Association between severity of dysphagia and survival in patients with head and neck cancer
Identifieur interne : 001267 ( Istex/Corpus ); précédent : 001266; suivant : 001268Association between severity of dysphagia and survival in patients with head and neck cancer
Auteurs : Samantha E. Shune ; Lucy Hynds Karnell ; Michael P. Karnell ; Douglas J. Van Daele ; Gerry F. FunkSource :
- Head & Neck [ 1043-3074 ] ; 2012-06.
Abstract
This study examined risk factors for dysphagia, a common and serious condition in patients with head and neck cancer, and the association between severity of dysphagia and survival.
Url:
DOI: 10.1002/hed.21819
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ISTEX:28893157E5BD257BA7B026C45644D52D89F09F11Le document en format XML
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Funk</name><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="ISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><imprint><biblScope unit="vol">34</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="776">776</biblScope><biblScope unit="page" to="784">784</biblScope><biblScope unit="page-count">9</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-06">2012-06</date></imprint><idno type="ISSN">1043-3074</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1043-3074</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">This study examined risk factors for dysphagia, a common and serious condition in patients with head and neck cancer, and the association between severity of dysphagia and survival.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>dysphagia</json:string><json:string>neck cancer</json:string><json:string>predictor</json:string><json:string>radiation therapy</json:string><json:string>oral intake</json:string><json:string>oncol</json:string><json:string>june</json:string><json:string>pharyngeal</json:string><json:string>severe dysphagia</json:string><json:string>dysphagia severity</json:string><json:string>histologic</json:string><json:string>dysfunction</json:string><json:string>oropharyngeal</json:string><json:string>aspiration pneumonia</json:string><json:string>independent predictor</json:string><json:string>aspiration</json:string><json:string>dysphagia code</json:string><json:string>multivariate analysis</json:string><json:string>pharyngeal stage</json:string><json:string>head june</json:string><json:string>treatment characteristics</json:string><json:string>univariate analyses</json:string><json:string>carcinoma</json:string><json:string>survival rates</json:string><json:string>risk factors</json:string><json:string>performance scale</json:string><json:string>severity</json:string><json:string>baseline</json:string><json:string>oral cavity tumors</json:string><json:string>independent predictors</json:string><json:string>squamous cell carcinoma</json:string><json:string>iowa city</json:string><json:string>weight loss</json:string><json:string>treatment modality</json:string><json:string>histologic type</json:string><json:string>present study</json:string><json:string>patient population</json:string><json:string>head neck</json:string><json:string>iowa hospitals</json:string><json:string>radiat oncol biol phys</json:string><json:string>neck cancer patients</json:string><json:string>cancer registry</json:string><json:string>billing data</json:string><json:string>wiley periodicals</json:string><json:string>regression analysis</json:string><json:string>squamous cell carcinomas</json:string><json:string>oral cavity</json:string><json:string>hypopharyngeal tumors</json:string><json:string>inadequate oropharyngeal transit</json:string><json:string>cavity oropharynx hypopharynx larynx</json:string><json:string>incidence rate</json:string><json:string>pairwise comparisons</json:string><json:string>other carcinoma radiation therapy</json:string><json:string>dysphagia rating</json:string><json:string>anatomic site</json:string><json:string>unknown surgery</json:string><json:string>unknown severity</json:string><json:string>stage treatment</json:string><json:string>individual value</json:string><json:string>prognostic factors</json:string><json:string>gastrostomy tube placement</json:string><json:string>inconsistent aspiration</json:string><json:string>cancer treatment</json:string><json:string>worse survival</json:string><json:string>better survival</json:string><json:string>gastrostomy tubes</json:string><json:string>important role</json:string><json:string>functional limits</json:string><json:string>retrospective study</json:string><json:string>neck cancer head</json:string><json:string>regression analyses</json:string><json:string>disease characteristics</json:string><json:string>nutritional status</json:string><json:string>pathologic stage</json:string></teeft></keywords><author><json:item><name>Samantha E. Shune MA</name><affiliations><json:string>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</json:string></affiliations></json:item><json:item><name>Lucy Hynds Karnell PhD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</json:string></affiliations></json:item><json:item><name>Michael P. Karnell PhD</name><affiliations><json:string>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</json:string><json:string>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</json:string></affiliations></json:item><json:item><name>Douglas J. Van Daele MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</json:string></affiliations></json:item><json:item><name>Gerry F. 