ASSOCIATION BETWEEN SEVERITY OF DYSPHAGIA AND SURVIVAL IN PATIENTS WITH HEAD AND NECK CANCER
Identifieur interne : 003860 ( Pmc/Curation ); précédent : 003859; suivant : 003861ASSOCIATION BETWEEN SEVERITY OF DYSPHAGIA AND SURVIVAL IN PATIENTS WITH HEAD AND NECK CANCER
Auteurs : Samantha E. Shune [États-Unis] ; Lucy Hynds Karnell [États-Unis] ; Michael P. Karnell [États-Unis] ; Douglas J. Van Daele [États-Unis] ; Gerry F. Funk [États-Unis]Source :
- Head & neck [ 1043-3074 ] ; 2011.
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.
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.
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.
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.
Url:
DOI: 10.1002/hed.21819
PubMed: 22127835
PubMed Central: 4304637
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Shune</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Communication Sciences and Disorders, University of Iowa, Iowa City</wicri:cityArea></affiliation></author><author><name sortKey="Karnell, Lucy Hynds" sort="Karnell, Lucy Hynds" uniqKey="Karnell L" first="Lucy Hynds" last="Karnell">Lucy Hynds Karnell</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City</wicri:cityArea></affiliation></author><author><name sortKey="Karnell, Michael P" sort="Karnell, Michael P" uniqKey="Karnell M" first="Michael P." last="Karnell">Michael P. 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Shune</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Communication Sciences and Disorders, University of Iowa, Iowa City</wicri:cityArea></affiliation></author><author><name sortKey="Karnell, Lucy Hynds" sort="Karnell, Lucy Hynds" uniqKey="Karnell L" first="Lucy Hynds" last="Karnell">Lucy Hynds Karnell</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City</wicri:cityArea></affiliation></author><author><name sortKey="Karnell, Michael P" sort="Karnell, Michael P" uniqKey="Karnell M" first="Michael P." last="Karnell">Michael P. Karnell</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Communication Sciences and Disorders, University of Iowa, Iowa City</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City</wicri:cityArea></affiliation></author><author><name sortKey="Van Daele, Douglas J" sort="Van Daele, Douglas J" uniqKey="Van Daele D" first="Douglas J." last="Van Daele">Douglas J. Van Daele</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City</wicri:cityArea></affiliation></author><author><name sortKey="Funk, Gerry F" sort="Funk, Gerry F" uniqKey="Funk G" first="Gerry F." last="Funk">Gerry F. Funk</name><affiliation wicri:level="2"><nlm:aff id="A2">Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Iowa</region></placeName><wicri:cityArea>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City</wicri:cityArea></affiliation></author></analytic><series><title level="j">Head & neck</title><idno type="ISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">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></sec><sec id="S2"><title>Methods</title><p id="P2">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></sec><sec id="S3"><title>Results</title><p id="P3">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></sec><sec id="S4"><title>Conclusions</title><p id="P4">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.</p></sec></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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8902541</journal-id><journal-id journal-id-type="pubmed-jr-id">3967</journal-id><journal-id journal-id-type="nlm-ta">Head Neck</journal-id><journal-id journal-id-type="iso-abbrev">Head Neck</journal-id><journal-title-group><journal-title>Head & neck</journal-title></journal-title-group><issn pub-type="ppub">1043-3074</issn><issn pub-type="epub">1097-0347</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22127835</article-id><article-id pub-id-type="pmc">4304637</article-id><article-id pub-id-type="doi">10.1002/hed.21819</article-id><article-id pub-id-type="manuscript">NIHMS656388</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>ASSOCIATION BETWEEN SEVERITY OF DYSPHAGIA AND SURVIVAL IN PATIENTS WITH HEAD AND NECK CANCER</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Shune</surname><given-names>Samantha E.</given-names></name><degrees>MA</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Karnell</surname><given-names>Lucy Hynds</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Karnell</surname><given-names>Michael P.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Van Daele</surname><given-names>Douglas J.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Funk</surname><given-names>Gerry F.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Communication Sciences and Disorders, University of Iowa, Iowa City, Iowa</aff><aff id="A2"><label>2</label>Department of Otolaryngology–Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa</aff><author-notes><corresp id="CR1"><italic>Correspondence to:</italic> L. H. Karnell, Department of OTO-HNS, Rm 21010 PFP, 200 Hawkins Drive, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>18</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>30</day><month>8</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>23</day><month>1</month><year>2015</year></pub-date><volume>34</volume><issue>6</issue><fpage>776</fpage><lpage>784</lpage><pmc-comment>elocation-id from pubmed: 10.1002/hed.21819</pmc-comment>
<permissions><copyright-statement>© 2011 Wiley Periodicals, Inc.</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">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></sec><sec id="S2"><title>Methods</title><p id="P2">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></sec><sec id="S3"><title>Results</title><p id="P3">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></sec><sec id="S4"><title>Conclusions</title><p id="P4">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.</p></sec></abstract><kwd-group><kwd>head and neck cancer</kwd><kwd>dysphagia</kwd><kwd>swallowing</kwd><kwd>swallowing therapy</kwd><kwd>survival</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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