Long-term swallowing after chemoradiotherapy: Prospective study of functional and patient-reported changes over time.

Published on Apr 1, 2016in Head and Neck-journal for The Sciences and Specialties of The Head and Neck2.538
· DOI :10.1002/HED.23991
Jacqui Frowen5
Estimated H-index: 5
(Peter MacCallum Cancer Centre),
Allison Drosdowsky5
Estimated H-index: 5
(Peter MacCallum Cancer Centre)
+ 1 AuthorsJune Corry47
Estimated H-index: 47
(University of Melbourne)
Sources
Abstract
Background This prospective study evaluated long-term swallowing outcomes and associated risk factors 5 years postchemoradiotherapy for head and neck cancer. Methods Following an earlier study of 69 patients, 39 patients had patient-reported activity and quality of life (QOL) data collected. Twenty-one patients also underwent a videofluoroscopy swallowing study (VFSS). Results Between 6 months and 5 years posttreatment, patient-reported activity for solid foods significantly improved (p < .001), returning to pretreatment levels for 74% of patients. On VFSS, swallowing function for semisolids declined, with 5 patients demonstrating a clinically significant deterioration. Factors that predicted poorer long-term swallowing were the same as at 6 months, with the addition of older age and disease stage. Conclusion Although long-term patient-reported activity improves and swallowing-related QOL is high, up to 24% of patients may demonstrate a clinically significant deterioration in swallowing function at 5 years posttreatment. This divergence suggests a degree of adaptation that patients develop, which warrants further investigation. © 2015 Wiley Periodicals, Inc. Head Neck, 2015
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