Nutrition and swallowing therapy strategies for patients with head and neck cancer

Kristensen, Marianne Boll; Isenring, E.; Brown, Bena

doi:10.1016/j.nut.2019.06.028

Cited by 57 publications

(65 citation statements)

References 82 publications

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“…Nutritional counselling was usual care, although primarily focussing on maintaining an adequate nutritional level and preventing weight loss [39]. Maintenance of a nutritionally adequate oral diet will likely best be obtained in the collaboration between a dietitian and a speech-language-pathologist/OT [40]. Interestingly, Messing et al [15] found similar negative results in another RCT with no difference between groups for neither functional swallowing outcomes, QoL, tube dependence, nor PAS among 60 patients with pharyngeal, laryngeal or glottic cancer, randomized to either Therabite only or Therabite and swallow exercises.…”

Section: Discussionmentioning

confidence: 99%

Swallowing Exercise During Head and Neck Cancer Treatment: Results of a Randomized Trial

et al. 2021

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The diagnosis and treatment of head and neck cancer (HNC) can have substantial impact on swallowing function, nutritional balance, physical function and quality of life (QoL). Early initiated swallowing exercises are hypothesized to improve swallowing function in HNC patients. The aim was to investigate the effects of swallowing exercises and progressive resistance training (PRT) during radiotherapy on swallowing function, physical function and QoL in patients with pharynx-, larynx-, oral cavity cancer or unknown primary compared to usual care. In a multi-centre RCT participants were assigned to (a) twice-weekly PRT and daily swallowing exercises throughout treatment or (b) usual care. Outcomes were measured at end of treatment and 2, 6 and 12 months after. Primary outcome was penetration aspiration score (PAS). Data were analysed on an “intention-to-treat” basis by GEE logistic regression model, linear mixed effects model and cox regression. Of 371 invited HNC patients, 240 (65%) enrolled. Five participants were excluded. At 12 months follow-up, 59 (25%) participants were lost. Analyses showed significant effect on mouth opening, QoL, depression and anxiety at 12 months when comparing intervention to non-active controls. The trial found no effect on swallowing safety in HNC undergoing radiotherapy, but several positive effects were found on secondary outcomes when comparing to non-active controls. The intervention period may have been too short, and the real difference between groups is too small. Nevertheless, the need to identify long-lasting intervention to slow down or avoid functional deteriorations is ever more crucial as the surviving HNC population is growing.

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Section: Discussionmentioning

confidence: 99%

Swallowing Exercise During Head and Neck Cancer Treatment: Results of a Randomized Trial

et al. 2021

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“…The session will include dietary advice to manage different nutrition impact symptoms e.g. choice of foods, texture and flavour modification [24,46]. Exchange of experiences between participants will be encouraged.…”

Section: Music Therapistmentioning

confidence: 99%

“…Swallowing exercises b,d 90 Participants will be instructed in different swallowing exercises and exercises for jaw and tongue mobility, since these types of exercises may reduce dysphagia and trismus [46,49]. Participants will receive an exercise manual and a training diary, and will be encouraged to continue doing the exercises, when they come home.…”

Section: Clinical Dietitianmentioning

confidence: 99%

Rationale and design of a randomised controlled trial investigating the effect of multidisciplinary nutritional rehabilitation for patients treated for head and neck cancer (the NUTRI-HAB trial)

Kristensen

Wessel²,

Beck

et al. 2020

Nutr J

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Background: Eating problems frequently affect quality of life and physical, psychological and social function in patients treated for head and neck cancer (HNC). Residential rehabilitation programmes may ameliorate these adverse effects but are not indicated for all individuals. Systematic assessment of rehabilitation needs may optimise the use of resources while ensuring referral to rehabilitation for those in need. Yet, evidence lacks on which nutrition screening and assessment tools to use. The trial objectives are: 1) To test the effect of a multidisciplinary residential nutritional rehabilitation programme compared to standard care on the primary outcome body weight and secondary outcomes health-related quality of life, physical function and symptoms of anxiety and depression in patients curatively treated for HNC and 2) To test for correlations between participants' development in outcome scores during their participation in the programme and their baseline scores in Nutritional Risk Screening 2002 (NRS 2002), the Scored Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF), and M. D. Anderson Dysphagia Inventory (MDADI) and to assess sensitivity, specificity and predictive values of the three tools in relation to a clinically relevant improvement in outcome scores.

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“…It can significantly impact physical and psychological wellbeing, and its management can become complex and multifactorial [ 3 ]. There are numerous reports of dysphagia and appetite loss in cancer patients (stomach, colorectal, lung, breast, and head/neck) [ 4 , 5 , 6 , 7 , 8 ]. Moreover, Jacqui et al reported the proportion of patients with 14 types of cancers who reported dysphagic symptoms as follows: any dysphagia (54%), dysphagia for liquids (20%), and dysphagia for solids (46%).…”

Section: Introductionmentioning

confidence: 99%

Relationship between the Functional Oral Intake Scale (FOIS) and the Self-Efficacy Scale among Cancer Patients: A Cross-Sectional Study

2020

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A few studies have provided detailed reports suggesting that subjective swallowing disorders may be related to dysphagia. Therefore, we verified the relationship between oral health-related self-efficacy and dysphagia severity in cancer treatment using a cross-sectional study. Participants included patients undergoing treatment for cancer at Shimane University Hospital in Shimane, Japan, and those receiving outpatient treatment at the hospital’s Oral Care Center between August 2018 and April 2019. In all, 203 participants enrolled in the study and completed the Functional Oral Intake Scale (FOIS), the Self-efficacy Scale for Advanced Cancer (SEAC), and the Oral Health-related Self-Efficacy Scale for Patients with Cancer (OSEC). Multivariate analysis showed a statistically significant correlation between the low FOIS score and the SEAC subscales of Activities of Daily Living Self-efficacy (ADE) (odds ratio 1.04, 95% [CI] 1.00–1.07) and Symptom Coping Self-efficacy (SCE) (odds ratio 0.61, 95% [CI] 0.42–0.88). Based on the Jonckheere-Terpstra test, the SEAC and the OSEC tended to increase as the category of the FOIS progressed. To conclude, self-efficacy played an important role in dysphagia and may affect the severity of dysphagia in cancer patients.

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Nutrition and swallowing therapy strategies for patients with head and neck cancer

Cited by 57 publications

References 82 publications

Swallowing Exercise During Head and Neck Cancer Treatment: Results of a Randomized Trial

Swallowing Exercise During Head and Neck Cancer Treatment: Results of a Randomized Trial

Rationale and design of a randomised controlled trial investigating the effect of multidisciplinary nutritional rehabilitation for patients treated for head and neck cancer (the NUTRI-HAB trial)

Relationship between the Functional Oral Intake Scale (FOIS) and the Self-Efficacy Scale among Cancer Patients: A Cross-Sectional Study

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