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1000 Titel
  • Dysphagia, voice problems, and pain in head and neck cancer patients
1000 Autor/in
  1. Zebralla, Veit |
  2. Wichmann, Gunnar |
  3. Pirlich, Markus |
  4. Hammermüller, Carola |
  5. Berger, Thomas |
  6. Zimmermann, Klara |
  7. Neumuth, Thomas |
  8. Mehnert-Theuerkauf, Anja |
  9. Dietz, Andreas |
  10. Hinz, Andreas |
  11. Wiegand, Susanne |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-01-16
1000 Erschienen in
1000 Quellenangabe
  • 278(10):3985-3994
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00405-020-06584-6 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382612/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose: Head and neck cancer (HNC) and its treatment can leave devastating side effects with a relevant impact on physical and emotional quality of life (QoL) of HNC patients. The objectives were to examine the amount of dysphagia, voice problems, and pain in HNC patients, the impact of sociodemographic, behavioral, and clinical factors on these symptoms, the psychometric properties of the EAT-10, and the relationship between these symptoms and QoL variables. Methods: HNC patients attending for regular follow-up from 07/2013 to 09/2019 completed questionnaires (Eating Assessment Tool-10 (EAT-10); questions from the EORTC QLQ-C30 and EORTC H&N35) on dysphagia, voice problems, pain, fatigue, and QoL collected with the software OncoFunction. Associations between prognostic factors and symptoms were tested with analyses of variance (ANOVAs). Associations between the symptom scales and QoL variables were expressed with Pearson correlations. Results: Of 689 patients, 54.9% suffered from dysphagia, the EAT-10 proved to be a reliable measure. The mean voice score was 37.6 (+/- 33.9) [range 0-100], the mean pain score 1.98 (+/- 2.24) [range 0-10]. Trimodality treatment was associated with the highest dysphagia scores. Dysphagia, voice problems, and pain significantly correlated with each other, the highest association was found for dysphagia and pain (r = 0.51). QoL was strongly correlated with dysphagia and pain (r = - 0.39 and r = - 0.40, respectively), while the association with voice problems was weaker (r = - 0.28). Conclusion: Dysphagia is an important symptom in HNC patients greatly affecting patients' QoL and significantly correlating with voice problems and pain.
1000 Sacherschließung
lokal Head and Neck Neoplasms/complications [MeSH]
lokal Surveys and Questionnaires [MeSH]
lokal Humans [MeSH]
lokal Head and Neck Neoplasms/therapy [MeSH]
lokal Dysphagia
lokal Symptom burden
lokal Cancer pain
lokal Pain [MeSH]
lokal Voice Disorders/etiology [MeSH]
lokal Voice impairment
lokal Head and neck cancer
lokal Quality of Life [MeSH]
lokal Head and Neck
lokal Deglutition Disorders/diagnosis [MeSH]
lokal Voice Disorders/diagnosis [MeSH]
lokal Deglutition Disorders/etiology [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0001-5519-7566|https://frl.publisso.de/adhoc/uri/V2ljaG1hbm4sIEd1bm5hcg==|https://frl.publisso.de/adhoc/uri/UGlybGljaCwgTWFya3Vz|https://frl.publisso.de/adhoc/uri/SGFtbWVybcO8bGxlciwgQ2Fyb2xh|https://frl.publisso.de/adhoc/uri/QmVyZ2VyLCBUaG9tYXM=|https://frl.publisso.de/adhoc/uri/WmltbWVybWFubiwgS2xhcmE=|https://frl.publisso.de/adhoc/uri/TmV1bXV0aCwgVGhvbWFz|https://frl.publisso.de/adhoc/uri/TWVobmVydC1UaGV1ZXJrYXVmLCBBbmph|https://frl.publisso.de/adhoc/uri/RGlldHosIEFuZHJlYXM=|https://frl.publisso.de/adhoc/uri/SGlueiwgQW5kcmVhcw==|https://frl.publisso.de/adhoc/uri/V2llZ2FuZCwgU3VzYW5uZQ==
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1000 Erstellt am 2023-05-09T12:27:40.146+0200
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