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therapy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>survival</value></json:item></subject><articleId><json:string>HED21819</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><qualityIndicators><score>5.836</score><pdfVersion>1.4</pdfVersion><pdfPageSize>612 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>181</abstractCharCount><pdfWordCount>5066</pdfWordCount><pdfCharCount>34767</pdfCharCount><pdfPageCount>9</pdfPageCount><abstractWordCount>28</abstractWordCount></qualityIndicators><title>Association between severity of dysphagia and survival in patients with head and neck cancer</title><genre><json:string>article</json:string></genre><host><title>Head & 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xml:id="author-0000"><persName><forename type="first">Samantha E.</forename><surname>Shune</surname><roleName type="degree">MA</roleName></persName><affiliation>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa<address><country key="US"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Lucy Hynds</forename><surname>Karnell</surname><roleName type="degree">PhD</roleName></persName><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa<address><country key="US"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Michael P.</forename><surname>Karnell</surname><roleName type="degree">PhD</roleName></persName><affiliation>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa<address><country key="US"></country></address></affiliation><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa<address><country key="US"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Douglas J.</forename><surname>Van Daele</surname><roleName type="degree">MD</roleName></persName><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa<address><country key="US"></country></address></affiliation></author><author xml:id="author-0004" role="corresp"><persName><forename type="first">Gerry F.</forename><surname>Funk</surname><roleName type="degree">MD</roleName></persName><email>funk@uiowa.edu</email><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa<address><country key="US"></country></address></affiliation><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</affiliation></author><idno type="istex">28893157E5BD257BA7B026C45644D52D89F09F11</idno><idno type="DOI">10.1002/hed.21819</idno><idno type="unit">HED21819</idno><idno type="toTypesetVersion">file:HED.HED21819.pdf</idno></analytic><monogr><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="pISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><idno type="book-DOI">10.1002/(ISSN)1097-0347</idno><idno type="book-part-DOI">10.1002/hed.v34.6</idno><idno type="product">HED</idno><imprint><biblScope unit="vol">34</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="776">776</biblScope><biblScope unit="page" to="784">784</biblScope><biblScope unit="page-count">9</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-06"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
Background
<p>This study examined risk factors for dysphagia, a common and serious condition in patients with head and neck cancer, and the association between severity of dysphagia and survival.</p>
Methods
<p>Chart reviews were performed on patients diagnosed with head and neck cancer between January 2001 and April 2003, who had dysphagia diagnoses or swallowing evaluations. Regression analyses determined factors associated with dysphagia and the association between observed survival and severity of dysphagia.</p>
Results
<p>Almost 50% of the 407 patients had dysphagia. Risk factors included advanced stage, older age, female sex, and hypopharyngeal tumors. The most severe dysphagia ([L.] nil per os or “nothing by mouth” status), which was associated with lower survival rates, was the strongest independent predictor of survival.</p>
Conclusions
<p>Swallowing problems should be considered when determining appropriate cancer‐directed treatment and posttreatment care. Because of dysphagia's high incidence rate and association with survival, a speech‐language pathologist should be involved to ensure routine diagnostic and therapeutic swallowing interventions. © 2011 Wiley Periodicals, Inc. <hi rend="italic">Head Neck</hi>, 2011</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">head and neck cancer</term><term xml:id="kwd2">dysphagia</term><term xml:id="kwd3">swallowing</term><term xml:id="kwd4">swallowing therapy</term><term xml:id="kwd5">survival</term></keywords><classCode scheme="articleCategory">Original Article</classCode><classCode scheme="tocHeading1">Original Articles</classCode></textClass><langUsage><language 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href="file:HED.HED21819.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="6"></count><count type="referenceTotal" number="28"></count><count type="wordTotal" number="8314"></count></countGroup><titleGroup><title type="main" xml:lang="en">Association between severity of dysphagia and survival in patients with head and neck cancer<link href="#fn11"></link></title><title type="short" xml:lang="en">Dysphagia and Survival in Head and Neck Cancer</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Samantha E.</givenNames><familyName>Shune</familyName><degrees>MA</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Lucy Hynds</givenNames><familyName>Karnell</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1 #af2"><personName><givenNames>Michael P.</givenNames><familyName>Karnell</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Douglas J.</givenNames><familyName>Van Daele</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af2" corresponding="yes"><personName><givenNames>Gerry F.</givenNames><familyName>Funk</familyName><degrees>MD</degrees></personName><contactDetails><email>funk@uiowa.edu</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">head and neck cancer</keyword><keyword xml:id="kwd2">dysphagia</keyword><keyword xml:id="kwd3">swallowing</keyword><keyword xml:id="kwd4">swallowing therapy</keyword><keyword xml:id="kwd5">survival</keyword></keywordGroup><fundingInfo><fundingAgency>Office of Cancer Survivorship</fundingAgency></fundingInfo><fundingInfo><fundingAgency>National Cancer Institute</fundingAgency><fundingNumber>R01 CA106908</fundingNumber></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background</title><p>This study examined risk factors for dysphagia, a common and serious condition in patients with head and neck cancer, and the association between severity of dysphagia and survival.