Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems
| Autor: | Susan E. Langmore, Kerlly Castellano, Gintas P. Krisciunas, Reza Hayatbakhsh, Nadine Lawson, William Sokoloff |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Standard of care Speech-Language Pathology Language and Linguistics 03 medical and health sciences Speech and Hearing 0302 clinical medicine Swallowing Multidisciplinary approach Surveys and Questionnaires medicine Humans 030223 otorhinolaryngology Radiation Injuries health care economics and organizations Internet Research and Theory business.industry Head and neck cancer Australia Cancer LPN and LVN medicine.disease Dysphagia Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Physical therapy medicine.symptom business Deglutition Disorders Healthcare system |
| Zdroj: | International journal of speech-language pathology. 19(2) |
| ISSN: | 1754-9515 |
| Popis: | The Australian healthcare system has invested heavily in multidisciplinary cancer care teams. Despite such investments, guidelines that clearly delineate standard of care dysphagia treatment are lacking and services provided to Head and Neck Cancer (HNC) patients are not always consistent. There is little consensus regarding the frequency and intensity of dysphagia therapy. This is largely due to a lack of well-designed clinical trials that establish the efficacy of any dysphagia therapy in this patient population. The aim of this study was to evaluate HNC dysphagia therapy patterns among Australian speech-language pathologists (SLPs).A 22 question internet-based survey was administered to a web-based professional interest group. Results were analysed by institution type and individual clinical experience.A response rate of 46% was achieved (67 out of 144 surveyed). This survey identified several aspects of dysphagia management that were provided uniformly in addition to many aspects of care that showed a lack of consensus.By comparing the results of this survey with existing international best-evidence treatment guidelines, the development of uniform Australian guidelines may be facilitated. However, more authoritative data on dysphagia treatment efficacy is needed to provide uniform evidence-based HNC dysphagia treatment guidelines. |
| Databáze: | OpenAIRE |
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