Comparison of Swallowing Measures to Patient-Reported Dysphagia Symptoms in Head and Neck Cancer Patients.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2024-11-10 DOI:10.1002/ohn.1047

Timothy Delaney, Liane McCarroll, Barbara Ebersole, Olivia Palladino, Kathleen Donocoff, Miriam Lango, Jeffrey C Liu

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引用次数: 0

Abstract

Objective: Head and neck cancer affects patient swallowing function. We set out to examine how objective measures of swallowing compare against subjective patient-reported outcomes in a cohort of head and neck cancer patients.

Study design: Retrospective analysis of data collected from a large dysphagia HNC registry.

Setting: Tertiary Academic Cancer Center.

Methods: Between 2006 and 2019, objective measures of swallowing as scored on Modified Barium Swallow Study or Fiberoptic Endoscopic Evaluation of Swallowing and subjective measures using the SWAL-QOL were collected. Objective measures were scored by the Penetration-Aspiration Score (PAS); subjective measures were assessed by the Dysphagia Domain Score (DDS), collectively forming paired data points. Data on tumor site, T-stage, and treatment modality was collected and evaluated.

Results: A total of 253 paired data points were included in this study. A statistically significant relationship between PAS and DDS was observed across all patients (P < .05, chi sq). When stratified by tumor subsite, PAS and DDS relationships were strongest for oral cavity. When stratified by AJCC T-stage, T4 tumors had the strongest relationship between PAS and DDS. The relationship of PAS and DDS was less congruent the further removed from treatment completion.

Conclusion: Objective and subjective measures of swallowing provide complementary evaluations of swallow function. The congruency of assessment varies by T stage and tumor subsite. Physicians and allied health professionals can use this information to better understand the value and limitation of objective and subjective swallowing assessments in evaluating head and neck cancer patients.

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头颈部癌症患者吞咽困难症状与患者自述吞咽困难症状的比较。

目的：头颈部癌症会影响患者的吞咽功能。我们试图在头颈部癌症患者群体中研究吞咽功能的客观测量结果与患者主观报告结果之间的比较：对大型吞咽困难 HNC 登记处收集的数据进行回顾性分析：三级学术癌症中心：2006年至2019年期间，收集了改良钡吞咽研究或纤维内窥镜吞咽评估的吞咽客观测量数据，以及使用SWAL-QOL进行的主观测量数据。客观指标通过穿刺-吞咽评分（PAS）进行评分；主观指标通过吞咽困难领域评分（DDS）进行评估，共同构成配对数据点。对肿瘤部位、T期和治疗方式的数据进行了收集和评估：本研究共纳入 253 个配对数据点。所有患者的 PAS 与 DDS 之间均存在统计学意义上的显著关系（P 结论：PAS 与 DDS 之间存在统计学意义上的显著关系：吞咽的客观和主观测量可对吞咽功能进行互补评估。评估的一致性因 T 分期和肿瘤部位而异。医生和专职医疗人员可以利用这些信息更好地了解客观和主观吞咽评估在评估头颈部癌症患者时的价值和局限性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.