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Published in: European Archives of Oto-Rhino-Laryngology 2/2021

01-02-2021 | Dysphagia | How I do it

European white paper: oropharyngeal dysphagia in head and neck cancer

Authors: Laura W. J. Baijens, Margaret Walshe, Leena-Maija Aaltonen, Christoph Arens, Reinie Cordier, Patrick Cras, Lise Crevier-Buchman, Chris Curtis, Wojciech Golusinski, Roganie Govender, Jesper Grau Eriksen, Kevin Hansen, Kate Heathcote, Markus M. Hess, Sefik Hosal, Jens Peter Klussmann, C. René Leemans, Denise MacCarthy, Beatrice Manduchi, Jean-Paul Marie, Reza Nouraei, Claire Parkes, Christina Pflug, Walmari Pilz, Julie Regan, Nathalie Rommel, Antonio Schindler, Annemie M. W. J. Schols, Renee Speyer, Giovanni Succo, Irene Wessel, Anna C. H. Willemsen, Taner Yilmaz, Pere Clavé

Published in: European Archives of Oto-Rhino-Laryngology | Issue 2/2021

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Abstract

Purpose

To develop a European White Paper document on oropharyngeal dysphagia (OD) in head and neck cancer (HNC). There are wide variations in the management of OD associated with HNC across Europe.

Methods

Experts in the management of specific aspects of OD in HNC across Europe were delegated by their professional medical and multidisciplinary societies to contribute to this document. Evidence is based on systematic reviews, consensus-based position statements, and expert opinion.

Results

Twenty-four sections on HNC-specific OD topics.

Conclusion

This European White Paper summarizes current best practice on management of OD in HNC, providing recommendations to support patients and health professionals. The body of literature and its level of evidence on diagnostics and treatment for OD in HNC remain poor. This is in the context of an expected increase in the prevalence of OD due to HNC in the near future. Contributing factors to increased prevalence include aging of our European population (including HNC patients) and an increase in human papillomavirus (HPV) related cancer, despite the introduction of HPV vaccination in various countries. We recommend timely implementation of OD screening in HNC patients while emphasizing the need for robust scientific research on the treatment of OD in HNC. Meanwhile, its management remains a challenge for European professional associations and policymakers.
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Metadata
Title
European white paper: oropharyngeal dysphagia in head and neck cancer
Authors
Laura W. J. Baijens
Margaret Walshe
Leena-Maija Aaltonen
Christoph Arens
Reinie Cordier
Patrick Cras
Lise Crevier-Buchman
Chris Curtis
Wojciech Golusinski
Roganie Govender
Jesper Grau Eriksen
Kevin Hansen
Kate Heathcote
Markus M. Hess
Sefik Hosal
Jens Peter Klussmann
C. René Leemans
Denise MacCarthy
Beatrice Manduchi
Jean-Paul Marie
Reza Nouraei
Claire Parkes
Christina Pflug
Walmari Pilz
Julie Regan
Nathalie Rommel
Antonio Schindler
Annemie M. W. J. Schols
Renee Speyer
Giovanni Succo
Irene Wessel
Anna C. H. Willemsen
Taner Yilmaz
Pere Clavé
Publication date
01-02-2021
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 2/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-06507-5

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