Association Between Multimodality Neck Treatment and Work and Leisure Impairment

Gallagher, Katherine; Sacco, Assuntina G.; Lee, Julia Shin Jung; Taylor, Rodney J.; Bradford, Carol R.; Prince, Mark; Moyer, Jeffrey S.; Wolf, Gregory T.; Worden, Francis P.; Eisbruch, Avraham; Chepeha, Douglas B.

doi:10.1001/jamaoto.2015.2049

Cited by 16 publications

(7 citation statements)

References 21 publications

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“…5,[7][8][9] Studies evaluating patient-reported outcomes specific to neck dissections have demonstrated the potential negative impact this procedure can have on patients' quality of life. 10 Patient education regarding the risks and benefits of neck dissection is paramount, given the anatomical complexity of the neck and the potential negative consequences of surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Potential postoperative complications and sequelae following neck dissection include dysfunction of the shoulder, neck, and upper limb, cervical anesthesia, and pain 5,7–9 . Studies evaluating patient‐reported outcomes specific to neck dissections have demonstrated the potential negative impact this procedure can have on patients' quality of life 10 . Patient education regarding the risks and benefits of neck dissection is paramount, given the anatomical complexity of the neck and the potential negative consequences of surgery.…”

Section: Introductionmentioning

confidence: 99%

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A critical readability and quality analysis of internet‐based patient information on neck dissections

Grose

Kim

Philteos

et al. 2022

World j. otorhinolaryngol.-head neck surg.

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Objective Patients are increasingly turning to the Internet as a source of healthcare information. Given that neck dissection is a common procedure within the field of Otolaryngology ‐ Head and Neck Surgery, the aim of this study was to evaluate the quality and readability of online patient education materials on neck dissection. Methods A Google search was performed using the term “neck dissection.” The first 10 pages of a Google search using the term “neck dissection” were analyzed. The DISCERN instrument was used to assess quality of information. Readability was calculated using the Flesch‐Reading Ease, Flesch‐Kincaid Grade Level, Gunning‐Fog Index, Coleman‐Liau Index, and Simple Measure of Gobbledygook Index. Results Thirty‐one online patient education materials were included. Fifty‐five percent (n = 17) of results originated from academic institutions or hospitals. The mean Flesch‐Reading Ease score was 61.2 ± 11.9. Fifty‐two percent (n = 16) of patient education materials had Flesch‐Reading Ease scores above the recommended score of 65. The average reading grade level was 10.5 ± 2.1. The average total DISCERN score was 43.6 ± 10.1. Only 26% of patient education materials (PEMs) had DISCERN scores corresponding to a “good quality” rating. There was a significant positive correlation between DISCERN scores and both Flesch‐Reading Ease scores and average reading grade level. Conclusions The majority of patient education materials were written above the recommended sixth‐grade reading level and the quality of online information pertaining to neck dissections was found to be suboptimal. This research highlights the need for patient education materials regarding neck dissection that are high quality and easily understandable by patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A critical readability and quality analysis of internet‐based patient information on neck dissections

Grose

Kim

Philteos

et al. 2022

World j. otorhinolaryngol.-head neck surg.

View full text Add to dashboard Cite

show abstract

“…A full protocol has been published previously ( 15 ). The methods and results of the qualitative sub-study associated with this trial have been previously reported ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

Getting Recovery Right After Neck Dissection (GRRAND-F): Mixed-methods feasibility study to design a pragmatic randomised controlled trial

