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Swallowing performance and tube feeding status in patients treated with parotid-sparing intensity-modulated radiotherapy for head and neck cancer

Lookup NU author(s): Professor Paul Carding, Dr Michael DrinnanORCiD

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Abstract

© 2015 Wiley Periodicals, Inc.. Background The purpose of this prospective study was to evaluate the swallowing performance of patients with head and neck cancer treated with parotid-sparing intensity-modulated radiotherapy (IMRT). Methods Sixty-two patients were recruited. Data were collected before and up to 12 months after treatment. Measures included the Performance Status Scale for head and neck cancer (PSS-HN Normalcy of Diet and Eating in Public subscales), tube feeding status, and 100 mL water swallow test (WST) volume and capacity scores. Results There was a significant reduction in PSS-HN and WST scores from baseline to 3 months (p <.001). Significant improvements were observed up to 12 months on the PSS-HN. Swallowing volume and capacity scores recovered but did not reach statistical significance. Tube feeding was not required in 47% of the patients. Conclusion IMRT significantly impacts on swallowing performance, although there is a trend for improvement up to 12 months after treatment. Our data support a case-by-case approach to tube feeding.

Publication metadata

Author(s): Roe JWG, Carding PN, Drinnan MJ, Harrington KJ, Nutting CM

Publication type: Article

Publication status: Published

Journal: Head and Neck

Year: 2016

Volume: 38

Issue: Suppl. 1

Pages: E1436-E1444

Print publication date: 01/04/2016

Online publication date: 13/11/2015

Acceptance date: 25/08/2015

ISSN (print): 1043-3074

ISSN (electronic): 1097-0347

Publisher: John Wiley and Sons Inc.

URL: http://doi.org/10.1002/hed.24255

DOI: 10.1002/hed.24255

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