Journal article
Adherence to preventive exercises and self-reported swallowing outcomes in post-radiation head and neck cancer patients
Head & neck, Vol.35(12), pp.1707-1712
12/01/2013
DOI: 10.1002/hed.23255
PMCID: PMC3943468
PMID: 24142523
Abstract
BackgroundTo reduce the risk of long-term swallowing complications after radiation, swallowing exercises may be helpful. Both the rate of adherence to swallowing exercises and its impact on future swallowing function are unknown.
MethodsIn all, 109 patients with oropharyngeal cancer beginning radiation were tracked for 2 years to determine adherence to swallowing exercises. Participants completed the MD Anderson Dysphagia Inventory (MDADI) 1-2 years after treatment, to assess self-reported swallowing function. Adherence, demographics, tumor, and treatment variables were multivariably regressed onto the MDADI physical subscale score.
ResultsIn accord with speech pathologist documentation, 13% of the participants were fully adherent and 32% were partially adherent. Adherence was associated with the Physical MDADI Subscale score in the multivariate model (p = .01).
ConclusionsThe majority of patients with head and neck cancer are nonadherent to swallowing exercise regimens and may benefit from supportive care strategies to optimize their adherence. (c) 2013 Wiley Periodicals, Inc. Head Neck 35: 1707-1712, 2013
Details
- Title: Subtitle
- Adherence to preventive exercises and self-reported swallowing outcomes in post-radiation head and neck cancer patients
- Creators
- Eileen Huh Shinn - The University of Texas MD Anderson Cancer CenterKaren Basen-Engquist - Behavioral ScienceGeorge Baum - The University of Texas MD Anderson Cancer CenterSven Steen - The University of Texas MD Anderson Cancer CenterRachel Freeman Bauman - The University of Texas MD Anderson Cancer CenterWilliam Morrison - Radiation OncologyAdam Seth Garden - Radiation OncologyCathleen Sheil - The University of Texas MD Anderson Cancer CenterKelly Kilgore - The University of Texas MD Anderson Cancer CenterKatherine A. Hutcheson - Head & Neck SurgeryDenise Barringer - The University of Texas MD Anderson Cancer CenterYing Yuan - The University of Texas MD Anderson Cancer CenterJan S. Lewin - Head & Neck Surgery
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.35(12), pp.1707-1712
- DOI
- 10.1002/hed.23255
- PMID
- 24142523
- PMCID
- PMC3943468
- NLM abbreviation
- Head Neck
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Publisher
- Wiley
- Number of pages
- 6
- Grant note
- R21DE019954 / NATIONAL INSTITUTE OF DENTAL &CRANIOFACIAL RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR) R01DE019141 / NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR) R03CA108358 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) R03 CA108358; K07 CA 093512 / National Cancer Institute/National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Language
- English
- Date published
- 12/01/2013
- Academic Unit
- Emergency Medicine
- Record Identifier
- 9984296980302771
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