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Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer

We evaluated objective and subjective swallowing function outcomes in patients with dysphagia treated for head and neck cancer (HNC) and identified risk factors for poor swallowing outcomes. Patients undergoing videofluoroscopic swallowing studies (VFSS) between January 2016 and March 2021 were divi...

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Autores principales: Liou, Hsin-Hao, Tsai, Shu-Wei, Hsieh, Miyuki Hsing-Chun, Chen, Yi-Jen, Hsiao, Jenn-Ren, Huang, Cheng-Chih, Ou, Chun-Yen, Chang, Chan-Chi, Lee, Wei-Ting, Tsai, Sen-Tien, Hung, David Shang-Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836568/
https://www.ncbi.nlm.nih.gov/pubmed/35160142
http://dx.doi.org/10.3390/jcm11030692
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author Liou, Hsin-Hao
Tsai, Shu-Wei
Hsieh, Miyuki Hsing-Chun
Chen, Yi-Jen
Hsiao, Jenn-Ren
Huang, Cheng-Chih
Ou, Chun-Yen
Chang, Chan-Chi
Lee, Wei-Ting
Tsai, Sen-Tien
Hung, David Shang-Yu
author_facet Liou, Hsin-Hao
Tsai, Shu-Wei
Hsieh, Miyuki Hsing-Chun
Chen, Yi-Jen
Hsiao, Jenn-Ren
Huang, Cheng-Chih
Ou, Chun-Yen
Chang, Chan-Chi
Lee, Wei-Ting
Tsai, Sen-Tien
Hung, David Shang-Yu
author_sort Liou, Hsin-Hao
collection PubMed
description We evaluated objective and subjective swallowing function outcomes in patients with dysphagia treated for head and neck cancer (HNC) and identified risk factors for poor swallowing outcomes. Patients undergoing videofluoroscopic swallowing studies (VFSS) between January 2016 and March 2021 were divided into four groups according to primary tumor sites; post-treatment dysphagia was assessed. The penetration–aspiration scale (PAS) and bolus residue scale (BRS) were used to objectively assess swallowing function through VFSS. The Functional Oral Intake Scale (FOIS) was used for subjective analyses of swallowing statuses. To account for potential confounding, important covariates were adjusted for in logistic regression models. Oropharyngeal tumors were significantly more likely to have poor PAS and BRS scores than oral cavity tumors, and the patients with nasopharyngeal tumors were significantly less likely to have poor FOIS scores. Old age, having multiple HNCs, and a history of radiotherapy were associated with an increased odds of poor PAS scores (for all types of swallows), poor BRS scores (for semiliquid and solid swallows), and poor FOIS scores, respectively. This indicates using only subjective assessments may not allow for accurate evaluations of swallowing function in patients treated for HNC. Using both objective and subjective assessments may allow for comprehensive evaluations.
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spelling pubmed-88365682022-02-12 Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer Liou, Hsin-Hao Tsai, Shu-Wei Hsieh, Miyuki Hsing-Chun Chen, Yi-Jen Hsiao, Jenn-Ren Huang, Cheng-Chih Ou, Chun-Yen Chang, Chan-Chi Lee, Wei-Ting Tsai, Sen-Tien Hung, David Shang-Yu J Clin Med Article We evaluated objective and subjective swallowing function outcomes in patients with dysphagia treated for head and neck cancer (HNC) and identified risk factors for poor swallowing outcomes. Patients undergoing videofluoroscopic swallowing studies (VFSS) between January 2016 and March 2021 were divided into four groups according to primary tumor sites; post-treatment dysphagia was assessed. The penetration–aspiration scale (PAS) and bolus residue scale (BRS) were used to objectively assess swallowing function through VFSS. The Functional Oral Intake Scale (FOIS) was used for subjective analyses of swallowing statuses. To account for potential confounding, important covariates were adjusted for in logistic regression models. Oropharyngeal tumors were significantly more likely to have poor PAS and BRS scores than oral cavity tumors, and the patients with nasopharyngeal tumors were significantly less likely to have poor FOIS scores. Old age, having multiple HNCs, and a history of radiotherapy were associated with an increased odds of poor PAS scores (for all types of swallows), poor BRS scores (for semiliquid and solid swallows), and poor FOIS scores, respectively. This indicates using only subjective assessments may not allow for accurate evaluations of swallowing function in patients treated for HNC. Using both objective and subjective assessments may allow for comprehensive evaluations. MDPI 2022-01-28 /pmc/articles/PMC8836568/ /pubmed/35160142 http://dx.doi.org/10.3390/jcm11030692 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liou, Hsin-Hao
Tsai, Shu-Wei
Hsieh, Miyuki Hsing-Chun
Chen, Yi-Jen
Hsiao, Jenn-Ren
Huang, Cheng-Chih
Ou, Chun-Yen
Chang, Chan-Chi
Lee, Wei-Ting
Tsai, Sen-Tien
Hung, David Shang-Yu
Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer
title Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer
title_full Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer
title_fullStr Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer
title_full_unstemmed Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer
title_short Evaluation of Objective and Subjective Swallowing Outcomes in Patients with Dysphagia Treated for Head and Neck Cancer
title_sort evaluation of objective and subjective swallowing outcomes in patients with dysphagia treated for head and neck cancer
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836568/
https://www.ncbi.nlm.nih.gov/pubmed/35160142
http://dx.doi.org/10.3390/jcm11030692
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