Temporal Analysis of Factors Associated with EAT-10 in Outpatients with Oropharyngeal Dysphagia from a Tertiary Care Clinic
| Autor: | R. S. Bartlett, J. E. Moore, Susan L. Thibeault |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Population Article 03 medical and health sciences Speech and Hearing 0302 clinical medicine Quality of life Swallowing Outpatients medicine Humans Prospective Studies 030212 general & internal medicine education Feeding tube Aged education.field_of_study Tertiary Healthcare business.industry Patient-centered outcomes Gastroenterology Dysphagia Self Concept Deglutition Otorhinolaryngology 030220 oncology & carcinogenesis Quality of Life Physical therapy Female medicine.symptom Deglutition Disorders business Oropharyngeal dysphagia |
| Zdroj: | Dysphagia. 33:457-467 |
| ISSN: | 1432-0460 0179-051X |
| DOI: | 10.1007/s00455-018-9874-y |
| Popis: | PURPOSE: Self-perception of disease is increasingly recognized as a determinant of health. The Eating Assessment Tool-10 (EAT-10) is a functional health status questionnaire that measures the symptomatic severity of dysphagia from the patient’s perspective. The objective of this work was to identify factors (demographics, clinical variables, swallowing physiology, health-related quality of life) associated with longitudinal change in EAT-10 scores in outpatients with oropharyngeal dysphagia at a multi-disciplinary, tertiary care clinic. METHODS: All patients with swallowing concerns that were included in the UW Madison Voice and Swallowing Outcomes database from 12/2012-04/2015 were invited to complete EAT-10 and a general health-related quality of life survey (SF-12v2) at their initial evaluation and six months later. Forty-two patients were included in analysis (n=42). RESULTS: Weaning from a gastrostomy tube was significantly associated with EAT-10 improvement. Approximately 70% of the sample had mild dysphagia, and floor effects were observed for all EAT-10 items in this sample subset. Mean SF-12v2 Physical Component Summary score was substantially lower than that of the general population. Significant, weak-moderate correlations were found between and EAT-10 and SF-12v2 scores for all comparisons except for Physical Health Composite at six months (rs = =0.24 to −0.43). CONCLUSION: Weaning from a feeding tube appears to meaningfully improve self-perceived symptoms of dysphagia. Given the floor effects observed, validity of EAT-10 for patients with mild dysphagia should be examined. Future research should address contributors to self-perceived symptom change across the range of dysphagia severity. |
| Databáze: | OpenAIRE |
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