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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Internal Lymphedema Correlates with Subjective and Objective Measures of Dysphagia in Head and Neck Cancer Patients</title><author><name sortKey="Jackson, Leanne K" sort="Jackson, Leanne K" uniqKey="Jackson L" first="Leanne K." last="Jackson">Leanne K. Jackson</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Deng, Jie" sort="Deng, Jie" uniqKey="Deng J" first="Jie" last="Deng">Jie Deng</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Bartow, Carmin" sort="Bartow, Carmin" uniqKey="Bartow C" first="Carmin" last="Bartow">Carmin Bartow</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Mannion, Kyle" sort="Mannion, Kyle" uniqKey="Mannion K" first="Kyle" last="Mannion">Kyle Mannion</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Niermann, Ken" sort="Niermann, Ken" uniqKey="Niermann K" first="Ken" last="Niermann">Ken Niermann</name><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author><author><name sortKey="Gilbert, Jill" sort="Gilbert, Jill" uniqKey="Gilbert J" first="Jill" last="Gilbert">Jill Gilbert</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><affiliation><nlm:aff id="aff6"></nlm:aff></affiliation></author><author><name sortKey="Cmelak, Anthony J" sort="Cmelak, Anthony J" uniqKey="Cmelak A" first="Anthony J." last="Cmelak">Anthony J. Cmelak</name><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author><author><name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A." last="Murphy">Barbara A. Murphy</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27227341</idno><idno type="pmc">5011629</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5011629</idno><idno type="RBID">PMC:5011629</idno><idno type="doi">10.1089/jpm.2016.0018</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002F80</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002F80</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Internal Lymphedema Correlates with Subjective and Objective Measures of Dysphagia in Head and Neck Cancer Patients</title><author><name sortKey="Jackson, Leanne K" sort="Jackson, Leanne K" uniqKey="Jackson L" first="Leanne K." last="Jackson">Leanne K. Jackson</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Deng, Jie" sort="Deng, Jie" uniqKey="Deng J" first="Jie" last="Deng">Jie Deng</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Bartow, Carmin" sort="Bartow, Carmin" uniqKey="Bartow C" first="Carmin" last="Bartow">Carmin Bartow</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Mannion, Kyle" sort="Mannion, Kyle" uniqKey="Mannion K" first="Kyle" last="Mannion">Kyle Mannion</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Niermann, Ken" sort="Niermann, Ken" uniqKey="Niermann K" first="Ken" last="Niermann">Ken Niermann</name><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author><author><name sortKey="Gilbert, Jill" sort="Gilbert, Jill" uniqKey="Gilbert J" first="Jill" last="Gilbert">Jill Gilbert</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><affiliation><nlm:aff id="aff6"></nlm:aff></affiliation></author><author><name sortKey="Cmelak, Anthony J" sort="Cmelak, Anthony J" uniqKey="Cmelak A" first="Anthony J." last="Cmelak">Anthony J. Cmelak</name><affiliation><nlm:aff id="aff5"></nlm:aff></affiliation></author><author><name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A." last="Murphy">Barbara A. Murphy</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Palliative Medicine</title><idno type="ISSN">1096-6218</idno><idno type="eISSN">1557-7740</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p><bold><italic>Background:</italic></bold> Tumor/treatment-related internal lymphedema (IL) and/or external lymphedema (EL) are associated with functional deficits and increased symptom burden in head and neck cancer patients (HNCP). Previously, we noted association between EL/IL and patient-reported dysphagia using the Vanderbilt Head and Neck Symptom Survey (VHNSS) version 1.0.</p><p><bold><italic>Objective:</italic></bold> To determine the relationship between IL/EL and subjective and objective measures of swallowing function.