Associação entre os achados do questionário de disfagia M. D. Anderson e a videofluoroscopia da deglutição após tratamento do câncer de cabeça e pescoço

Andrade, Margareth; Gonçalves, Aline Nogueira; Guedes, Renata Lígia Vieira; Barcelos, Camila Barbosa; Slobodticov, Luciana Dall'Agnol Siqueira; Lopes, Simone Aparecida Claudino; Francisco, Ana Lúcia Noronha; Angelis, Elisabete Carrara de

doi:10.1590/2317-1782/20172015175

Cited by 6 publications

(4 citation statements)

References 24 publications

(34 reference statements)

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“…Similar to previous studies, factors such as gender [6], financial burden [26], tumor stage [27], location of HNC [18], and type of treatment [13,14], this study also identified female sex, low income, suffering from hypopharyngeal cancer, and advanced tumor as the critical determinants of poor QoL related to swallowing problems among HNC patients. These results have direct implications for improving the care of HNC patients by highlighting the need to incorporate swallowing function in the assessment and clinical management of patients.…”

Section: Discussionsupporting

confidence: 81%

Dysphagia and its impact on the quality of life of head and neck cancer patients: institution-based cross-sectional study

et al. 2021

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Objective Impaired swallowing is a primary medical concern in head and neck cancer (HNC) patients. Swallowing therapy and supportive care to relieve swallowing problems among HNC patients are recommended. However, no data shows the effect of dysphagia on the quality of life (QoL) among Ethiopian patients. This cross-sectional study aimed to assess swallowing function and its impact on QoL. Results The sample included 102 HNC patients who visited oncology clinics at Tikur Anbessa Specialized Hospital. Majority were male (53.90%), employed (70.6%), single (57.80%), and completed some level of formal education (66.60%) with a mean age of 42.58 years (SD ± 14.08). More than half of the patients (69.6%) medical expenses were covered by the government. Most were suffering from advanced stage HNC (59.80%), squamous cell carcinoma (62.70%), and the most prevalent tumor location was nasopharynx (40.20%). The mean MDADI score was 53.29 (SD ± 15.85). Being female, low income, suffering from laryngeal cancer, advanced tumor, and undergoing a single modality therapy were crucial determinants of poor QoL related to swallowing problems. It is recommended to assess swallowing related QoL of patients using a validated tool and be included in treatment protocols.

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Section: Discussionsupporting

confidence: 81%

Dysphagia and its impact on the quality of life of head and neck cancer patients: institution-based cross-sectional study

et al. 2021

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“…The composite MDADI mean scores in this study was considerably lower than 63.36 reported in Brazil [42], 64.06 and 67 and reported in USA [1,43] and 67.08 reported in Taiwan [27] indicating the severity of this problem in Ethiopia. The variation may be due to the fact that patients in Ethiopia lack access to early treatment and support since there is a single cancer center in the country that provide comprehensive cancer care.…”

Section: Discussioncontrasting

confidence: 72%

Dysphagia and Its Impact on Quality of Life of Head and Neck Cancer Patients: Institution Based Cross sectional Study

Yifru

Kısa

Dinegde

et al. 2020

Preprint

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Objective: Assessing swallowing function using symptom-specific questionnaires on head and neck cancer (HNC) patients and supporting impaired swallowing to improve quality of life (QoL) of patients is recommended in different studies. However, there is no data that shows the effect of dysphagia on quality of life of Ethiopian patients. Hence, this study assessed the effect of dysphagia on quality of life domains of the MD Anderson Dysphagia inventory (MDADI) among head and neck cancer patients.Results: The study sample consisted of mostly male (53.90%), employed (70.6%), single (57.80 %) and completed some level of formal education (66.60 %) with mean age of 42.58 years (SD ± 14.08 years) and medical expense for about 69.6% of patients was covered by the government. Most of the patients were suffering from advanced stage HNC (59.80%) and squamous cell carcinoma (62.70%) and the most prevalent tumor location was nasal cavity/ nasopharyngeal carcinoma (40.20%). The mean MDADI composite score was 53.29 (SD± 15.85). Being female, low income, suffering from laryngeal/ hypo pharyngeal cancer, suffering from advanced tumor and those undergoing a single modality therapy were key determinants of poor QoL related to swallowing problems in HNC patients.

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“…The MDADI has been translated and validated into Swedish and was found to have satisfactory psychometric properties 38 . A total score below 60 has been used to indicate moderate to severe dysphagia in previous studies and was therefore used as a cut‐off for severe dysphagia for patient‐reported swallowing difficulties 26,33,39‐41 …”

Section: Assessment and Endpointsmentioning

confidence: 99%

“… 38 A total score below 60 has been used to indicate moderate to severe dysphagia in previous studies and was therefore used as a cut‐off for severe dysphagia for patient‐reported swallowing difficulties. 26 , 33 , 39 , 40 , 41 …”

Section: Assessment and Endpointsmentioning

confidence: 99%

Predictors of severe dysphagia following radiotherapy for head and neck cancer

Petersson

Finizia

Tuomi

2021

Laryngoscope Investig Oto

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Objective To investigate if severe dysphagia following radiotherapy for head and neck cancer (HNC) could be predicted by patient and tumor characteristics, feeding tube use, weight factors, jaw opening function, and saliva secretion. Methods Data was collected from 94 HNC patients 6 to 36 months post radiotherapy. Swallowing function was assessed by videofluroscopy (VFS). Severe dysphagia was defined by Penetration Aspiration Scale (PAS) as PAS≥5 or a total score ≤60 on the M. D. Anderson Dysphagia Inventory (MDADI). Results Thirty‐three patients (35%) had PAS ≥5 and 19 (20%) a MDADI ≤60, that is, presented with severe dysphagia. Univariable logistic regression analysis (UVA) gave that tumor of the tonsil, overweight at time of VFS and each unit increase in Body Mass Index (BMI) predicted less risk of PAS ≥5. Dependency of feeding tube at time of VFS and each month's continued use and weight loss ≥7.5% since treatment to time of VFS predicted increased risk of PAS ≥5. Predictive variables from the UVA of PAS ≥5 (tumor of the tonsil, overweight, and total duration of feeding tube), were analyzed by multivariate logistic regression analysis. All retained power as independent predictors. UVA for MDADI showed that use of feeding tube at time of VFS predicted MDADI ≤60 with the risk increasing each month. Each increasing unit of BMI decreased risk of MDADI ≤60. Conclusion Long time users of feeding tube and higher weight‐loss are at risk of severe dysphagia. This makes collaboration between professionals working with dysphagia an important step in detecting severe dysphagia. Level of Evidence: 3.

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Associação entre os achados do questionário de disfagia M. D. Anderson e a videofluoroscopia da deglutição após tratamento do câncer de cabeça e pescoço

Cited by 6 publications

References 24 publications

Dysphagia and its impact on the quality of life of head and neck cancer patients: institution-based cross-sectional study

Dysphagia and its impact on the quality of life of head and neck cancer patients: institution-based cross-sectional study

Dysphagia and Its Impact on Quality of Life of Head and Neck Cancer Patients: Institution Based Cross sectional Study

Predictors of severe dysphagia following radiotherapy for head and neck cancer

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