Multicenter prospective study on the use and outcome of rehabilitation after total laryngectomy in Germany
| Autor: | Orlando Guntinas-Lichius, Michael Fuchs, Hans-Joachim Vogel, Katherine Taylor, Bianca Erdmann-Reusch, Alexandra Meyer, Judith Keszte, Susanne Singer |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Voice Quality medicine.medical_treatment Laryngectomy Speech Therapy Outcome (game theory) Odds Cohort Studies 03 medical and health sciences 0302 clinical medicine Quality of life Reference Values Germany Surveys and Questionnaires medicine Humans Prospective Studies 030223 otorhinolaryngology Prospective cohort study Laryngeal Neoplasms Postoperative Care Rehabilitation business.industry Speech Intelligibility Odds ratio Speech rehabilitation Prognosis Treatment Outcome Otorhinolaryngology Patient Satisfaction 030220 oncology & carcinogenesis Quality of Life Physical therapy Female Larynx Artificial business |
| Zdroj: | Head & Neck. 41:1070-1079 |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.25540 |
| Popis: | Background The purpose of this study was to assess the use and outcome of rehabilitation after total laryngectomy in Germany. Methods We enrolled patients who were scheduled for total laryngectomy, approached them again after surgery, after 3 months and 1 year. Patients completed questionnaires and were interviewed. Results Of 309 participants, 14% had not received any rehabilitation. Reasons for nonuse were primarily ongoing treatment and poor health. Users of rehabilitation had 4 times the odds of attaining any ability to speak compared to nonusers (odds ratio 3.8, P = .02). The main aim of rehabilitation from the perspective of the users was speech rehabilitation, mentioned by 71% before starting rehabilitation. This was also what most users (27%) found the most helpful part of rehabilitation. Conclusions Patients are interested in attending rehabilitation. They especially want to improve their speech capacity, which indeed is better among users of rehabilitation than in those without. |
| Databáze: | OpenAIRE |
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