</p></section><section xml:id="abs1-2"><title type="main">Methods</title><p>Chart reviews were performed on patients diagnosed with head and neck cancer between January 2001 and April 2003, who had dysphagia diagnoses or swallowing evaluations. Regression analyses determined factors associated with dysphagia and the association between observed survival and severity of dysphagia.</p></section><section xml:id="abs1-3"><title type="main">Results</title><p>Almost 50% of the 407 patients had dysphagia. Risk factors included advanced stage, older age, female sex, and hypopharyngeal tumors. The most severe dysphagia ([L.] nil per os or “nothing by mouth” status), which was associated with lower survival rates, was the strongest independent predictor of survival.</p></section><section xml:id="abs1-4"><title type="main">Conclusions</title><p>Swallowing problems should be considered when determining appropriate cancer‐directed treatment and posttreatment care. Because of dysphagia's high incidence rate and association with survival, a speech‐language pathologist should be involved to ensure routine diagnostic and therapeutic swallowing interventions. © 2011 Wiley Periodicals, Inc. <i>Head Neck</i>, 2011</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn11"><p>Portions of this work were presented as a poster at the American Speech‐Language‐Hearing Association's annual convention in Philadelphia, PA, November 2010.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Association between severity of dysphagia and survival in patients with head and neck cancer</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Dysphagia and Survival in Head and Neck Cancer</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Association between severity of dysphagia and survival in patients with head and neck cancer</title></titleInfo><name type="personal"><namePart type="given">Samantha E.</namePart><namePart type="family">Shune</namePart><namePart type="termsOfAddress">MA</namePart><affiliation>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lucy Hynds</namePart><namePart type="family">Karnell</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michael P.</namePart><namePart type="family">Karnell</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</affiliation><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Douglas J.</namePart><namePart type="family">Van Daele</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gerry F.</namePart><namePart type="family">Funk</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</affiliation><affiliation>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2012-06</dateIssued><dateCaptured encoding="w3cdtf">2010-09-30</dateCaptured><dateValid encoding="w3cdtf">2011-04-04</dateValid><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">6</extent><extent unit="references">28</extent><extent unit="words">8314</extent></physicalDescription><abstract>This study examined risk factors for dysphagia, a common and serious condition in patients with head and neck cancer, and the association between severity of dysphagia and survival.</abstract><abstract>Chart reviews were performed on patients diagnosed with head and neck cancer between January 2001 and April 2003, who had dysphagia diagnoses or swallowing evaluations. Regression analyses determined factors associated with dysphagia and the association between observed survival and severity of dysphagia.</abstract><abstract>Almost 50% of the 407 patients had dysphagia. Risk factors included advanced stage, older age, female sex, and hypopharyngeal tumors. The most severe dysphagia ([L.] nil per os or “nothing by mouth” status), which was associated with lower survival rates, was the strongest independent predictor of survival.</abstract><abstract>Swallowing problems should be considered when determining appropriate cancer‐directed treatment and posttreatment care. Because of dysphagia's high incidence rate and association with survival, a speech‐language pathologist should be involved to ensure routine diagnostic and therapeutic swallowing interventions. © 2011 Wiley Periodicals, Inc. Head Neck, 2011</abstract><note type="content">*Portions of this work were presented as a poster at the American Speech‐Language‐Hearing Association's annual convention in Philadelphia, PA, November 2010.</note><note type="funding">Office of Cancer Survivorship</note><note type="funding">National Cancer Institute - No. R01 CA106908; </note><subject lang="en"><genre>keywords</genre><topic>head and neck cancer</topic><topic>dysphagia</topic><topic>swallowing</topic><topic>swallowing therapy</topic><topic>survival</topic></subject><relatedItem type="host"><titleInfo><title>Head & Neck</title></titleInfo><titleInfo type="abbreviated"><title>Head Neck</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">1043-3074</identifier><identifier type="eISSN">1097-0347</identifier><identifier type="DOI">10.1002/(ISSN)1097-0347</identifier><identifier type="PublisherID">HED</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>34</number></detail><detail type="issue"><caption>no.</caption><number>6</number></detail><extent unit="pages"><start>776</start><end>784</end><total>9</total></extent></part></relatedItem><identifier type="istex">28893157E5BD257BA7B026C45644D52D89F09F11</identifier><identifier type="DOI">10.1002/hed.21819</identifier><identifier type="ArticleID">HED21819</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2011 Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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