Quality of life among total laryngectomized patients undergoing speech rehabilitation: correlation between several instruments

Raquel, Ana; Buzaneli, Elaine Pires; Silveira, Hevely Saray Lima; Simões-Zenari, Marcia; Kulcsar, Marco Aurélio Vamondes; Kowalski, Luiz Paulo; Nemr, Kátia

doi:10.6061/clinics/2020/e2035

Cited by 4 publications

(5 citation statements)

References 53 publications

(84 reference statements)

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“…Finally, to consider the patients’ quality of life, beyond the functional dimension evaluated by our new score, the HoCoS could thus be associated with specific quality of life questionnaires (Raquel et al., 2020 ) in a bio‐psychosocial follow‐up approach.…”

Section: Discussionmentioning

confidence: 99%

Development of a holistic communication score (HoCoS) in patients treated for oral or oropharyngeal cancer: Preliminary validation

Balaguer

Pinquier

Farinas

et al. 2022

Intl J Lang & Comm Disor

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Background: In head and neck cancer, many tools exist to measure speech impairment, but few evaluate the impact on communication abilities. Some self-administered questionnaires are available to assess general activity limitations including communication. Others are not validated in oncology. These different tools result in scores that does not provide an accurate measure of the communication limitations perceived by the patients. Aim:To develop a holistic score measuring the functional impact of speech disorders on communication in patients treated for oral or oropharyngeal cancer, in two steps: its construction and its validation. Methods & Procedures: Patients treated for oral/oropharyngeal cancer filled six self-questionnaires: two about communicative dynamics (ECVB and DIP), two assessing speech function (PHI and CHI) and two relating to quality of life (EORTC QLQ-C30 and EORTC QLQ-H&N35). A total of 174 items were initially collected. A dimensionality reduction methodology was then applied. Face validity analysis led to eliminate non-relevant items by surveying a panel of nine experts from communication-related disciplines (linguistics, medicine, speech pathology, computer science). Construct validity analysis led to eliminate redundant and insufficiently variable items. Finally, the holistic communication score was elaborated by principal component factor and validated using cross-validation and latent profile analysis.Outcomes & Results: A total of 25 patients filled the questionnaires (median age = 67 years, EIQ = 12; 15 men, 10 women; oral cavity = 14, oropharynx = 10, two locations = 1). After face validity analysis, 44 items were retained (κ > 0.80). Four additional items were excluded because of a very high correlation (r > 0.90) with other items presenting a better dispersion. A total of 40 items were finally included in the factor analysis. A post-analysis score prediction was performed (mean = 100; SD = 10). A total of 24 items are finally retained for the construction of the holistic communication score (HoCoS): 19 items fromThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Development of a holistic communication score (HoCoS) in patients treated for oral or oropharyngeal cancer: Preliminary validation

Balaguer

Pinquier

Farinas

et al. 2022

Intl J Lang & Comm Disor

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“…L'hématome et l'infection post-opératoire sont rares [14]. L'ablation du larynx s'accompagne de troubles fonctionnels importants pouvant altérer considérablement la qualité de vie du patient [15,16]. La perte définitive de la voix peut être corrigée par divers moyens et techniques [7,8,16,17].…”

Section: Discussionunclassified

“…L'ablation du larynx s'accompagne de troubles fonctionnels importants pouvant altérer considérablement la qualité de vie du patient [15,16]. La perte définitive de la voix peut être corrigée par divers moyens et techniques [7,8,16,17]. Dans les pays en développement, l'accès à la réhabilitation phonatoire par prothèse trachéo-oesophagienne peut être difficile [5].…”

Section: Discussionunclassified

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Résultats carcinologiques et fonctionnels des laryngectomies pour cancer du larynx à l’Hôpital Principal de Dakar

Ca¹,

Loum²,

Diallo³

et al. 2021

Af J Oncol

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INTRODUCTION: Delay in the diagnosis of cancers of the larynx affects the prognosis and often requires very mutilating surgery. AIM: To report the oncologic and functional outcomes of surgery for laryngeal cancers to Hôpital Principal de Dakar in Senegal. MATERIALS AND METHODS: This was a single-center retrospective study carried out from January 2009 to December 2014 in the ENT and head and neck surgery department including adult patients treated for curative surgery. RESULTS: Fifty patients were treated for laryngeal cancer. Thirty-seven of them underwent a laryngectomy. Lesions classified as cT2 represented 14%, and 16% were classified as cT1. Squamous cell carcinomas represented more than 97% of cases (36/37). Radiotherapy had completed the surgery in only 11 cases with an average delay of 2.75 months. Functionally, swallowing disorders were found in two patients with two cases of pharyngo-esophageal stenosis. On the carcinologic level, six patients presented a progression while four had tumor or lymph node recurrence. One patient showed lung metastasis. Overall survival at 7 years was 33%. CONCLUSION: The functional damage in laryngeal cancer surgery is significant and on the carcinologic level the results, although satisfactory, can be improved with a better availability of adjuvant treatments.

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“…The University of Washington Quality of Life measure (UWQOL) has also been found to be a valuable tool. It compares favourably with Therapy Outcome Measures (TOMS) [34] and correlations have been found between the UWQOL and the VHI [29,35], and the VRQOL [35]. It has also shown correlations with communication participation measures [36] and the single-item UWQOL speech domain is a quick and easy tool to use in the routine clinical setting and can be used to highlight the patient's perspective of speech function [37].…”

Section: Strengths and Limitations Of Patient-reported Outcome Measuresmentioning

confidence: 97%

Addressing patients’ concerns in speech and language therapy consultations following the diagnosis and treatment of head and neck cancer

Zuydam

Rogers

Roe

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewHead and neck cancer (HNC) and its treatment impacts profoundly on patients’ functional abilities, emotional well being and social interactions. Communication and swallowing are fundamental to everyday life, and the Speech and Language Therapist (SLT) has a critical role for both patients and their carers. In clinical practice, patient-reported outcome measures (PROMs) are a key part of the armamentarium of the SLT. The purpose of the review is to summarize how these measures can be beneficial in the context of time pressured SLT outpatient consultations.Recent findingsUnmet needs in HNC are common and impact negatively on quality of life. There is an ever-increasing number of articles in this area, and it can be a challenge to identify, distil and summarize those specific to SLT.SummaryIn this review, we discuss the scope of holistic evaluation, strengths and limitations of PROMs, the Patient Concerns Inventory-Head and Neck, barriers to the use of outcome measures, the carers perspective and surveillance. SLT are uniquely placed members of the multidisciplinary team and provide expert advice and intervention. The inclusion of PROMs in routine consultations provides a model of follow up, which helps address patients and carers complex and unmet needs, ultimately promoting better outcomes.

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Quality of life among total laryngectomized patients undergoing speech rehabilitation: correlation between several instruments

Cited by 4 publications

References 53 publications

Development of a holistic communication score (HoCoS) in patients treated for oral or oropharyngeal cancer: Preliminary validation

Development of a holistic communication score (HoCoS) in patients treated for oral or oropharyngeal cancer: Preliminary validation

Résultats carcinologiques et fonctionnels des laryngectomies pour cancer du larynx à l’Hôpital Principal de Dakar

Addressing patients’ concerns in speech and language therapy consultations following the diagnosis and treatment of head and neck cancer

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