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Laryngoscope. 2014 Mar;124(3):682-7. doi: 10.1002/lary.24344. Epub 2013 Oct 2.

Quality-of-life scores compared to objective measures of swallowing after oropharyngeal chemoradiation.

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  • 1Division of Otolaryngology, University of Utah, Salt Lake City, Utah.

Abstract

OBJECTIVES/HYPOTHESIS:

To compare objective measures of swallowing function with patient reports of swallowing-related quality of life 1 year after treatment of oropharyngeal cancer with chemoradiation therapy.

STUDY DESIGN:

Patients seen for follow-up at least 1 year after treatment of oropharyngeal carcinoma with chemoradiation therapy were sequentially approached and asked to participate in the study.

METHODS:

Maximum pharyngeal constriction, hyoid elevation, upper esophageal sphincter opening size, and bolus pharyngeal transit time were measured from modified barium swallowing studies in a group of 31 patients at least 1 year after chemoradiation therapy for the treatment of oropharyngeal carcinoma. Measures were made for a liquid 1-mL, 3-mL, and 20-mL bolus. Objective measure results were compared to scores from the MD Anderson Dysphagia Inventory and The University of Washington Swallowing Quality of Life Questionnaire results from the same patients.

RESULTS:

No strong correlation was identified between any of the objective measures of swallowing physiology and quality-of-life scores.

CONCLUSIONS:

Patient perception of the impact of swallowing function on quality of life does not correlate well with actual physiologic functioning.

© 2013 The American Laryngological, Rhinological and Otological Society, Inc.

KEYWORDS:

MD Anderson Dysphagia Inventory; Oropharyngeal carcinoma; University of Washington Quality of Life Questionnaire; chemoradiation; deglutition; dysphagia; quality of life

PMID:
23929736
[PubMed - indexed for MEDLINE]
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