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Published in: Supportive Care in Cancer 3/2024

Open Access 01-03-2024 | Dysphagia | Research

Exploring predictors of dysphagia in survivors of head and neck cancer: A cross-sectional study

Authors: María Dolores López-Fernández, Carolina Fernández-Lao, Alba María Ruíz-Martínez, Miguel Ángel Fernández-Gualda, Mario Lozano-Lozano, Lucía Ortiz-Comino, Noelia Galiano-Castillo

Published in: Supportive Care in Cancer | Issue 3/2024

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Abstract

Purpose

To evaluate the prevalence of dysphagia in survivors of head and neck cancer (sHNC) and to identify the predictors contributing to the development of dysphagia.

Methods

We enrolled 62 sHNC in a cross-sectional study to check the prevalence of dysphagia in sHNC and to evaluate which factors were influencing the presence of this side effect. Besides dysphagia, sociodemographic and clinical characteristics, oral symptoms, maximal mouth opening (MMO), sleep quality and physical condition were evaluated, and a linear regression analysis was performed to verify which of these outcomes impact dysphagia.

Results

Among all the sHNC, 85.5% presented dysphagia. The linear regression analysis confirmed that 44.9% of the variance in dysphagia was determined by coughing, MMO and sleep quality, being MMO the most powerful predictor, followed by coughing and sleep quality.

Conclusion

Dysphagia affected the great majority of sHNC. Moreover, symptoms as coughing, reduced MMO and sleep disorders may act as predictors contributing to the development of dysphagia. Our results emphasize the importance of an early and proper identification of the symptoms as well as an adequate treatment strategy to address the cluster of symptoms that sHNC undergo.
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Literature
Metadata
Title
Exploring predictors of dysphagia in survivors of head and neck cancer: A cross-sectional study
Authors
María Dolores López-Fernández
Carolina Fernández-Lao
Alba María Ruíz-Martínez
Miguel Ángel Fernández-Gualda
Mario Lozano-Lozano
Lucía Ortiz-Comino
Noelia Galiano-Castillo
Publication date
01-03-2024
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 3/2024
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-024-08358-w

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