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Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma
Background. Little is known about dysphagia or quality of life (QOL) in patients treated for nasopharyngeal carcinoma (NPC). The aim of this study was to determine the impact of dysphagia on QOL in patients treated for NPC as measured by two standard tools, the University of Washington Quality‐of‐Li...
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Published in: | Head & neck 2005-10, Vol.27 (10), p.864-872 |
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creator | Lovell, Sarah J. Wong, Hwee-Bee Loh, Kwok-Seng Ngo, Raymond Y. S. Wilson, Janet A. |
description | Background.
Little is known about dysphagia or quality of life (QOL) in patients treated for nasopharyngeal carcinoma (NPC). The aim of this study was to determine the impact of dysphagia on QOL in patients treated for NPC as measured by two standard tools, the University of Washington Quality‐of‐Life Questionnaire1 (UW‐QOL) and the Swallow Quality‐of‐Life Questionnaire3 (SWAL‐QOL).
Methods.
This is a cross‐sectional survey of 59 consecutive disease‐free survivors of NPC attending the head and neck cancer clinic at the National University Hospital, Singapore. The UW‐QOL and SWAL‐QOL underwent minor modification and were translated into Mandarin. A linear regression analysis was performed to identify significant predictors of health‐related QOL.
Results.
Fifty‐one patients (86%) responded; of these, 43 had self‐reported swallowing difficulties. On the UW‐QOL, respondents indicated the three most important issues to be swallowing (59%), hearing (45%), and saliva/dry mouth (41%). Respondents with swallowing difficulty reported a lower UW‐QOL composite score (p = .002) and a lower health‐related QOL score (HR‐QOL) than those without swallowing difficulty (p = .004). Self‐reported swallowing difficulty predicted a lower HR‐QOL score (p = .004). A longer time since treatment predicted a better score in HR‐QOL (p = .024). A lower score in fatigue predicted a lower HR‐QOL score (p = .001).
Conclusions.
Swallowing difficulties negatively impact QOL. It is recommended that future QOL studies aimed specifically at swallowing function in NPC use a swallowing specific questionnaire (eg, SWAL‐QOL) in addition to a head and neck–specific measure. Further research is needed to look at the adaptation and usefulness of swallowing‐specific QOL surveys for use with people treated for NPC. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005 |
doi_str_mv | 10.1002/hed.20250 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68634727</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68634727</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3910-5192bba423e6c24fcbaa7882206b0103b20f00b8530fcdf0cc06c95e4301bcc23</originalsourceid><addsrcrecordid>eNp10ElLAzEUB_Agikv14BeQuSh4mPZlmWTm6G5BFEHRW3iTJm10ljpp0X57o6168pQQfm_Jn5B9Cn0KwAYTO-ozYBmskW0KhUqBC7X-dRc85aDEFtkJ4QUAuBRsk2xRSakAUNvkdFhP0cyS1iWjRZhOcOwxaZvkbY6Vny3S1qWVdzbxTdJgaCPoFs3YYpUY7Ixv2hp3yYbDKti91dkjj5cXD2fX6c3d1fDs5CY1vKCQZrRgZYmCcSsNE86UiCrPGQNZAgVeMnAAZZ5xcGbkwBiQpsis4EBLYxjvkaNl32nXvs1tmOnaB2OrChvbzoOWuYzfZirC4yU0XRtCZ52edr6Oi2sK-iswHQPT34FFe7BqOi_r-PorVwlFcLgCGAxWrsPG-PDnFM0KzvLoBkv37iu7-H-ivr44_xmdLit8mNmP3wrsXrVUXGX66fZK0-Je5PI515R_Aj25jzc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68634727</pqid></control><display><type>article</type><title>Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma</title><source>Wiley</source><creator>Lovell, Sarah J. ; Wong, Hwee-Bee ; Loh, Kwok-Seng ; Ngo, Raymond Y. S. ; Wilson, Janet A.</creator><creatorcontrib>Lovell, Sarah J. ; Wong, Hwee-Bee ; Loh, Kwok-Seng ; Ngo, Raymond Y. S. ; Wilson, Janet A.</creatorcontrib><description>Background.
Little is known about dysphagia or quality of life (QOL) in patients treated for nasopharyngeal carcinoma (NPC). The aim of this study was to determine the impact of dysphagia on QOL in patients treated for NPC as measured by two standard tools, the University of Washington Quality‐of‐Life Questionnaire1 (UW‐QOL) and the Swallow Quality‐of‐Life Questionnaire3 (SWAL‐QOL).
Methods.
This is a cross‐sectional survey of 59 consecutive disease‐free survivors of NPC attending the head and neck cancer clinic at the National University Hospital, Singapore. The UW‐QOL and SWAL‐QOL underwent minor modification and were translated into Mandarin. A linear regression analysis was performed to identify significant predictors of health‐related QOL.
Results.
