Prevalence of swallowing and speech problems in daily life after chemoradiation for head and neck cancer based on cut-off scores of the patient-reported outcome measures SWAL-QOL and SHI.

摘要: The objective of this study is to assess swallowing and speech outcome after chemoradiation therapy for head neck cancer, based on the patient-reported measures Swallowing Quality Life Questionnaire (SWAL-QOL) Speech Handicap Index (SHI), both provided with cut-off scores. This a cross-sectional study. Department Otolaryngology/Head Neck Surgery University Medical Center. Sixty patients, 6 months 5 years squamous cell carcinoma. SHI, validated in Dutch Associations were tested between independent variables (age, gender, tumor stage site, radiotherapy technique, time since treatment, comorbidity food intake). Fifty-two patients returned SWAL-QOL 47 SHI (response rate 87 78 %, respectively). problems present 79 55 respectively. Normal intake was noticed 45, 35 % had soft diet 20 tube feeding. Patients feeding reported more compared normal oral intake. Tumor subsite significantly associated (less larynx/hypopharynx oral/oropharynx). Radiation technique psychosocial treated IMRT). (to lesser extent) daily life are frequently cancer. Future prospective studies will give insight into course efficacy new radiation techniques rehabilitation programs.