Functional outcomes and rehabilitation strategies in patients treated with chemoradiotherapy for advanced head and neck cancer: a systematic review

Molen, Lisette van der; Rossum, Maya A. van; Burkhead, Lori M.; Smeele, Ludi E.; Hilgers, Frans J. M.

doi:10.1007/s00405-008-0845-z

Cited by 38 publications

(41 citation statements)

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“…It is generally accepted that dietary modification should be the initial approach for patients with swallowing problems [29]. Pain is very rarely explicitly reported pretreatment and comparable data are lacking in the literature [4]. This is unfortunate, because scoring perceived pain (for which a visual analogue scale is an effective and easy method) is an important parameter in the clinical follow-up of any cancer treatment [30].…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, CRT can have a detrimental effect on organ function, and on patients' quality of life [4]. But even before the onset of treatment patients may present with pain, impaired swallowing, aspiration, dietary restrictions and even with tube dependency, as well as trismus and loss of body weight, because the tumor may disrupt the normal anatomy and thus interfere with normal function [5-11].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have indeed investigated typical problems associated with head and neck cancer [12-16]. However, the majority of earlier research has focused on posttreatment dysfunction [4]. Moreover, the studies investigating problems associated with head and neck cancer tend to focus on only a limited set of functional aspects.…”

Section: Introductionmentioning

confidence: 99%

“…A systematic search of the literature, covering the period between January 1997 to August 2007 [4], shows that two assessment tools are commonly used in the literature. Quality of life (QOL) questionnaires are frequently used to evaluate patients' perceived quality of life -where other functional outcomes such as pain and nutrition are generally part of the QOL questionnaire [4] -, or Videofluoroscopic Modified Barium Swallow (VMBS) examinations are used to assess swallowing function [4].…”

Section: Introductionmentioning

confidence: 99%

“…Quality of life (QOL) questionnaires are frequently used to evaluate patients' perceived quality of life -where other functional outcomes such as pain and nutrition are generally part of the QOL questionnaire [4] -, or Videofluoroscopic Modified Barium Swallow (VMBS) examinations are used to assess swallowing function [4]. VMBS examinations only assess the structures and dynamics of the swallowing process, and do not assess the influence of the swallowing problems on the patients' overall quality of life (personal perception of well-being).…”

Section: Introductionmentioning

confidence: 99%

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Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients' views

Molen

Rossum

Ackerstaff

et al. 2009

BMC Ear Nose Throat Disord

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BackgroundAim of this study is to thoroughly assess pretreatment organ function in advanced head and neck cancer through various clinical outcome measures and patients' views.MethodsA comprehensive, multidimensional assessment was used, that included quality of life, swallowing, mouth opening, and weight changes. Fifty-five patients with stage III-IV disease were entered in this study prior to organ preserving (chemoradiation) treatment.ResultsAll patients showed pretreatment abnormalities or problems, identified by one or more of the outcome measures. Most frequent problems concerned swallowing, pain, and weight loss. Interestingly, clinical outcome measures and patients' perception did no always concur. E.g. videofluoroscopy identified aspiration and laryngeal penetration in 18% of the patients, whereas only 7 patients (13%) perceived this as problematic; only 2 out of 7 patients with objective trismus actually perceived trismus.ConclusionThe assessment identified several problems already pre-treatment, in this patient population. A thorough assessment of both clinical measures and patients' views appears to be necessary to gain insight in all (perceived) pre-existing functional and quality of life problems.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients' views

Molen

Rossum

Ackerstaff

et al. 2009

BMC Ear Nose Throat Disord

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Interventions to enhance return-to-work for cancer patients

Boer

Taskila

Tamminga

et al. 2011

Cochrane Database of Systematic Reviews

159

151

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

et al. 2013

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Background To reduce the risk of long-term swallowing complications after radiation, swallowing exercises may be helpful. Both the rate of adherence to swallowing exercises and its impact on future swallowing function is unknown. Methods 109 oropharyngeal cancer patients beginning radiation were tracked for two years to determine adherence to swallowing exercises. Participants completed the M.D. Anderson Dysphagia Inventory (MDADI) 1–2 years after treatment to assess self-reported swallowing function. Adherence, demographics, tumor and treatment variables were multivariably regressed onto the MDADI physical subscale score. Results Per speech pathologist documentation, 13% of the participants were fully adherent and 32% were partially adherent. Adherence was associated with the Physical MDADI Subscale score in the multivariate model (p=.01). Conclusions The majority of head and neck cancer patients are nonadherent to swallowing exercise regimens and may benefit from supportive care strategies to optimize their adherence.

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Functional outcomes and rehabilitation strategies in patients treated with chemoradiotherapy for advanced head and neck cancer: a systematic review

Cited by 38 publications

References 0 publications

Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients' views

Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients' views

Interventions to enhance return-to-work for cancer patients

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

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