Relationship between swallow-specific quality of life and fiber-optic endoscopic evaluation of swallowing findings in patients with head and neck cancer

被引：23

作者：

Florie, Michelle ^{[1
]}

Baijens, Laura ^{[1
]}

Kremer, Bernd ^{[1
]}

Kross, Kenneth ^{[1
]}

Lacko, Martin ^{[1
]}

Verhees, Femke ^{[1
]}

Winkens, Bjorn ^{[2
]}

机构：

[1] Maastricht Univ, Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, POB 5800, NL-6202 AZ Maastricht, Netherlands

[2] Maastricht Univ, Dept Methodol & Stat, CAPHRI Sch Publ Hlth & Primary Care, NL-6202 AZ Maastricht, Netherlands

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2016年 / 38卷

关键词：

dysphagia; deglutition disorder; health-related quality of life; MD Anderson Dysphagia Inventory (MDADI); head and neck cancer; PERFORMANCE STATUS SCALE; REHABILITATION STRATEGIES; ELECTRICAL-STIMULATION; EUROPEAN ORGANIZATION; FUNCTIONAL ASSESSMENT; PARKINSONS-DISEASE; LATE DYSPHAGIA; RADIOTHERAPY; THERAPY; QUESTIONNAIRE;

D O I：

10.1002/hed.24333

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background. The purpose of this study was to determine the relationship between swallow-specific quality of life (QOL) using the MD Anderson Dysphagia Inventory (MDADI) and the swallowing function using a standardized fiber-optic endoscopic evaluation of swallowing (FEES) protocol in patients with dysphagia with head and neck cancer. Methods. Sixty-three patients with dysphagia and head and neck cancer were enrolled in the study. Patients completed the MDADI questionnaire and underwent a standardized FEES examination. Ordinal FEES variables were measured. Descriptive statistics and 1-way analysis of variance tests were carried out. Results. For all FEES variables, the observer agreement level was sufficient (kappa >= 0.7). These preliminary results show statistically significant mean differences of MDADI subscales between the ordinal scale levels for several FEES variables. Conclusion. The MDADI questionnaire can be used to assess the impact of dysphagia on the patients' health-related QOL. Despite clear trends, it remains unclear if the MDADI questionnaire can be used as an indicator for the severity of oropharyngeal dysphagia. (C) 2015 Wiley Periodicals, Inc.

引用

页码：E1848 / E1856

页数：9

共 49 条

[1]

[Anonymous], ONCOLOGY WILLISTON P

[2] Late radiation-associated dysphagia (late-RAD) with lower cranial neuropathy after oropharyngeal radiotherapy: A preliminary dosimetric comparison [J].