Adherence to preventive exercises and self‐reported swallowing outcomes in post‐radiation head and neck cancer patients

Shinn, Eileen H.; Basen-Engquist, Karen; Baum, George; Steen, Sven; Bauman, Rachel Freeman; Morrison, William H.; Garden, Adam S.; Sheil, Cathleen; Kilgore, Kelly; Hutcheson, Katherine A.; Barringer, Denise A.; Yuan, Ying; Lewin, Jan S.

doi:10.1002/hed.23255

Cited by 114 publications

(118 citation statements)

References 19 publications

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“…Study patients also reported a decline in cancer-specific and dysphagiarelated qol, although satisfaction with dysphagia care improved over time. Satisfaction for qol and overall care have the potential to influence how adherent patients will be, especially with behavioural dysphagia therapy 28 . Those outcomes are therefore important confounding variables and have to be included in future therapeutic clinical trials.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of Assessing Patient Health Benefits and Incurred Costs Resulting from Early Dysphagia Intervention during and Immediately after Chemoradiotherapy for Head-and-Neck Cancer

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Feasibility of Assessing Patient Health Benefits and Incurred Costs Resulting from Early Dysphagia Intervention during and Immediately after Chemoradiotherapy for Head-and-Neck Cancer

et al. 2017

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“…The evaluation of severe dysphagia as a late complication of radiotherapy in patients surviving longer than five years was performed by Hutcheson et al The total dose of radiotherapy impacted the occurrence of late dysphagia; it was observed more frequently in patients with a total dose of 70 Gy or higher [26]. Many authors have observed positive effects from proactive swallowing therapy, which were observed not just following the treatment but also 3-6 months after the completion of chemoradiotherapy and 9-12 months after treatment [27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

The quality of life and the occurrence of dysphagia in patients with head and neck cancer following combined oncological treatment

Dutsch-Wicherek

Bańkowska-Woźniak

Kaźmierczak

et al. 2017

Medical Research Journal

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The quality of life and the occurrence of dysphagia in patients with head and neck cancer following combined oncological treatment ABSTRACT Introduction. The localisation of head and neck carcinomas influences the functions of speech, breathing, and swallowing, which, in turn, directly affect the patient's quality of life. The poor prognosis associated with tumours of this type indicates that aggressive combined therapy protocols, including surgery, chemotherapy, and radiotherapy, should be implemented. Such treatments commonly cause acute toxicity and short-and long-term swallowing complications. Therefore, even though they can contribute significantly to survivorship, these treatments reduce the quality of life. The aim of this study was to analyse the influence of applied combined oncological treatments on the occurrence of dysphagia in patients with head and neck cancer and on their quality of life. Results. A statistically significantly worse subjective evaluation of the quality of life was observed in the patients with dysphagia, who had undergone surgery with radiotherapy, compared to those who had not had surgery (p = 0.03). A statistically significantly worse subjective quality of life evaluation was found in patients who had the most locally advanced tumours (T4) (p = 0.04) as well as the highest stages of the disease (S3 and S4) (p = 0.04). A statistically significantly worse subjective quality of life with dysphagia was also seen in patients who had chemoradiotherapy in comparison to those who had radiotherapy alone (p = 0.01). A statistically significantly worse subjective quality of life with dysphagia was observed in the patients whose tumours were localised in the oral part of the pharynx and larynx compared to those patients with other tumour localisations (p = 0.02). A statistically significantly worse subjective quality of life with dysphagia was identified in the patients who had a higher dose of radiation (exceeding 45 Gy) in the upper oesophageal sphincter compared to those patients who had a lower dose (below 45 Gy) in the UES (p = 0.01).Conclusions. In patients with dysphagia, surgical treatment negatively impacts their subjective quality of life. Moreover, the pattern of radiation therapy affects the quality of life in patients with dysphagia.A radiation therapy plan that spares the upper oesophageal sphincter by using a dose of less than 45 Gy may prevent dysphagia. Dysphagia is also associated with tumour localization, tumour stage, and local advancement of the disease.

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“…Surgical treatment with or without chemotherapy and radiation therapy aims to remove the tumor and increase the survival rate of subjects, for this, the mode tends to be more aggressive, and brings the short, medium and long-term consequences, impacting so significant swallowing function and global QoL of patients 9,13,17 . Chronic obstructive pulmonary disease (COPD) is a respiratory disease considered preventable and treatable, which has a significant morbidity and mortality 18 .…”

Section: Methodsmentioning

confidence: 99%

Utilização de protocolos de qualidade de vida em disfagia: revisão de literatura

et al. 2015

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The purpose of this study was to identify use of life protocols in dysphagia and verify their use in reahbilitation. Was performed a theoretical and exploratory research with the review of the literature technical, on the basis of SCOPUS data, Trip Database, LILACS, PubMed, SciELO, Google Scholar, Capes journals and MedLine. The search time comprised the years between 2004 and 2014 and the following keywords were used: swallowing; swallowing disorders; quality of life; questionnaires and their respective terms in English: deglutition; deglutition disorders; quality of Life; Questionnaires. The protocols found in the literature was the Quality of life in Swallowing Disorders-SWAL-QOL, which establishes the impairment of swallowing independent of the etiology; the MD Anderson Dysphagia Inventory, which is specific for subjects submitted treatment for head and neck cancer and the Dysphagia Handicap Index, which evaluates the effects of dysphagia on quality of life (QOL) in subjects with different pathologies and can be used at lower levels of education.The literature proposes different protocols that assess QoL in dysphagia, the most used to assess QOL in general, related to head and neck cancer and subjects with different medical diagnoses . The use of these protocols can support and complement the clinical and objective evaluation of swallowing once, that portray the self-assessment by the subject, and this view is extremely important for speech therapy.

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Adherence to preventive exercises and self‐reported swallowing outcomes in post‐radiation head and neck cancer patients

Cited by 114 publications

References 19 publications

Feasibility of Assessing Patient Health Benefits and Incurred Costs Resulting from Early Dysphagia Intervention during and Immediately after Chemoradiotherapy for Head-and-Neck Cancer

Feasibility of Assessing Patient Health Benefits and Incurred Costs Resulting from Early Dysphagia Intervention during and Immediately after Chemoradiotherapy for Head-and-Neck Cancer

The quality of life and the occurrence of dysphagia in patients with head and neck cancer following combined oncological treatment

Utilização de protocolos de qualidade de vida em disfagia: revisão de literatura

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