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Predicting feeding tube and tracheotomy dependence in laryngeal cancer patients.
- Source :
- Acta Oto-Laryngologica; Mar2017, Vol. 137 Issue 3, p326-330, 5p
- Publication Year :
- 2017
-
Abstract
- Conclusions: The two scales reliably measure laryngeal edema and dysfunction in laryngeal cancer patients. The eight categories from these scales, and abnormal pharyngeal squeeze, can be used to form a new rating scale intended to help clinicians identify and circumvent swallowing complications after chemo-irradiation. Objectives: The objectives were to compare two laryngeal edema rating scales in laryngeal cancer patients and determine if post-radiation +/- chemotherapy edema predicts dependence on a feeding tube and/or tracheostomy. Methods: A retrospective chart review between 2005-2008 revealed 28 laryngeal cancer patients status post-radiation +/- chemotherapy, with video laryngoscopies performed within 6 months after treatment. Four raters evaluated videos based on the Laryngopharyngeal Edema Scale (LES) and the Reflux Finding Score (RFS). Tracheostomy and feeding tube outcomes were then correlated with the two scales. Results: Feeding tube and tracheostomy dependence were associated with pre-treatment vocal cord paralysis, advanced T stage, and chemoradiation. Eight categories from the LES and RFS scales were significantly associated with the need for a feeding tube. [ABSTRACT FROM AUTHOR]
- Subjects :
- ACADEMIC medical centers
CHI-squared test
CONFIDENCE intervals
EDEMA
ENTERAL feeding
FISHER exact test
LARYNGEAL tumors
PROBABILITY theory
RADIOTHERAPY
RESEARCH evaluation
TRACHEOTOMY
STATISTICAL reliability
PRE-tests & post-tests
INTER-observer reliability
RETROSPECTIVE studies
DATA analysis software
DESCRIPTIVE statistics
ODDS ratio
MANN Whitney U Test
INTRACLASS correlation
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 00016489
- Volume :
- 137
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Acta Oto-Laryngologica
- Publication Type :
- Academic Journal
- Accession number :
- 121420699
- Full Text :
- https://doi.org/10.1080/00016489.2016.1245864