</p><p><bold><italic>Methods:</italic></bold> Eighty-one HNCP completed: (1) VHNSS version 2.0, including 13 swallowing/nutrition-related questions grouped into three clusters: swallow solids (ss), swallow liquids (sl), and nutrition(nt); (2) physical assessment of EL using Foldi scale; (3) endoscopic assessment of IL using Patterson scale (<italic>n</italic> = 56); and (4) modified barium swallow study rated by dysphagia outcome and severity scale (DOSS) and in conjunction with a swallow evaluation by National Outcomes Measurement System (NOMS). Examinations were performed at varied time points to assess lymphedema spectrum, from baseline (<italic>n</italic> = 15, 18.1%) to 18 months post-therapy (<italic>n</italic> = 20, 24.1%).</p><p><bold><italic>Results:</italic></bold> VHNSS swallow/nutrition items scores correlated with NOMS/DOSS ratings (<italic>p</italic> < 0.001). Highest correlation was with NOMS: ss (−0.73); sl (−0.61); nt (−0.56). VHNSS swallow/nutrition scores correlated with maximum grade of swelling for any single structure on Patterson scale: ss (0.43; <italic>p</italic> = 0.001); sl (0.38; <italic>p</italic> = 0.004); nt (0.41; <italic>p</italic> = 0.002). IL of aryepiglottic/pharyngoepiglottic folds, epiglottis, and pyriform sinus were most strongly correlated with VHNSS and NOMS ratings. NOMS/DOSS ratings correlated with EL (> = −0.34; <italic>p</italic> < 0.01). No meaningful correlations exist between VHNSS swallow/nutrition items and EL (< ± 0.15, <italic>p</italic> > 0.20).</p><p><bold><italic>Conclusions:</italic></bold> IL correlated with subjective and objective measures of swallow dysfunction. Longitudinal analysis of trajectory and impact of IL/EL on dysphagia is ongoing.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Palliat Med</journal-id><journal-id journal-id-type="iso-abbrev">J Palliat Med</journal-id><journal-id journal-id-type="publisher-id">jpm</journal-id><journal-title-group><journal-title>Journal of Palliative Medicine</journal-title></journal-title-group><issn pub-type="ppub">1096-6218</issn><issn pub-type="epub">1557-7740</issn><publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name><publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27227341</article-id><article-id pub-id-type="pmc">5011629</article-id><article-id pub-id-type="publisher-id">10.1089/jpm.2016.0018</article-id><article-id pub-id-type="doi">10.1089/jpm.2016.0018</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>Internal Lymphedema Correlates with Subjective and Objective Measures of Dysphagia in Head and Neck Cancer Patients</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Jackson</surname><given-names>Leanne K.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ridner</surname><given-names>Sheila H.</given-names></name><degrees>PhD, RN</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Deng</surname><given-names>Jie</given-names></name><degrees>PhD, RN</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bartow</surname><given-names>Carmin</given-names></name><degrees>MS, CCC-SLP</degrees><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mannion</surname><given-names>Kyle</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Niermann</surname><given-names>Ken</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gilbert</surname><given-names>Jill</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Dietrich</surname><given-names>Mary S.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff6"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cmelak</surname><given-names>Anthony J.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Murphy</surname><given-names>Barbara A.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><aff id="aff1"><label><sup>1</sup></label>Department of Medicine,<institution>Vanderbilt University Medical Center</institution>, Nashville, Tennessee.</aff><aff id="aff2"><label><sup>2</sup></label>School of Nursing,<institution>Vanderbilt University Medical Center</institution>, Nashville, Tennessee.</aff><aff id="aff3"><label><sup>3</sup></label>Dept of Speech Sciences,<institution>Vanderbilt University Medical Center</institution>, Nashville, Tennessee.