PMID- 30892816
OWN - NLM
STAT- Publisher
LR  - 20190415
IS  - 1749-4486 (Electronic)
IS  - 1749-4478 (Linking)
DP  - 2019 Mar 20
TI  - Feasibility and outcomes of fibreoptic endoscopic evaluation of swallowing
      following prophylactic swallowing rehabilitation in head and neck cancer.
LID - 10.1111/coa.13331 [doi]
AB  - OBJECTIVES: Investigate the feasibility and outcomes of fibreoptic endoscopic
      evaluation of swallowing (FEES) following a programme of prophylactic swallowing 
      exercises in head and neck cancer (HNC) patients treated with radiotherapy.
      DESIGN: Prospective, single cohort, feasibility study. SETTING: Three head and
      neck cancer centres in Scotland. PARTICIPANTS: Pre-radiotherapy HNC patients who 
      consented to participate in a prophylactic swallowing intervention. OUTCOME
      MEASURES: Fibreoptic endoscopic evaluation of swallowing recruitment and
      retention rates, assessment acceptability and compliance, qualitative process
      evaluation. RESULTS: Higher rates of recruitment and retention were achieved in
      centres where FEES equipment was available on-site. Travel and anticipated
      discomfort were barriers to recruitment. Data completion was high for all rating 
      scales, with good reliability. Following radiotherapy, swallowing safety
      significantly deteriorated for liquid boluses (P = 0.005-0.03); pharyngeal
      residue increased for liquid and semi-solid boluses. Pharyngo-laryngeal oedema
      was present pre-treatment and significantly increased post-radiotherapy (P =
      0.001). Patients generally reported positive experience of FEES for their own
      learning and establishing a baseline. CONCLUSIONS: Fibreoptic endoscopic
      evaluation of swallowing is an acceptable method of assessing patients for a
      prophylactic swallowing intervention and offers some additional information
      missing from VF. Barriers have been identified and should be taken into account
      in order to maximise recruitment for future trials.
CI  - (c) 2019 John Wiley & Sons Ltd.
FAU - Patterson, Joanne
AU  - Patterson J
AUID- ORCID: https://orcid.org/0000-0002-4990-302X
AD  - Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
AD  - Speech and Language Therapy Department, Sunderland Royal Hospital, Sunderland,
      UK.
FAU - Toft, Kate
AU  - Toft K
AUID- ORCID: https://orcid.org/0000-0002-0129-9329
AD  - Speech and Language Therapy Department, NHS Lothian Western General Hospital,
      Edinburgh, UK.
FAU - McAuley, Fiona
AU  - McAuley F
AD  - Speech and Language Therapy Department, Ninewells Hospital, Dundee, UK.
FAU - King, Emma
AU  - King E
AUID- ORCID: https://orcid.org/0000-0003-3611-9647
AD  - Nursing, Midwifery, Allied Health Professional Research Unit, University of
      Stirling, Stirling, UK.
FAU - McLachlan, Kirsty
AU  - McLachlan K
AD  - Speech and Language Therapy Department, NHS Lothian Western General Hospital,
      Edinburgh, UK.
FAU - Roe, Justin W G
AU  - Roe JWG
AUID- ORCID: https://orcid.org/0000-0003-4925-3124
AD  - Department of Otolaryngology, Head and Neck Surgery, Imperial College Healthcare 
      NHS Trust, London, UK.
AD  - Division of Surgery, Department of Surgery and Cancer, Imperial College, London, 
      UK.
AD  - Department of Speech and Language Therapy, Royal Marsden NHS Foundation Trust,
      London, UK.
FAU - Wells, Mary
AU  - Wells M
AUID- ORCID: https://orcid.org/0000-0001-5789-2773
AD  - Department of Nursing, Imperial College Healthcare NHS Trust, London, UK.
LA  - eng
GR  - CZH/4/1052/Chief Scientist Office/United Kingdom
PT  - Journal Article
DEP - 20190320
PL  - England
TA  - Clin Otolaryngol
JT  - Clinical otolaryngology : official journal of ENT-UK ; official journal of
      Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
JID - 101247023
OTO - NOTNLM
OT  - dysphagia
OT  - feasibility
OT  - fibreoptic endoscopic evaluation of swallowing
OT  - head and neck cancer
OT  - intervention
OT  - radiotherapy
OT  - rehabilitation
EDAT- 2019/03/21 06:00
MHDA- 2019/03/21 06:00
CRDT- 2019/03/21 06:00
PHST- 2018/09/06 00:00 [received]
PHST- 2018/12/12 00:00 [revised]
PHST- 2019/01/26 00:00 [accepted]
PHST- 2019/03/21 06:00 [pubmed]
PHST- 2019/03/21 06:00 [medline]
PHST- 2019/03/21 06:00 [entrez]
AID - 10.1111/coa.13331 [doi]
PST - aheadofprint
SO  - Clin Otolaryngol. 2019 Mar 20. doi: 10.1111/coa.13331.