Swallowing-Related Quality of Life After Head and Neck Cancer Treatment
Objectives: To determine the role of treatment modality in swallowing outcome after head and neck cancer treatment and to identify potential risk factors for posttreatment dysphagia. Study Design: Cross‐sectional survey of patients with no evidence of disease 12 months or more after the treatment of...
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| Veröffentlicht in: | The Laryngoscope 2004-08, Vol.114 (8), p.1362-1367 |
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| creator | Gillespie, M Boyd Brodsky, Martin B. Day, Terry A. Lee, Fu-Shing Martin-Harris, Bonnie |
| description | Objectives: To determine the role of treatment modality in swallowing outcome after head and neck cancer treatment and to identify potential risk factors for posttreatment dysphagia.
Study Design: Cross‐sectional survey of patients with no evidence of disease 12 months or more after the treatment of a stage III or IV squamous cell carcinoma of the oropharynx, larynx, or hypopharynx.
Methods: Potential subjects were stratified by tumor site and tumor T‐stage to achieve a balanced comparison between chemoradiation (n = 18) and surgery/radiation (n = 22) groups. Outcome measures included a dysphagia risk factor survey, the MD Anderson Dysphagia Inventory (MDADI), and the Short‐Form 36 (SF‐36).
Results: Patients who received chemoradiation for oropharyngeal primaries demonstrated significantly better scores on the emotional (P = .03) and functional (P = .02) subscales of the MDADI than did patients who underwent surgery followed by radiation. There were no significant differences between chemoradiation and surgery/radiation groups for laryngeal and hypopharyngeal primaries. Additional risk factors for posttreatment dysphagia include prolonged (>2 weeks) nothing by mouth (NPO) status (P = .002) and low SF‐36 Mental Health Subscale score (P = .002).
Conclusion: The study suggests that chemoradiation may provide superior swallowing outcome to surgery/radiation in patients with oropharyngeal primary. Patients with depressed mental health and prolonged feeding tubes may be at higher risk of long‐term dysphagia. |
| doi_str_mv | 10.1097/00005537-200408000-00008 |
| format | Article |
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Study Design: Cross‐sectional survey of patients with no evidence of disease 12 months or more after the treatment of a stage III or IV squamous cell carcinoma of the oropharynx, larynx, or hypopharynx.
Methods: Potential subjects were stratified by tumor site and tumor T‐stage to achieve a balanced comparison between chemoradiation (n = 18) and surgery/radiation (n = 22) groups. Outcome measures included a dysphagia risk factor survey, the MD Anderson Dysphagia Inventory (MDADI), and the Short‐Form 36 (SF‐36).
Results: Patients who received chemoradiation for oropharyngeal primaries demonstrated significantly better scores on the emotional (P = .03) and functional (P = .02) subscales of the MDADI than did patients who underwent surgery followed by radiation. There were no significant differences between chemoradiation and surgery/radiation groups for laryngeal and hypopharyngeal primaries. Additional risk factors for posttreatment dysphagia include prolonged (>2 weeks) nothing by mouth (NPO) status (P = .002) and low SF‐36 Mental Health Subscale score (P = .002).
Conclusion: The study suggests that chemoradiation may provide superior swallowing outcome to surgery/radiation in patients with oropharyngeal primary. Patients with depressed mental health and prolonged feeding tubes may be at higher risk of long‐term dysphagia.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-200408000-00008</identifier><identifier>PMID: 15280708</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Biological and medical sciences ; Carcinoma, Squamous Cell - therapy ; chemoradiation ; Combined Modality Therapy ; Cross-Sectional Studies ; Deglutition Disorders - etiology ; Dysphagia ; Esophagus ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Hypopharyngeal Neoplasms - therapy ; Laryngeal Neoplasms - therapy ; Male ; MD Anderson Dysphagia Inventory ; Medical sciences ; Middle Aged ; Oropharyngeal Neoplasms - therapy ; Other diseases. Semiology ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; outcomes ; Quality of Life ; Risk Factors ; squamous cell carcinoma ; Surveys and Questionnaires ; swallowing ; Tumors</subject><ispartof>The Laryngoscope, 2004-08, Vol.114 (8), p.1362-1367</ispartof><rights>Copyright © 2004 The Triological Society</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5568-617c2c5a74ae383976257de555fffdf68153f2d834d2d1b70f1ebd7904b45ee63</citedby><cites>FETCH-LOGICAL-c5568-617c2c5a74ae383976257de555fffdf68153f2d834d2d1b70f1ebd7904b45ee63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2F00005537-200408000-00008$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2F00005537-200408000-00008$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,1411,23909,23910,25118,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16008648$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15280708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gillespie, M Boyd</creatorcontrib><creatorcontrib>Brodsky, Martin B.</creatorcontrib><creatorcontrib>Day, Terry A.</creatorcontrib><creatorcontrib>Lee, Fu-Shing</creatorcontrib><creatorcontrib>Martin-Harris, Bonnie</creatorcontrib><title>Swallowing-Related Quality of Life After Head and Neck Cancer Treatment</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives: To determine the role of treatment modality in swallowing outcome after head and neck cancer treatment and to identify potential risk factors for posttreatment dysphagia.
