients
with HNC managed in four cancer centers in Eastern France was performed. In the intervention
arm (regularly completed HRQoL questionnaires), HRQoL mean change was significantly
improved at 2 years from baseline. Compared with the control arm, differences were not statistically
significant, but minimal clinically important differences in favor of the intervention arm were found
for HRQoL, satisfaction with waiting times, and satisfaction with accessibility. In patients with head
and neck cancer undergoing treatments, routine assessment of HRQoL is a simple practice and may
have HRQoL and satisfaction benefits.
Abstract: The impact of routine assessment of health‐related quality of life (HRQoL) on satisfaction
with care and the HRQoL of patients with head and neck cancer (HNC) treated with radiotherapy
was assessed. Patients with HNC were randomly assigned to two arms, with stratification on sex,
cancer localization, and stage of the disease. In the intervention arm, the patients completed the
EORTC QLQ‐C30 and EORTC QLQ‐H&N35 questionnaires first before randomization, then before
each medical appointment during radiotherapy (7 weeks), and then every 3 months until 1 year and
at 2 years thereafter. In the control arm, the EORTC QLQ‐C30 and EORTC QLQ‐H&N35
questionnaires were completed before randomization and at 1 year and 2 years thereafter. The
primary endpoint was mean change in HRQoL at score at 2 years from baseline assessed by EQ
VAS from the EuroQol questionnaire. The secondary endpoint was mean change in satisfaction with
care at 2 years from baseline assessed by QLQ‐SAT32. Two hundred patients with head and neck
cancers were involved in this study (mean age, 58.83 years (range, 36.56–87.89)), of whom 100 were
assigned to the intervention arm and 100 to the control arm. Patients in the intervention arm were
Citation: Billa, O.; Bonnetain, F.;
Chamois, J.; Ligey, A.; Ganansia, V.;
Noel, G.; Renard, S.; Maillard, S.;
Quivrin, M.; Vulquin, N.; et al.
Randomized Trial Assessing the
Impact of Routine Assessment of
Health‐Related Quality of Life in
Patients with Head and Neck
Cancer. Cancers 2021, 13, 3826.
https://doi.org/10.3390/
cancers13153826
Academic Editor: David Wong
Received: 22 June 2021
Accepted: 26 July 2021
Published: 29 July 2021
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