</aff><aff id="aff4"><label><sup>4</sup></label>Dept of Surgery,<institution>Vanderbilt University Medical Center</institution>, Nashville, Tennessee.</aff><aff id="aff5"><label><sup>5</sup></label>Department of Radiation Oncology,<institution>Vanderbilt University Medical Center</institution>, Nashville, Tennessee.</aff><aff id="aff6"><label><sup>6</sup></label>Department of Biostatistics, Schools of Medicine and Nursing,<institution>Vanderbilt University Medical Center</institution>, Nashville, Tennessee.</aff></contrib-group><author-notes><corresp><addr-line>Address correspondence to:</addr-line><addr-line><italic>Leanne K. Jackson, MD</italic></addr-line><institution><italic>Michael E. DeBakey Veterans Affairs Medical Center</italic></institution><addr-line><italic>2002 Holcombe Boulevard</italic></addr-line><addr-line><italic>Houston, TX 77030</italic></addr-line><italic>E-mail:</italic><email xlink:href="mailto:leanne.jackson2@va.gov">leanne.jackson2@va.gov</email></corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>9</month><year>2016</year><pmc-comment>string-date: September 2016</pmc-comment>
</pub-date><pub-date pub-type="epub"><day>01</day><month>9</month><year>2016</year></pub-date><volume>19</volume><issue>9</issue><fpage>949</fpage><lpage>956</lpage><history><date date-type="accepted"><day>13</day><month>4</month><year>2016</year><pmc-comment>string-date: Accepted April 13, 2016</pmc-comment>
</date></history><permissions><copyright-statement>Copyright 2016, Mary Ann Liebert, Inc.</copyright-statement><copyright-year>2016</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="jpm.2016.0018.pdf"></self-uri><abstract><title>Abstract</title><p><bold><italic>Background:</italic></bold> Tumor/treatment-related internal lymphedema (IL) and/or external lymphedema (EL) are associated with functional deficits and increased symptom burden in head and neck cancer patients (HNCP). Previously, we noted association between EL/IL and patient-reported dysphagia using the Vanderbilt Head and Neck Symptom Survey (VHNSS) version 1.0.</p><p><bold><italic>Objective:</italic></bold> To determine the relationship between IL/EL and subjective and objective measures of swallowing function.</p><p><bold><italic>Methods:</italic></bold> Eighty-one HNCP completed: (1) VHNSS version 2.0, including 13 swallowing/nutrition-related questions grouped into three clusters: swallow solids (ss), swallow liquids (sl), and nutrition(nt); (2) physical assessment of EL using Foldi scale; (3) endoscopic assessment of IL using Patterson scale (<italic>n</italic> = 56); and (4) modified barium swallow study rated by dysphagia outcome and severity scale (DOSS) and in conjunction with a swallow evaluation by National Outcomes Measurement System (NOMS). Examinations were performed at varied time points to assess lymphedema spectrum, from baseline (<italic>n</italic> = 15, 18.1%) to 18 months post-therapy (<italic>n</italic> = 20, 24.1%).</p><p><bold><italic>Results:</italic></bold> VHNSS swallow/nutrition items scores correlated with NOMS/DOSS ratings (<italic>p</italic> < 0.001). Highest correlation was with NOMS: ss (−0.73); sl (−0.61); nt (−0.56). VHNSS swallow/nutrition scores correlated with maximum grade of swelling for any single structure on Patterson scale: ss (0.43; <italic>p</italic> = 0.001); sl (0.38; <italic>p</italic> = 0.004); nt (0.41; <italic>p</italic> = 0.002). IL of aryepiglottic/pharyngoepiglottic folds, epiglottis, and pyriform sinus were most strongly correlated with VHNSS and NOMS ratings. NOMS/DOSS ratings correlated with EL (> = −0.34; <italic>p</italic> < 0.01). No meaningful correlations exist between VHNSS swallow/nutrition items and EL (< ± 0.15, <italic>p</italic> > 0.20).</p><p><bold><italic>Conclusions:</italic></bold> IL correlated with subjective and objective measures of swallow dysfunction. Longitudinal analysis of trajectory and impact of IL/EL on dysphagia is ongoing.</p></abstract><counts><table-count count="6"></table-count><ref-count count="20"></ref-count><page-count count="8"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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