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Prevalence and Predicting Factors of Pretreatment Dysphagia in Veterans With Head and Neck Cancer: A Pilot Study.
- Source :
- Perspectives of the ASHA Special Interest Groups; Apr2024, Vol. 9 Issue 2, p427-439, 13p
- Publication Year :
- 2024
-
Abstract
- Background: Dysphagia is a common sequela in individuals with a diagnosis of head and neck cancer. However, the prevalence and predicting factors for pretreatment dysphagia have not been well identified in the literature. A priori knowledge of the presence of a pretreatment dysphagia is advantageous and can have clinically significant implications for management of this patient population. The ability to predict pretreatment dysphagia in this population would allow more targeted interventions and potential improvements in clinical outcomes. Participants: This pilot study investigated the prevalence and predicting factors of pretreatment dysphagia in 67 veterans with head and neck cancer through the West Haven, CT, Veterans Affairs cancer database. Method: Data for this study were acquired via retrospective medical record review. Results: The prevalence of pretreatment dysphagia in our sample was found to be 49.3%. Age and pretreatment percutaneous endoscopic gastrostomy placement were found to have a statistically significant relationship with pretreatment dysphagia. Stage of cancer diagnosis and the diagnosis of pretreatment dysphagia were found to have a statistically significant relationship with posttreatment dysphagia. Conclusions: Findings offer important preliminary data and clinical considerations about this issue and serve as a foundation for future research. There are a limited number of factors associated with pretreatment dysphagia, and clinicians should consider a conservative referral approach when considering the need for dysphagia assessment prior to the initiation of oncologic treatment. [ABSTRACT FROM AUTHOR]
- Subjects :
- TRACHEOTOMY
RISK assessment
DIGESTIVE system endoscopic surgery
STATISTICAL significance
T-test (Statistics)
HEAD & neck cancer
PILOT projects
FISHER exact test
LOGISTIC regression analysis
RETROSPECTIVE studies
DISEASE prevalence
AGE distribution
DESCRIPTIVE statistics
PSYCHOLOGY of veterans
ODDS ratio
PAIN
MEDICAL records
ACQUISITION of data
GASTROSTOMY
STATISTICS
TUMOR classification
SOCIODEMOGRAPHIC factors
DATA analysis software
CONFIDENCE intervals
DEGLUTITION disorders
FEEDING tubes
FLUOROSCOPY
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 2381473X
- Volume :
- 9
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Perspectives of the ASHA Special Interest Groups
- Publication Type :
- Academic Journal
- Accession number :
- 176515154
- Full Text :
- https://doi.org/10.1044/2023_PERSP-22-00171