Study Design: Cross‐sectional survey of patients with no evidence of disease 12 months or more after the treatment of a stage III or IV squamous cell carcinoma of the oropharynx, larynx, or hypopharynx.
Methods: Potential subjects were stratified by tumor site and tumor T‐stage to achieve a balanced comparison between chemoradiation (n = 18) and surgery/radiation (n = 22) groups. Outcome measures included a dysphagia risk factor survey, the MD Anderson Dysphagia Inventory (MDADI), and the Short‐Form 36 (SF‐36).
Results: Patients who received chemoradiation for oropharyngeal primaries demonstrated significantly better scores on the emotional (P = .03) and functional (P = .02) subscales of the MDADI than did patients who underwent surgery followed by radiation. There were no significant differences between chemoradiation and surgery/radiation groups for laryngeal and hypopharyngeal primaries. Additional risk factors for posttreatment dysphagia include prolonged (>2 weeks) nothing by mouth (NPO) status (P = .002) and low SF‐36 Mental Health Subscale score (P = .002).
Conclusion: The study suggests that chemoradiation may provide superior swallowing outcome to surgery/radiation in patients with oropharyngeal primary. Patients with depressed mental health and prolonged feeding tubes may be at higher risk of long‐term dysphagia.</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - therapy</subject><subject>chemoradiation</subject><subject>Combined Modality Therapy</subject><subject>Cross-Sectional Studies</subject><subject>Deglutition Disorders - etiology</subject><subject>Dysphagia</subject><subject>Esophagus</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Hypopharyngeal Neoplasms - therapy</subject><subject>Laryngeal Neoplasms - therapy</subject><subject>Male</subject><subject>MD Anderson Dysphagia Inventory</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oropharyngeal Neoplasms - therapy</subject><subject>Other diseases. Semiology</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>outcomes</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>squamous cell carcinoma</subject><subject>Surveys and Questionnaires</subject><subject>swallowing</subject><subject>Tumors</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1v0zAUhi0EYmXwF5Bv4M6bP3Js57LqWIcUDRjl68py42MUlibDTlX670nWst3iG8uvnvP46CWECn4meGnO-XgAlGGS84Lb8cWmyD4hMwFKsKIs4SmZcS4VsyC_n5AXOf_iXBgF_Dk5ESAtN9zOyPLzzrdtv2u6n-wGWz9goJ-2vm2GPe0jrZqIdB4HTPQKfaC-C_Qa61u68F09hquEfthgN7wkz6JvM7463qfky-W71eKKVR-W7xfzitUA2jItTC1r8KbwqKwqjZZgAgJAjDFEbcf1owxWFUEGsTY8ClwHU_JiXQCiVqfk7cF7l_rfW8yD2zS5xrb1Hfbb7LQ2oKWcQHsA69TnnDC6u9RsfNo7wd1UovtXonso8T6y4-jr4x_b9QbD4-CxtRF4cwR8rn0b01hGkx85PVp0MXEXB27XtLj_7wVcNb_5AVAIMaWThh00TR7wz4PGp1unjTLgvl0v3cXq41dlqqWr1F-Nm5nP</recordid><startdate>200408</startdate><enddate>200408</enddate><creator>Gillespie, M Boyd</creator><creator>Brodsky, Martin B.</creator><creator>Day, Terry A.</creator><creator>Lee, Fu-Shing</creator><creator>Martin-Harris, Bonnie</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200408</creationdate><title>Swallowing-Related Quality of Life After Head and Neck Cancer Treatment</title><author>Gillespie, M Boyd ; Brodsky, Martin B. ; Day, Terry A. ; Lee, Fu-Shing ; Martin-Harris, Bonnie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5568-617c2c5a74ae383976257de555fffdf68153f2d834d2d1b70f1ebd7904b45ee63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - therapy</topic><topic>chemoradiation</topic><topic>Combined Modality Therapy</topic><topic>Cross-Sectional Studies</topic><topic>Deglutition Disorders - etiology</topic><topic>Dysphagia</topic><topic>Esophagus</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Hypopharyngeal