Dysphagia’s Effects on Quality of Life, Functional Disabilities, and Psychological Distress in Head and Neck Cancer Patients: Outcomes of Cancer Rehabilitation from an Observational Single-Centre Study DOI Creative Commons
Špela Matko,

Christina Knauseder,

David Riedl

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 9, 2024

Abstract Purpose Many patients with head and neck cancer (HNC) suffer from speech or swallowing disorders. We investigated the effects of dysphagia on health-related quality life (HRQoL), functioning, distress in HNC survivors, extent to which rehabilitation can alleviate these effects. Methods Cancer survivors undergoing inpatient at an Austrian centre were asked complete electronic patient-reported outcomes before admission (T0) discharge (T1). The EORTC QLQ-C30 questionnaire was assessing HRQoL, symptoms, Hospital Anxiety Depression Scale (HADS) assess psychological distress. Results Of 63 patients, 22 had dysphagia, 23 did not need therapy (control group C1), 18 without needed C2). Before rehabilitation, physical, social, emotional functioning significantly lower than controls. Dysphagia suffered more severe general including fatigue, pain, sleep disturbances, nausea/vomiting, diarrhoea, financial worries. In addition, social C2 who but show worse C1 patients. Social, emotional, role insomnia, appetite loss improved by T1 all Improvements HRQoL most noticeable Psychooncological counselling reduced depression levels seen population. Conclusion severely impaired systemic benefit substantially rehabilitation.

Language: Английский

Preventing radiation‐induced dysphagia and trismus in head and neck cancer—A randomized controlled trial DOI Creative Commons
Kerstin Petersson, Caterina Finizia, Nina Pauli

et al.

Head & Neck, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 1, 2024

Abstract Background Radiation‐induced dysphagia and restricted mouth opening are common problems among patients with head neck cancer. The aim of the present randomized controlled trial was to determine if an exercise protocol could prevent swallowing impairment. Methods Eighty‐nine participants were randomly assigned either active group performing preventive exercises ( n = 45) or a control 44). Outcome measures collected at baseline before radiotherapy approximately 1‐month post‐treatment. Primary endpoints changes in function according Penetration Aspiration Scale ability measured millimeters. Intention‐to‐treat analysis used. Results Swallowing deteriorated both groups, no statistically significant positive effect detected follow‐up. Among who completed >75% exercises, there trend toward better outcomes. Conclusions Preventive did not improve short‐term after radiotherapy.

Language: Английский

Citations

6
State of Rehabilitation Research in the Head and Neck Cancer Population: Functional Impact vs. Impairment-Focused Outcomes DOI
Sara Parke, David Langelier, Jessica Cheng

et al.

Current Oncology Reports, Journal Year: 2022, Volume and Issue: 24(4), P. 517 - 532

Published: Feb. 19, 2022

Language: Английский

Citations

23
Predictive Power of Pharyngolaryngeal Secretion Accumulations for Penetration and Aspiration in Head and Neck Cancer Patients DOI Creative Commons

Jenny Hötzel,

E. V. Zaretsky,

Almut Goeze

et al.

Dysphagia, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 13, 2025

Abstract Pharyngolaryngeal secretions, penetration, and aspiration belong to the cardinal symptoms of swallowing disorders in head neck cancer patients. In order provide safe diagnostics, it is interest whether pharyngolaryngeal secretion accumulations can be used as a predictor for penetration food liquids. This study analyzed predictive power Between 2016 – 2024, 403 patients underwent diagnostics via Fiberoptic Endoscopic Evaluation Swallowing (FEES). secretions were graded with severity rating scale (SSRS) by Murray et al., penetration-aspiration (PAS) Rosenbek al. Both scales cross-tabulated correlated each other. Possible influencing factors on PAS Spearman’s correlations Kruskal–Wallis- H -tests: patients’ age, tumor stage site, type oncological therapy, time examination. A linear regression Categorical Principal Components Analysis utilized same purpose. Higher SSRS values tended co-occur. univariate calculations, examination showed significant PAS. multivariate analyses, stage, but above all shown prediction liquids thus improvement safety FEES.

Language: Английский

Citations

0
Normalcy of Swallowing in Head and Neck Cancer Patients Undergoing Particle Therapy Supported by Combined Swallowing Training and Feeding Management: A Randomised Controlled Trial DOI
Yu Zhang,

Yu Zhu,

Lijuan Zhang

et al.

Journal of Oral Rehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 27, 2025

