Voice and speech outcomes of chemoradiation for advanced head and neck cancer: a systematic review
Identifieur interne : 000E37 ( Pmc/Curation ); précédent : 000E36; suivant : 000E38Voice and speech outcomes of chemoradiation for advanced head and neck cancer: a systematic review
Auteurs : Irene Jacobi [Pays-Bas] ; Lisette Van Der Molen [Pays-Bas] ; Hermelinde Huiskens [Pays-Bas] ; Maya A. Van Rossum [Pays-Bas] ; Frans J. M. Hilgers [Pays-Bas]Source :
- European Archives of Oto-Rhino-Laryngology [ 0937-4477 ] ; 2010.
Abstract
Purpose of this review is to systematically assess the effects on voice and speech of advanced head and neck cancer and its treatment by means of chemoradiotherapy (CRT). The databases Medline, Embase and Cochrane were searched (1991–2009) for terms head and neck cancer, chemoradiation, voice and speech rehabilitation. Twenty articles met the inclusion criteria, whereof 14 reported on voice outcomes and 10 on speech. Within the selected 20 studies, 18 different tools were used for speech or voice evaluation. Most studies assessed their data by means of patient questionnaires. Four studies presented outcome measures in more than one dimension. Most studies summarised the outcomes of posttreatment data that were assessed at various points in time after treatment. Except for four studies, pre-treatment measurements were lacking. This and the fact that most studies combined the outcomes of patients with radiated laryngeal cancers with outcome data of non-laryngeal cancer patients impedes an interpretation in terms of the effects of radiation versus the effects of the disease itself on voice or speech. Overall, the studies indicated that voice and speech degenerated during CRT, improved again 1–2 months after treatment and exceeded pre-treatment levels after 1 year or longer. However, voice and speech measures do not show normal values before or after treatment. Given the large-ranged posttreatment data, missing baseline assessment and the lacking separation of tumour/radiation sites, there is an urgent need for structured standardised multi-dimensional speech and voice assessment protocols in patients with advanced head and neck cancer treated with CRT.
Url:
DOI: 10.1007/s00405-010-1316-x
PubMed: 20589505
PubMed Central: 2924496
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Van Rossum</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Leiden University Medical Center, Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Leiden University Medical Center, Leiden</wicri:regionArea></affiliation></author><author><name sortKey="Hilgers, Frans J M" sort="Hilgers, Frans J M" uniqKey="Hilgers F" first="Frans J. M." last="Hilgers">Frans J. M. Hilgers</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Institute of Phonetic Sciences, University of Amsterdam, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Institute of Phonetic Sciences, University of Amsterdam, Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Academic Medical Center, University of Amsterdam, Amsterdam</wicri:regionArea></affiliation></author></analytic><series><title level="j">European Archives of Oto-Rhino-Laryngology</title><idno type="ISSN">0937-4477</idno><idno type="eISSN">1434-4726</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Purpose of this review is to systematically assess the effects on voice and speech of advanced head and neck cancer and its treatment by means of chemoradiotherapy (CRT). The databases Medline, Embase and Cochrane were searched (1991–2009) for terms head and neck cancer, chemoradiation, voice and speech rehabilitation. Twenty articles met the inclusion criteria, whereof 14 reported on voice outcomes and 10 on speech. Within the selected 20 studies, 18 different tools were used for speech or voice evaluation. Most studies assessed their data by means of patient questionnaires. Four studies presented outcome measures in more than one dimension. Most studies summarised the outcomes of posttreatment data that were assessed at various points in time after treatment. Except for four studies, pre-treatment measurements were lacking. This and the fact that most studies combined the outcomes of patients with radiated laryngeal cancers with outcome data of non-laryngeal cancer patients impedes an interpretation in terms of the effects of radiation versus the effects of the disease itself on voice or speech. Overall, the studies indicated that voice and speech degenerated during CRT, improved again 1–2 months after treatment and exceeded pre-treatment levels after 1 year or longer. However, voice and speech measures do not show normal values before or after treatment. Given the large-ranged posttreatment data, missing baseline assessment and the lacking separation of tumour/radiation sites, there is an urgent need for structured standardised multi-dimensional speech and voice assessment protocols in patients with advanced head and neck cancer treated with CRT.