Prevalence of dysphagia following posterior fossa tumor resection: a systematic review and meta‑analysis

Dysphagia is common in individuals who have undergone posterior fossa tumor (PFT) resection and negatively impacts on the individual's quality of life, nutritional status, and overall health. We aimed to quantitatively synthesize data from studies of the prevalence of dysphagia following PFT re...

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Bibliographic Details
Published in:BMC cancer 2024-07, Vol.24 (1), p.896-15, Article 896
Main Authors: Duan, Yuyu, Wang, Yueli, Zhang, Xiaowei, Huang, Jingjuan, Zhou, Zhihuan, Zhao, Qinqin
Format: Article
Language:English
Subjects:
Bias
Brain cancer
Brain tumors
Care and treatment
Deglutition disorders
Diagnosis
Dysphagia
Meta-analysis
Nutritional status
Posterior fossa tumor
Quality of life
Risk factors
Software
Surgery
Swallowing
Systematic review
Tumors
Citations: Items that this one cites
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Summary:Dysphagia is common in individuals who have undergone posterior fossa tumor (PFT) resection and negatively impacts on the individual's quality of life, nutritional status, and overall health. We aimed to quantitatively synthesize data from studies of the prevalence of dysphagia following PFT resection. PubMed, Web of Science, the Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), Wanfang database, and VIP database were searched for case-control and cross-sectional studies that evaluated the prevalence of dysphagia after PFT surgery. Meta-analyses were performed to determine the prevalence of dysphagia. Subgroup and meta-regression analyses were performed to determine the sources of heterogeneity among the studies. A total of 22 studies were included, involving 20,921 cases. A meta-analysis of the random-effects model showed that the pooled global prevalence of dysphagia following PFT resection was 21.7% (95% confidence interval: 16.9-26.6). The subgroup and meta-regression analyses demonstrated that participant age (P < 0.001), assessment methods (P = 0.004), and geographical region of the study participants (P = 0.001) were sources of heterogeneity among the studies. Dysphagia has a high prevalence following PFT resection. Individuals with PFTs who are at a high risk for dysphagia should be identified early through screening. Multidisciplinary diagnosis and treatment of dysphagia are required to improve the outcomes in the early stages after PFT resection.
ISSN:1471-2407
1471-2407
DOI:10.1186/s12885-024-12656-1