ABSTRACT Objective As a common complication following particle therapy for head and neck cancer (HNC), dysphagia poses significant risks adverse outcomes patients. This study aims to investigate the efficacy of an evidence‐based combined regimen feeding management swallowing training on improving function, swallowing‐related quality life nutritional status in patients with dysphagia. Methods We conducted randomised parallel‐controlled trial at Shanghai Proton Heavy Ion Center from March 2023 October 2023. The included aged 18 or older HNCs undergoing therapy, without concurrent chemotherapy. Patients caused by conditions other than were excluded. randomly assigned intervention control groups. group received routine radiotherapy care during 3 months post‐treatment, while additional training. standard treatment post‐treatment. In addition, was instructed undergo preventive start treatment, measures (adjusting food texture, bite size, eating speed, posture utensils) implemented once discomfort occurred. Swallowing function assessed using Eating Assessment Tool‐10 (EAT‐10). Swallowing‐related measured M.D. Anderson Dysphagia Inventory (MDADI), which covers emotional, functional, physical global dimensions. Nutritional evaluated based Body Mass Index (BMI) Nutrition Risk Screening 2002 (NRS2002). Assessments performed baseline, immediately post‐treatment (within days after completion treatment) Results Ninety‐six enrolled this study, 48 group. Group effect analysis revealed that outperformed ( p = 0.002) overall 0.001). Time effects also indicated improvements compared baseline < 0.001), no interaction > 0.05). Specifically, observed functional dimension 0.001) MDADI total scores showed clinically difference (> 10 points) between However, between‐group differences found BMI values 0.474) NRS2002 0.957). Conclusion Our indicates combining effectively enhances HNC receiving therapy. insufficient evidence support its impact malnutrition risk. Trial Registration ClinicalTrials.gov identifier: ChiCTR2300067550

Language: Английский

Citations

0
The Role of Dysphagia on Head and Neck Cancer Patients’ Quality of Life, Functional Disabilities and Psychological Distress: Outcomes of Cancer Rehabilitation from an Observational Single-Center Study DOI Creative Commons
Špela Matko,

Christina Knauseder,

David Riedl

et al.

Current Oncology, Journal Year: 2025, Volume and Issue: 32(4), P. 220 - 220

Published: April 10, 2025

Many patients with head-and-neck cancer (HNC) suffer from speech or swallowing disorders. We investigated the impact of dysphagia on health-related quality life (HRQOL), functioning, and distress in HNC survivors, whether rehabilitation can alleviate these conditions. Before admission (T0) at discharge (T1) three-week inpatient rehabilitation, patient-reported outcomes were collected. HRQOL, symptoms, psychological assessed EORTC QLQ-C30 Hospital Anxiety Depression Scale (HADS) questionnaires. Of 63 patients, 22 had dysphagia, 23 needed no therapy (Control-1), 18 therapy, but showed symptoms (Control-2). physical, social, emotional functioning significantly lower than controls. Dysphagia reported more severe general including fatigue, pain, sleep disturbances, nausea/vomiting, diarrhea, financial worries. Furthermore, social Control-2 was worse Control-1. For all emotional, role insomnia, appetite loss improved T1. Improvements HRQOL most noticeable patients. Psychooncological counseling reduced depression to levels seen population. In conclusion, severely impaired systemic benefit substantially rehabilitation.

Language: Английский

Citations

0
Dysphagia Advances in Head and Neck Cancer DOI Creative Commons
Joanne Patterson, Michelle Lawton

Current Otorhinolaryngology Reports, Journal Year: 2023, Volume and Issue: 11(2), P. 166 - 173

Published: Feb. 15, 2023

This review summarises the current literature regarding head and neck cancer-associated dysphagia. Up-to-date evidence for dysphagia outcome measurement this population is provided, in addition to recent innovations that aim prevent, reduce or remediate common debilitating side effects of treatment.

Language: Английский

Citations

10
Review of prophylactic swallowing interventions for head and neck cancer DOI
Wenwen Yang,

Wenbo Nie,

Xue Zhou

et al.

International Journal of Nursing Studies, Journal Year: 2021, Volume and Issue: 123, P. 104074 - 104074

Published: Aug. 27, 2021

Language: Английский

Citations

20
Swallowing Function After Treatment of Laryngeal Cancer DOI

Maude Brisson-McKenna,

Gina D. Jefferson, Sana H. Siddiqui

et al.

Otolaryngologic Clinics of North America, Journal Year: 2023, Volume and Issue: 56(2), P. 371 - 388

Published: April 1, 2023

Language: Английский

Citations

7
Dysphagia in Head and Neck Cancer DOI
Deepak Lakshmipathy,

Melissa Allibone,

Karthik Rajasekaran

et al.

Otolaryngologic Clinics of North America, Journal Year: 2024, Volume and Issue: 57(4), P. 635 - 647

Published: March 13, 2024

Language: Английский

Citations

2
Early swallowing intervention after free flap reconstruction for oral cancer: A systematic review and meta‐analysis DOI
Jiaqi Xu,

Yongkang Zhu,

Hongyun Wu

et al.

Head & Neck, Journal Year: 2023, Volume and Issue: 45(6), P. 1430 - 1444

Published: April 3, 2023

Abstract Objectives This study aimed to summarize the state of current literature and evaluate evidence for timing, methods, effects early intervention in patients after free flap reconstruction. Methods A comprehensive search was conducted nine databases. The methodological quality assessed according JBI Critical Appraisal Tools. Results Eight studies were finally included. Most started within 1 2 weeks surgery with multiple swallowing training measures. results meta‐analysis showed that could improve function (SMD = −1.03, 95%CI [−1.37, −0.69], Z 5.95, p < 0.01) life 1.52, [0.97, 2.07], 5.43, 0.01). Conclusion Early can patients' short‐term life. We only basic consensus on intervention, rigorous trials are needed future.

Language: Английский

Citations

5