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cognetti, Dm" uniqKey="Cognetti D">DM Cognetti</name></author><author><name sortKey="Weber, Rs" uniqKey="Weber R">RS Weber</name></author><author><name sortKey="Lai, Sy" uniqKey="Lai S">SY Lai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Der Molen, L" uniqKey="Van Der Molen L">L van der Molen</name></author><author><name sortKey="Van Rossum, Ma" uniqKey="Van Rossum M">MA van Rossum</name></author><author><name sortKey="Burkhead, Lm" uniqKey="Burkhead L">LM Burkhead</name></author><author><name sortKey="Smeele, Le" uniqKey="Smeele L">LE 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article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Eur Arch Otorhinolaryngol</journal-id><journal-id journal-id-type="iso-abbrev">Eur Arch Otorhinolaryngol</journal-id><journal-title-group><journal-title>European Archives of Oto-Rhino-Laryngology</journal-title></journal-title-group><issn pub-type="ppub">0937-4477</issn><issn pub-type="epub">1434-4726</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>Berlin/Heidelberg</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20589505</article-id><article-id pub-id-type="pmc">2924496</article-id><article-id pub-id-type="publisher-id">1316</article-id><article-id pub-id-type="doi">10.1007/s00405-010-1316-x</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Voice and speech outcomes of chemoradiation for advanced head and neck cancer: a systematic review</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Jacobi</surname><given-names>Irene</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>van der Molen</surname><given-names>Lisette</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Huiskens</surname><given-names>Hermelinde</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>van Rossum</surname><given-names>Maya A.</given-names></name><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Hilgers</surname><given-names>Frans J. M.</given-names></name><address><phone>+31-20-5122550</phone><fax>+31-20-5122554</fax><email>f.hilgers@nki.nl</email></address><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff2"></xref><xref ref-type="aff" rid="Aff4"></xref></contrib><aff id="Aff1"><label></label>The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands</aff><aff id="Aff2"><label></label>Institute of Phonetic Sciences, University of Amsterdam, Amsterdam, The Netherlands</aff><aff id="Aff3"><label></label>Leiden University Medical Center, Leiden, The Netherlands</aff><aff id="Aff4"><label></label>Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands</aff></contrib-group><pub-date pub-type="epub"><day>30</day><month>6</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>30</day><month>6</month><year>2010</year></pub-date><pub-date pub-type="ppub"><month>10</month><year>2010</year></pub-date><volume>267</volume><issue>10</issue><fpage>1495</fpage><lpage>1505</lpage><history><date date-type="received"><day>12</day><month>4</month><year>2010</year></date><date date-type="accepted"><day>14</day><month>6</month><year>2010</year></date></history><permissions><copyright-statement>© The Author(s) 2010</copyright-statement></permissions><abstract id="Abs1"><p>Purpose of this review is to systematically assess the effects on voice and speech of advanced head and neck cancer and its treatment by means of chemoradiotherapy (CRT). The databases Medline, Embase and Cochrane were searched (1991–2009) for terms head and neck cancer, chemoradiation, voice and speech rehabilitation. Twenty articles met the inclusion criteria, whereof 14 reported on voice outcomes and 10 on speech. Within the selected 20 studies, 18 different tools were used for speech or voice evaluation. Most studies assessed their data by means of patient questionnaires. Four studies presented outcome measures in more than one dimension. Most studies summarised the outcomes of posttreatment data that were assessed at various points in time after treatment. Except for four studies, pre-treatment measurements were lacking. This and the fact that most studies combined the outcomes of patients with radiated laryngeal cancers with outcome data of non-laryngeal cancer patients impedes an interpretation in terms of the effects of radiation versus the effects of the disease itself on voice or speech. Overall, the studies indicated that voice and speech degenerated during CRT, improved again 1–2 months after treatment and exceeded pre-treatment levels after 1 year or longer. However, voice and speech measures do not show normal values before or after treatment. Given the large-ranged posttreatment data, missing baseline assessment and the lacking separation of tumour/radiation sites, there is an urgent need for structured standardised multi-dimensional speech and voice assessment protocols in patients with advanced head and neck cancer treated with CRT.</p></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Head and neck cancer</kwd><kwd>Organ preservation</kwd><kwd>Systematic review</kwd><kwd>Voice</kwd><kwd>Speech</kwd><kwd>Rehabilitation</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer-Verlag 2010</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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