Contemporary management of voice and swallowing disorders in patients with advanced lung cancer

Brady, Grainne; Carding, Paul; Bhosle, Jaishree; Roe, Justin

doi:10.1097/moo.0000000000000155

Cited by 15 publications

(9 citation statements)

References 33 publications

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“…Patients may receive radiation therapy (RT) as a primary treatment or in combination with chemotherapy for advanced lung cancer [43].…”

Section: • Radiation Therapymentioning

confidence: 99%

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Symptom Burden in Lung Cancer: Management Updates

Lehto

2016

Lung Cancer Manag.

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Lung cancer is recognized to carry a high symptom burden with associated lowered quality of life as compared with other cancers. Research has shown that symptom severity can be a prognostic indicator of poorer clinical outcomes and survival post treatment. The purpose of this paper is to review current literature relative to symptom burden associated with diagnosis, medical and/or surgical intervention, assessment and management updates, and emerging initiatives that promote positive outcomes based on updated evidence. Discussion relative to interdisciplinary coordination of supportive services and palliative care initiation is provided.

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“…Patients may receive radiation therapy (RT) as a primary treatment or in combination with chemotherapy for advanced lung cancer [43].…”

Section: • Radiation Therapymentioning

confidence: 99%

“…Patients receiving radiation to the mediastinal area may also develop esophagitis, dysphagia and vocal impairment [43]. Patients may receive radiation as palliation of disease-related symptoms such as dyspnea, thoracic pain, cough and hemoptysis [48].…”

Section: • Radiation Therapymentioning

confidence: 99%

Symptom Burden in Lung Cancer: Management Updates

Lehto

2016

Lung Cancer Manag.

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“…Those with lung cancer, for example, may develop dysphagia for various reasons including brain metastases, esophageal compression, and vagus nerve compression. 55,56 No existing studies have precisely described the prevalence or predictors of swallowing difficulties in adults with solid malignancies outside the head, neck, or upper GI tract. Symptom identification and management is an important part of the cancer research agenda for clinicians.…”

Section: Introductionmentioning

confidence: 99%

Dysphagia Prevalence and Predictors in Cancers Outside the Head, Neck, and Upper Gastrointestinal Tract

Kenny

Regan

Balding

et al. 2019

Journal of Pain and Symptom Management

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Context. Dysphagia is usually associated with malignancies of the head, neck, and upper gastrointestinal tract but also occurs in those with tumors outside anatomic swallow regions. It can lead to aspiration pneumonia, malnutrition, reduced quality of life, and psychosocial distress. No studies have yet reliably described dysphagia prevalence in those with malignancies outside anatomic swallow regions.Objective. The objective of this study was to establish the prevalence and predictors of dysphagia in adults with solid malignancies outside the head, neck, and upper gastrointestinal tract.Methods. A cross-sectional, observational study using consecutive sampling was conducted. There were 385 participants (mean age 66 AE 12 years) with 21 different primary cancer sites from two acute hospitals and one hospice. Locoregional disease was present in 33%, metastatic in 67%. Dysphagia was screened by empirical questionnaire and confirmed through swallow evaluation. Demographic and clinical predictors were determined by univariate and multivariate binary regression.Results. Dysphagia occurred in 19% of those with malignancies outside anatomic swallow regions. Prevalence was 30% in palliative care and 32% in hospice care. Dysphagia was most strongly associated with cough, nausea, and worse performance status. It was also associated with lower quality of life and nutritional difficulties.Conclusion. Dysphagia was common and usually undiagnosed before study participation. It occurred at all disease stages but coincided with functional decline. It may therefore represent a cancer frailty marker. Oncology and palliative care services should routinely screen for this symptom. Timely dysphagia identification and management may improve patient well-being and prevent adverse effects like aspiration pneumonia and weight loss.

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“…Other publications have documented the presence of dysphagia in lung cancer 3 8 9. but there is still a need for further research detailing the impact of dysphagia symptoms on quality of life and the value of SLT.…”

Section: Discussionmentioning

confidence: 99%

Role of speech and language therapy in managing dysphagia and dysphonia in lung cancer

Childs¹,

Archer

2019

BMJ Case Rep

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A 75-year-old person was referred to speech and language therapy for voice rehabilitation following diagnosis of unilateral vocal cord palsy, secondary to relapsed non-small-cell lung cancer. On assessment, the patient presented with moderate–severe dysphonia. In addition, they presented with moderate pharyngeal stage dysphagia with risk of silent aspiration, which was successfully managed using a simple head turn strategy. This presentation is not atypical for patients who have disease in the upper chest or mediastinum and an increase in awareness and anticipation of such symptoms, with timely referral to appropriate specialist services, could help prevent complications associated with dysphagia, such as aspiration pneumonia and worse quality of life.

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Contemporary management of voice and swallowing disorders in patients with advanced lung cancer

Cited by 15 publications

References 33 publications

Symptom Burden in Lung Cancer: Management Updates

Symptom Burden in Lung Cancer: Management Updates

Dysphagia Prevalence and Predictors in Cancers Outside the Head, Neck, and Upper Gastrointestinal Tract

Role of speech and language therapy in managing dysphagia and dysphonia in lung cancer

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