et al. 2023

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ObjectiveTo determine the feasibility of a randomised controlled trial to estimate the effectiveness and cost-effectiveness of a rehabilitation intervention following neck dissection (ND) after head and neck cancer (HNC).DesignTwo-arm, open, pragmatic, parallel, multicentre, randomised controlled feasibility trial.SettingTwo UK NHS hospitals.ParticipantsPeople who had HNC in whom a ND was part of their care. We excluded those with a life expectancy of six months or less, pre-existing, long-term neurological disease affecting the shoulder and cognitive impairment.InterventionUsual care (standard care supplemented with a booklet on postoperative self-management) was received by all participants. The GRRAND intervention programme consisted of usual care plus up to six individual physiotherapy sessions including neck and shoulder range of motion and progressive resistance exercises, advice and education. Between sessions, participants were advised to complete a home exercise programme.Randomisation1:1 randomisation. Allocation was based on minimisation, stratified by hospital site and spinal accessory nerve sacrifice. It was not possible to mask treatment received.Main outcome measuresPrimary: Participant recruitment, retention and fidelity to the study protocol and interventions from study participants and staff at six months post-randomisation (and 12 months for those reaching that time-point). Secondary: clinical measures of pain, function, physical performance, health-related quality of life, health utilisation and adverse events.Results36 participants were recruited and enrolled. The study achieved five of its six feasibility targets. These included consent - 70% of eligible participants were consented; intervention fidelity - 78% participants discharged completed the intervention sessions; contamination - none - no participants in the control arm received the GRRAND-F intervention and retention - 8% of participants were lost to follow-up. The only feasibility target that was not achieved was the recruitment target where only 36 of the planned 60 participants were recruited over 18 months. This was principally due to the COVID-19 pandemic which caused all research activity to be paused or reduced, with a subsequent reduction in.ConclusionsBased on the findings a full-trial can now be designed to better understand whether this proposed intervention is effective.Clinical Trial Registrationhttps://www.isrctn.com/ISRCTN1197999, identifier ISRCTN11979997.

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“…Historically, the degree of movement restriction is measured by crude semi-quantitative assessment scales (Shah et al, 2001), protractors and goniometers (Erisen et al, 2004;Teymoortash et al, 2010), or a helmet with two inclinometers and a compass (Wilgen et al, 2004). Though patients perceive a benefit from therapy (Gallagher et al, 2015), there are currently few objective ways to guide the specific rehabilitative exercises or the duration of therapy (Lauchlan et al, 2008). Motion capture system and inertial measurement unit (IMU) are being used today as an angle measurement tool.…”

Section: Introductionmentioning

confidence: 99%

A novel neck brace to characterize neck mobility impairments following neck dissection in head and neck cancer patients

et al. 2021

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Objective This article introduces a dynamic neck brace to measure the full range of motion (RoM) of the head–neck. This easy-to-wear brace was used, along with surface electromyography (EMG), to study changes in movement characteristics after neck dissection (ND) in a clinical setting. Methods The brace was inspired by the head–neck anatomy and was designed based on the head–neck movement of 10 healthy individuals. A 6 degrees-of-freedom open-chain structure was adopted to allow full RoM of the head–neck with respect to the shoulders. The physical model was realized by 3D printed materials and inexpensive sensors. Five subjects, who underwent unilateral selective ND, were assessed preoperative and postoperative using this prototype during the head–neck motions. Concurrent EMG measurements of their sternocleidomastoid, splenius capitis, and trapezius muscles were made. Results Reduced RoM during lateral bending on both sides of the neck was observed after surgery, with a mean angle change of 8.03° on the dissected side (95% confidence intervals [CI], 3.11–12.94) and 9.29° on the nondissected side (95% CI, 4.88–13.69), where CI denotes the confidence interval. Axial rotation showed a reduction in the RoM by 5.37° (95% CI, 2.34–8.39) on the nondissection side. Neck extension showed a slight increase in the RoM by 3.15° (95% CI, 0.81–5.49) postoperatively. Conclusions This brace may serve as a simple but useful tool in the clinic to document head–neck RoM changes in patients undergoing ND. Such a characterization may help clinicians evaluate the surgical procedure and guide the recovery of patients.

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Association Between Multimodality Neck Treatment and Work and Leisure Impairment

Cited by 16 publications

References 21 publications

A critical readability and quality analysis of internet‐based patient information on neck dissections

A critical readability and quality analysis of internet‐based patient information on neck dissections

Getting Recovery Right After Neck Dissection (GRRAND-F): Mixed-methods feasibility study to design a pragmatic randomised controlled trial

A novel neck brace to characterize neck mobility impairments following neck dissection in head and neck cancer patients

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