Neoplasms - therapy</topic><topic>Laryngeal Neoplasms - therapy</topic><topic>Male</topic><topic>MD Anderson Dysphagia Inventory</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oropharyngeal Neoplasms - therapy</topic><topic>Other diseases. Semiology</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>outcomes</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>squamous cell carcinoma</topic><topic>Surveys and Questionnaires</topic><topic>swallowing</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gillespie, M Boyd</creatorcontrib><creatorcontrib>Brodsky, Martin B.</creatorcontrib><creatorcontrib>Day, Terry A.</creatorcontrib><creatorcontrib>Lee, Fu-Shing</creatorcontrib><creatorcontrib>Martin-Harris, Bonnie</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gillespie, M Boyd</au><au>Brodsky, Martin B.</au><au>Day, Terry A.</au><au>Lee, Fu-Shing</au><au>Martin-Harris, Bonnie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Swallowing-Related Quality of Life After Head and Neck Cancer Treatment</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2004-08</date><risdate>2004</risdate><volume>114</volume><issue>8</issue><spage>1362</spage><epage>1367</epage><pages>1362-1367</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives: To determine the role of treatment modality in swallowing outcome after head and neck cancer treatment and to identify potential risk factors for posttreatment dysphagia.
Study Design: Cross‐sectional survey of patients with no evidence of disease 12 months or more after the treatment of a stage III or IV squamous cell carcinoma of the oropharynx, larynx, or hypopharynx.
Methods: Potential subjects were stratified by tumor site and tumor T‐stage to achieve a balanced comparison between chemoradiation (n = 18) and surgery/radiation (n = 22) groups. Outcome measures included a dysphagia risk factor survey, the MD Anderson Dysphagia Inventory (MDADI), and the Short‐Form 36 (SF‐36).
Results: Patients who received chemoradiation for oropharyngeal primaries demonstrated significantly better scores on the emotional (P = .03) and functional (P = .02) subscales of the MDADI than did patients who underwent surgery followed by radiation. There were no significant differences between chemoradiation and surgery/radiation groups for laryngeal and hypopharyngeal primaries. Additional risk factors for posttreatment dysphagia include prolonged (>2 weeks) nothing by mouth (NPO) status (P = .002) and low SF‐36 Mental Health Subscale score (P = .002).
Conclusion: The study suggests that chemoradiation may provide superior swallowing outcome to surgery/radiation in patients with oropharyngeal primary. Patients with depressed mental health and prolonged feeding tubes may be at higher risk of long‐term dysphagia.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>15280708</pmid><doi>10.1097/00005537-200408000-00008</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Biological and medical sciences Carcinoma, Squamous Cell - therapy chemoradiation Combined Modality Therapy Cross-Sectional Studies Deglutition Disorders - etiology Dysphagia Esophagus Female Gastroenterology. Liver. Pancreas. Abdomen Humans Hypopharyngeal Neoplasms - therapy Laryngeal Neoplasms - therapy Male MD Anderson Dysphagia Inventory Medical sciences Middle Aged Oropharyngeal Neoplasms - therapy Other diseases. Semiology Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology outcomes Quality of Life Risk Factors squamous cell carcinoma Surveys and Questionnaires swallowing Tumors |
| title | Swallowing-Related Quality of Life After Head and Neck Cancer Treatment |
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