Computerized monitoring of patient-reported speech and swallowing problems in head and neck cancer patients in clinical practice

Autor: C. René Leemans, Rico N. P. M. Rinkel, Derek H. F. Rietveld, Ingrid C. Cnossen, Johannes A. Langendijk, Patricia Doornaert, Simone E. J. Eerenstein, Irma M. Verdonck-de Leeuw, Jan Buter, Remco de Bree
Přispěvatelé: Damage and Repair in Cancer Development and Cancer Treatment (DARE), Guided Treatment in Optimal Selected Cancer Patients (GUTS), Clinical Psychology, EMGO+ - Mental Health, Otolaryngology / Head & Neck Surgery, Radiation Oncology, Medical oncology, EMGO - Mental health, CCA - Quality of life
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Male
IMPACT
medicine.medical_treatment
Quality of life
QUALITY-OF-LIFE
Surveys and Questionnaires
Outcome Assessment
Health Care
Ambulatory Care
Outpatient clinic
Diagnosis
Computer-Assisted
Prospective Studies
Prospective cohort study
Head and neck cancer
Aged
80 and over
Patient-reported speech and swallowing problems
Rehabilitation
digestive
oral
and skin physiology
Middle Aged
Dysphagia
Justice and Strong Institutions
Oncology
Head and Neck Neoplasms
ONCOLOGY PRACTICE
Original Article
Female
medicine.symptom
RADIOTHERAPY
Adult
REHABILITATION
medicine.medical_specialty
SDG 16 - Peace
HOSPITAL ANXIETY
DYSPHAGIA
Speech Disorders
Emotional well-being
Physical medicine and rehabilitation
DISTRESS
Ambulatory care
Swallowing
SDG 3 - Good Health and Well-being
RADIATION-THERAPY
medicine
otorhinolaryngologic diseases
Humans
Aged
Psychiatric Status Rating Scales
E-health
business.industry
SDG 16 - Peace
Justice and Strong Institutions
medicine.disease
DEPRESSION SCALE
Physical therapy
Feasibility Studies
business
Deglutition Disorders
Stress
Psychological
Follow-Up Studies
Zdroj: Supportive Care in Cancer
Cnossen, I C, de Bree, R, Rinkel, R N P M, Eerenstein, S E J, Rietveld, D H F, Doornaert, P A H, Buter, J, Langendijk, J A, Leemans, C R & de Leeuw, I M 2012, ' Computerized monitoring of patient-reported speech and swallowing problems in head and neck cancer patients in clinical practice ', Supportive Care in Cancer, vol. 20, no. 11, pp. 2925-2931 . https://doi.org/10.1007/s00520-012-1422-y
Supportive Care in Cancer, 20(11), 2925-2931. SPRINGER
Supportive Care in Cancer, 20(11), 2925-2931. Springer Verlag
ISSN: 0941-4355
DOI: 10.1007/s00520-012-1422-y
Popis: Purpose The purpose of this study is to evaluate computerized monitoring of speech and swallowing outcomes and its impact on quality of life (QoL) and emotional well-being in head and neck cancer patients in an outpatient clinic. Methods Sixty-seven patients, treated by single or multimodality treatment, completed the EORTC QLQ-C30 and QLQ-H&N35 questionnaires and the Hospital Anxiety and Depression Scale in an outpatient clinic, using a touch screen computer system (OncoQuest), at baseline (at time of diagnosis) and first follow-up (1 month after end of treatment). Results Tumor sites included oral cavity (n=12), oropharynx (n=18), hypopharynx (n=8), and larynx (n=29). Tumor stage included carcinoma in situ (n=3), stage I (n=21), stage II (n= 7), stage III (n=15), and IV (n=21). No speech or swallowing problems at baseline or follow-up were noted in 23%(speech) and 41 % (swallowing) of patients. Twenty-one percent (speech) and 19 % (swallowing) had problems at baseline and returned to normal scores at follow-up, while 16 % (speech) and 19%(swallowing) had normal scores at baseline and developed problems at follow-up. Forty percent (speech) and 21 % (swallowing) had persistent problems from baseline to follow-up. At baseline, speech problems were significantly related to tumor site and emotional distress. At baseline and follow-up, swallowing problems were significantly related to QoL and emotional distress. At follow-up, speech problems were significantly related to QoL, emotional distress, and swallowing problems. Conclusions Monitoring speech and swallowing problems through OncoQuest in an outpatient clinic is feasible. Many patients report speech and swallowing problems, negatively affecting their QoL and emotional well-being. © Springer-Verlag 2012.
Databáze: OpenAIRE
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