Journal article
The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program
Head & neck, Vol.41(3), pp.606-614
03/01/2019
DOI: 10.1002/hed.25344
PMCID: PMC6382558
PMID: 30629306
Abstract
Background Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy and found no overall difference in outcomes. Methods Quality of life (QOL), diet, and swallowing variables collected at discrete intervals on 117 patients were reanalyzed to test the hypothesis that shorter time between the completion of radiotherapy and beginning of the swallowing therapy program yielded improved outcomes. Results At baseline, subjects < 1 year post radiation had significantly better function than subjects >2 years post RT in several measures. Over the therapy program, the early group showed significant improvement in diet and QOL. Swallowing physiologic variables showed no difference between groups. Conclusion Beginning a swallowing therapy program within 1 year of completion of radiotherapy demonstrates more consistent improvement in QOL and diet performance compared to later periods.
Details
- Title: Subtitle
- The impact of time after radiation treatment on dysphagia in patients with head and neck cancer enrolled in a swallowing therapy program
- Creators
- Douglas J. Van Daele - University of IowaSusan E. Langmore - Boston Medical CenterGintas P. Krisciunas - Boston Medical CenterCathy L. Lazarus - Mount Sinai Health SystemBarbara R. Pauloski - University of Wisconsin–MilwaukeeTimothy M. McCulloch - University of Wisconsin–MadisonGary D. Gramigna - VA Boston Healthcare SystemBarbara P. Messing - Speech Language Pathologist, Johns Hopkins Voice Center.Cynthia W. Wagner - Beth Israel Deaconess Medical CenterSarah L. Mott - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.41(3), pp.606-614
- Publisher
- Wiley
- DOI
- 10.1002/hed.25344
- PMID
- 30629306
- PMCID
- PMC6382558
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Number of pages
- 9
- Grant note
- R01CA120950 / NIH-NCI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) P30CA086862 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Language
- English
- Date published
- 03/01/2019
- Academic Unit
- Radiation Oncology; Medicine Administration; Otolaryngology
- Record Identifier
- 9984311438702771
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