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34 versus 2.42,p-value 0.00 and mean 1.21 versus 1.94,p-value 0.0. There was no significant change concerning ADL dependence (p-value 0.18) and cognitive status (p-value 0.11). The self-reported health status improved postoperatively, although not statistically significantly so (mean 67.36 versus 71.25,p-value 0.12). Approximately-one year after surgery for HNC, there is a significant decline in functional status indicating a higher level of dependency. Approximately-one year after surgery for HNC, there is a significant decline in