Fifty‐one patients (86%) responded; of these, 43 had self‐reported swallowing difficulties. On the UW‐QOL, respondents indicated the three most important issues to be swallowing (59%), hearing (45%), and saliva/dry mouth (41%). Respondents with swallowing difficulty reported a lower UW‐QOL composite score (p = .002) and a lower health‐related QOL score (HR‐QOL) than those without swallowing difficulty (p = .004). Self‐reported swallowing difficulty predicted a lower HR‐QOL score (p = .004). A longer time since treatment predicted a better score in HR‐QOL (p = .024). A lower score in fatigue predicted a lower HR‐QOL score (p = .001).
Conclusions.
Swallowing difficulties negatively impact QOL. It is recommended that future QOL studies aimed specifically at swallowing function in NPC use a swallowing specific questionnaire (eg, SWAL‐QOL) in addition to a head and neck–specific measure. Further research is needed to look at the adaptation and usefulness of swallowing‐specific QOL surveys for use with people treated for NPC. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.20250</identifier><identifier>PMID: 16114007</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cross-Sectional Studies ; Deglutition Disorders - etiology ; Deglutition Disorders - psychology ; dysphagia ; Esophagus ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Health Status Indicators ; Humans ; Male ; Medical sciences ; Middle Aged ; nasopharyngeal carcinoma ; Nasopharyngeal Neoplasms - complications ; Nasopharyngeal Neoplasms - psychology ; Nasopharyngeal Neoplasms - therapy ; Other diseases. Semiology ; Otorhinolaryngology. Stomatology ; Quality of Life ; Surveys and Questionnaires ; SWAL-QOL ; Tumors ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; UW-QOL</subject><ispartof>Head & neck, 2005-10, Vol.27 (10), p.864-872</ispartof><rights>Copyright © 2005 Wiley Periodicals, Inc.</rights><rights>2005 INIST-CNRS</rights><rights>(c) 2005 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3910-5192bba423e6c24fcbaa7882206b0103b20f00b8530fcdf0cc06c95e4301bcc23</citedby><cites>FETCH-LOGICAL-c3910-5192bba423e6c24fcbaa7882206b0103b20f00b8530fcdf0cc06c95e4301bcc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17159328$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16114007$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lovell, Sarah J.</creatorcontrib><creatorcontrib>Wong, Hwee-Bee</creatorcontrib><creatorcontrib>Loh, Kwok-Seng</creatorcontrib><creatorcontrib>Ngo, Raymond Y. S.</creatorcontrib><creatorcontrib>Wilson, Janet A.</creatorcontrib><title>Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background.
Little is known about dysphagia or quality of life (QOL) in patients treated for nasopharyngeal carcinoma (NPC). The aim of this study was to determine the impact of dysphagia on QOL in patients treated for NPC as measured by two standard tools, the University of Washington Quality‐of‐Life Questionnaire1 (UW‐QOL) and the Swallow Quality‐of‐Life Questionnaire3 (SWAL‐QOL).
Methods.
This is a cross‐sectional survey of 59 consecutive disease‐free survivors of NPC attending the head and neck cancer clinic at the National University Hospital, Singapore. The UW‐QOL and SWAL‐QOL underwent minor modification and were translated into Mandarin. A linear regression analysis was performed to identify significant predictors of health‐related QOL.
Results.
Fifty‐one patients (86%) responded; of these, 43 had self‐reported swallowing difficulties. On the UW‐QOL, respondents indicated the three most important issues to be swallowing (59%), hearing (45%), and saliva/dry mouth (41%). Respondents with swallowing difficulty reported a lower UW‐QOL composite score (p = .002) and a lower health‐related QOL score (HR‐QOL) than those without swallowing difficulty (p = .004). Self‐reported swallowing difficulty predicted a lower HR‐QOL score (p = .004). A longer time since treatment predicted a better score in HR‐QOL (p = .024). A lower score in fatigue predicted a lower HR‐QOL score (p = .001).
Conclusions.
