Evaluation of the limitations of using the University of Washington Quality of Life swallowing domain alone to screen patients in the routine clinical setting

Zuydam, A.; Ghazali, Naseem; Lowe, Derek; Skelly, Rachel; Rogers, Simon N.

doi:10.1016/j.bjoms.2012.05.009

Cited by 12 publications

(5 citation statements)

References 15 publications

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“…3,[5][6][7][8][9] Fear of recurrence, dental health and teeth, and chewing, eating, and swallowing, were most commonly highlighted. 3,[5][6][7][8][9] Conversely, religious aspects, regret about treatment, and dependents and children, were rarely chosen. 2,9 Grouping by domain can enable findings to be summarised more systematically and allows comparative evaluation.…”

Section: Introductionmentioning

confidence: 98%

Patients concerns inventory highlights perceived needs and concerns in head and neck cancer survivors and its impact on health-related quality of life

Ghazali¹,

Roe²,

Lowe³

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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Section: Introductionmentioning

confidence: 98%

Patients concerns inventory highlights perceived needs and concerns in head and neck cancer survivors and its impact on health-related quality of life

Ghazali¹,

Roe²,

Lowe³

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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“…Most of them have focused on dysphagia screening in patients with neurological disorders (3,11), mainly stroke (12,13). Some DSI are intended for patients with head and neck cancer (14) or for heterogeneous patient groups (15,16).…”

Section: Development Of the Brief Bedside Dysphagia Screening Test -Rmentioning

confidence: 99%

Development of the Brief Bedside Dysphagia Screening Test – Revised: a Cross-Sectional Czech Study

Mandysová

Ehler

Škvrňáková

et al. 2015

Acta Med. (Hradec Kralove, Czech Repub.)

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Summary:Aim: The purpose of this study was to develop a revised version of the Brief Bedside Dysphagia Screening Test for determining penetration/aspiration risk in patients prone to dysphagia. The priority was to achieve high sensitivity and negative predictive value. Methods: The study screeners conducted bedside assessment of the swallowing function in 157 patients with a neurological (mainly stroke) or an ear, nose, and throat diagnosis (mainly head and neck cancer). The results were compared with a gold standard, flexible endoscopic examination of swallowing. Results: For the neurological subgroup (N = 106), eight statistically significant bedside assessment items were combined into the Brief Bedside Dysphagia Screening Test-Revised (BBDST-R). Cut-off score 1 produced the highest sensitivity (95.5%; 95% confidence interval CI [CI]: 84.9-98.7%) and negative predictive value (88.9%; 95% CI 67.2-96.9%). Conclusion: The BBDST-R is suitable for dysphagia screening in departments caring for patients with neurological conditions.

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“…The Edmonton 33 instrument has also been found to correlate with the swallowing scores of the MDADI [44]. The UWQOL swallowing item can be used for screening to identify patients who could benefit from additional intervention and support [45]. Strong correlations have also been found in previous studies between the UWQOL swallowing item and the MDADI [45], which supports the use of relatively simple assessments as a way to collect outcome data in a routine clinic setting.…”

Section: Strengths and Limitations Of Patient-reported Outcome Measuresmentioning

confidence: 61%

Addressing patients’ concerns in speech and language therapy consultations following the diagnosis and treatment of head and neck cancer

Zuydam

Rogers

Roe

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewHead and neck cancer (HNC) and its treatment impacts profoundly on patients’ functional abilities, emotional well being and social interactions. Communication and swallowing are fundamental to everyday life, and the Speech and Language Therapist (SLT) has a critical role for both patients and their carers. In clinical practice, patient-reported outcome measures (PROMs) are a key part of the armamentarium of the SLT. The purpose of the review is to summarize how these measures can be beneficial in the context of time pressured SLT outpatient consultations.Recent findingsUnmet needs in HNC are common and impact negatively on quality of life. There is an ever-increasing number of articles in this area, and it can be a challenge to identify, distil and summarize those specific to SLT.SummaryIn this review, we discuss the scope of holistic evaluation, strengths and limitations of PROMs, the Patient Concerns Inventory-Head and Neck, barriers to the use of outcome measures, the carers perspective and surveillance. SLT are uniquely placed members of the multidisciplinary team and provide expert advice and intervention. The inclusion of PROMs in routine consultations provides a model of follow up, which helps address patients and carers complex and unmet needs, ultimately promoting better outcomes.

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Evaluation of the limitations of using the University of Washington Quality of Life swallowing domain alone to screen patients in the routine clinical setting

Cited by 12 publications

References 15 publications

Patients concerns inventory highlights perceived needs and concerns in head and neck cancer survivors and its impact on health-related quality of life

Patients concerns inventory highlights perceived needs and concerns in head and neck cancer survivors and its impact on health-related quality of life

Development of the Brief Bedside Dysphagia Screening Test – Revised: a Cross-Sectional Czech Study

Addressing patients’ concerns in speech and language therapy consultations following the diagnosis and treatment of head and neck cancer

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