Swallowing difficulties negatively impact QOL. It is recommended that future QOL studies aimed specifically at swallowing function in NPC use a swallowing specific questionnaire (eg, SWAL‐QOL) in addition to a head and neck–specific measure. Further research is needed to look at the adaptation and usefulness of swallowing‐specific QOL surveys for use with people treated for NPC. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - psychology</subject><subject>dysphagia</subject><subject>Esophagus</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nasopharyngeal carcinoma</subject><subject>Nasopharyngeal Neoplasms - complications</subject><subject>Nasopharyngeal Neoplasms - psychology</subject><subject>Nasopharyngeal Neoplasms - therapy</subject><subject>Other diseases. Semiology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Quality of Life</subject><subject>Surveys and Questionnaires</subject><subject>SWAL-QOL</subject><subject>Tumors</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>UW-QOL</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNp10ElLAzEUB_Agikv14BeQuSh4mPZlmWTm6G5BFEHRW3iTJm10ljpp0X57o6168pQQfm_Jn5B9Cn0KwAYTO-ozYBmskW0KhUqBC7X-dRc85aDEFtkJ4QUAuBRsk2xRSakAUNvkdFhP0cyS1iWjRZhOcOwxaZvkbY6Vny3S1qWVdzbxTdJgaCPoFs3YYpUY7Ixv2hp3yYbDKti91dkjj5cXD2fX6c3d1fDs5CY1vKCQZrRgZYmCcSsNE86UiCrPGQNZAgVeMnAAZZ5xcGbkwBiQpsis4EBLYxjvkaNl32nXvs1tmOnaB2OrChvbzoOWuYzfZirC4yU0XRtCZ52edr6Oi2sK-iswHQPT34FFe7BqOi_r-PorVwlFcLgCGAxWrsPG-PDnFM0KzvLoBkv37iu7-H-ivr44_xmdLit8mNmP3wrsXrVUXGX66fZK0-Je5PI515R_Aj25jzc</recordid><startdate>200510</startdate><enddate>200510</enddate><creator>Lovell, Sarah J.</creator><creator>Wong, Hwee-Bee</creator><creator>Loh, Kwok-Seng</creator><creator>Ngo, Raymond Y. S.</creator><creator>Wilson, Janet A.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley & Sons</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200510</creationdate><title>Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma</title><author>Lovell, Sarah J. ; Wong, Hwee-Bee ; Loh, Kwok-Seng ; Ngo, Raymond Y. S. ; Wilson, Janet A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3910-5192bba423e6c24fcbaa7882206b0103b20f00b8530fcdf0cc06c95e4301bcc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - psychology</topic><topic>dysphagia</topic><topic>Esophagus</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>nasopharyngeal carcinoma</topic><topic>Nasopharyngeal Neoplasms - complications</topic><topic>Nasopharyngeal Neoplasms - psychology</topic><topic>Nasopharyngeal Neoplasms - therapy</topic><topic>Other diseases. Semiology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Quality of Life</topic><topic>Surveys and Questionnaires</topic><topic>SWAL-QOL</topic><topic>Tumors</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>UW-QOL</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lovell, Sarah J.</creatorcontrib><creatorcontrib>Wong, Hwee-Bee</creatorcontrib><creatorcontrib>Loh, Kwok-Seng</creatorcontrib><creatorcontrib>Ngo, Raymond Y. S.</creatorcontrib><creatorcontrib>Wilson, Janet A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lovell, Sarah J.</au><au>Wong, Hwee-Bee</au><au>Loh, Kwok-Seng</au><au>Ngo, Raymond Y. S.</au><au>Wilson, Janet A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2005-10</date><risdate>2005</risdate><volume>27</volume><issue>10</issue><spage>864</spage><epage>872</epage><pages>864-872</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background.
Little is known about dysphagia or quality of life (QOL) in patients treated for nasopharyngeal carcinoma (NPC). The aim of this study was to determine the impact of dysphagia on QOL in patients treated for NPC as measured by two standard tools, the University of Washington Quality‐of‐Life Questionnaire1 (UW‐QOL) and the Swallow Quality‐of‐Life Questionnaire3 (SWAL‐QOL).
Methods.
This is a cross‐sectional survey of 59 consecutive disease‐free survivors of NPC attending the head and neck cancer clinic at the National University Hospital, Singapore. The UW‐QOL and SWAL‐QOL underwent minor modification and were translated into Mandarin. A linear regression analysis was performed to identify significant predictors of health‐related QOL.
Results.
Fifty‐one patients (86%) responded; of these, 43 had self‐reported swallowing difficulties. On the UW‐QOL, respondents indicated the three most important issues to be swallowing (59%), hearing (45%), and saliva/dry mouth (41%). Respondents with swallowing difficulty reported a lower UW‐QOL composite score (p = .002) and a lower health‐related QOL score (HR‐QOL) than those without swallowing difficulty (p = .004). Self‐reported swallowing difficulty predicted a lower HR‐QOL score (p = .004). A longer time since treatment predicted a better score in HR‐QOL (p = .024). A lower score in fatigue predicted a lower HR‐QOL score (p = .001).
Conclusions.
Swallowing difficulties negatively impact QOL. It is recommended that future QOL studies aimed specifically at swallowing function in NPC use a swallowing specific questionnaire (eg, SWAL‐QOL) in addition to a head and neck–specific measure. Further research is needed to look at the adaptation and usefulness of swallowing‐specific QOL surveys for use with people treated for NPC. © 2005 Wiley Periodicals, Inc. Head Neck 27: XXX–XXX, 2005</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>16114007</pmid><doi>10.1002/hed.20250</doi><tpages>9</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Cross-Sectional Studies Deglutition Disorders - etiology Deglutition Disorders - psychology dysphagia Esophagus Female Gastroenterology. Liver. Pancreas. Abdomen Health Status Indicators Humans Male Medical sciences Middle Aged nasopharyngeal carcinoma Nasopharyngeal Neoplasms - complications Nasopharyngeal Neoplasms - psychology Nasopharyngeal Neoplasms - therapy Other diseases. Semiology Otorhinolaryngology. Stomatology Quality of Life Surveys and Questionnaires SWAL-QOL Tumors Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology UW-QOL |
title | Impact of dysphagia on quality-of-life in nasopharyngeal carcinoma |
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