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Published in: Dysphagia 1/2023

Open Access 07-07-2022 | Mood Disorders | Review

Affective Symptoms and Oropharyngeal Dysphagia in Head-and-Neck Cancer Patients: A Systematic Review

Authors: Iris Krebbers, Walmari Pilz, Sophie Vanbelle, Rob J. C. G. Verdonschot, Laura W. J. Baijens

Published in: Dysphagia | Issue 1/2023

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Abstract

Oropharyngeal dysphagia (OD) is a high impact morbidity in head-and-neck cancer (HNC) patients. A wide variety of instruments are developed to screen for affective symptoms and OD. The current paper aims to systematically review and appraise the literature to obtain insight into the prevalence, strength, and causal direction of the relationship between affective symptoms and OD in HNC patients. This review was conducted in accordance with the PRISMA statement. A systematic search of the literature was performed using PubMed, PsycINFO, Cochrane, and Embase. All available publications reporting on the relationship between affective conditions and swallowing function in HNC patients were included. Conference papers, tutorials, reviews, and studies with less than 5 patients were excluded. Fifteen studies met the inclusion criteria. The level of evidence and methodological quality were assessed using the ABC-rating scale and QualSyst critical appraisal tool. Eleven studies reported a positive relationship between affective symptoms and OD. The findings of this paper highlight the importance of affective symptom screening in dysphagic HNC patients as clinically relevant affective symptoms and OD seems to be prevalent and coincident in this population. Considering the impact of affective symptoms and OD on patients’ daily life, early detection and an integrated interdisciplinary approach are recommended. However, due to the heterogeneity of study designs, outcomes, and outcome measures, the generalization of study results is limited.
Literature
1.
go back to reference Huckabee SKDM, et al. Dysphagia following stroke. 3rd ed. San Diego: Plural Publishing; 2019. p. 35–6. Huckabee SKDM, et al. Dysphagia following stroke. 3rd ed. San Diego: Plural Publishing; 2019. p. 35–6.
5.
go back to reference Hutcheson KA, Nurgalieva Z, Zhao H, Gunn GB, Giordano SH, Bhayani MK, Lewin JS, Lewis CM. Two-year prevalence of dysphagia and related outcomes in head and neck cancer survivors: an updated SEER-medicare analysis. Head Neck. 2019;41:479–87. https://doi.org/10.1002/hed.25412.CrossRef Hutcheson KA, Nurgalieva Z, Zhao H, Gunn GB, Giordano SH, Bhayani MK, Lewin JS, Lewis CM. Two-year prevalence of dysphagia and related outcomes in head and neck cancer survivors: an updated SEER-medicare analysis. Head Neck. 2019;41:479–87. https://​doi.​org/​10.​1002/​hed.​25412.CrossRef
8.
go back to reference Baijens LWJ, Walshe M, Aaltonen LM, Arens C, Cordier R, Cras P, Crevier-Buchman L, Curtis C, Golusinski W, Govender R, Eriksen JG, Hansen K, Heathcote K, Hess MM, Hosal S, Klussmann JP, Leemans CR, MacCarthy D, Manduchi B, Marie JP, Nouraei R, Parkes C, Pflug C, Pilz W, Regan J, Rommel N, Schindler A, Schols A, Speyer R, Succo G, Wessel I, Willemsen ACH, Yilmaz T, Clave P. European white paper: oropharyngeal dysphagia in head and neck cancer. Eur Arch Otorhinolaryngol. 2021;278:577–616. https://doi.org/10.1007/s00405-020-06507-5.CrossRef Baijens LWJ, Walshe M, Aaltonen LM, Arens C, Cordier R, Cras P, Crevier-Buchman L, Curtis C, Golusinski W, Govender R, Eriksen JG, Hansen K, Heathcote K, Hess MM, Hosal S, Klussmann JP, Leemans CR, MacCarthy D, Manduchi B, Marie JP, Nouraei R, Parkes C, Pflug C, Pilz W, Regan J, Rommel N, Schindler A, Schols A, Speyer R, Succo G, Wessel I, Willemsen ACH, Yilmaz T, Clave P. European white paper: oropharyngeal dysphagia in head and neck cancer. Eur Arch Otorhinolaryngol. 2021;278:577–616. https://​doi.​org/​10.​1007/​s00405-020-06507-5.CrossRef
12.
go back to reference Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA. 1995;273:59–65. Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA. 1995;273:59–65.
16.
go back to reference Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hrobjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372: n71. https://doi.org/10.1136/bmj.n71.CrossRef Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hrobjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372: n71. https://​doi.​org/​10.​1136/​bmj.​n71.CrossRef
17.
go back to reference Siwek J, Gourlay M, Slawson DC, Shaughnessy AF. How to write an evidence-based clinical review article. Am Fam Physician. 2002;65(2):251–8. Siwek J, Gourlay M, Slawson DC, Shaughnessy AF. How to write an evidence-based clinical review article. Am Fam Physician. 2002;65(2):251–8.
18.
go back to reference Kmet LM LR, Cook LS (2004) Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Alberta Heritage Foundation for Medical Research (AHFMR) Kmet LM LR, Cook LS (2004) Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Alberta Heritage Foundation for Medical Research (AHFMR)
21.
go back to reference Florie M, Baijens L, Kremer B, Kross K, Lacko M, Verhees F, Winkens B. Relationship between swallow-specific quality of life and fiber-optic endoscopic evaluation of swallowing findings in patients with head and neck cancer. Head Neck. 2016;38(Suppl 1):E1848-1856. https://doi.org/10.1002/hed.24333.CrossRef Florie M, Baijens L, Kremer B, Kross K, Lacko M, Verhees F, Winkens B. Relationship between swallow-specific quality of life and fiber-optic endoscopic evaluation of swallowing findings in patients with head and neck cancer. Head Neck. 2016;38(Suppl 1):E1848-1856. https://​doi.​org/​10.​1002/​hed.​24333.CrossRef
25.
go back to reference Cnossen IC, de Bree R, Rinkel RN, Eerenstein SE, Rietveld DH, Doornaert P, Buter J, Langendijk JA, Leemans CR, Verdonck-de Leeuw IM. Computerized monitoring of patient-reported speech and swallowing problems in head and neck cancer patients in clinical practice. Support Care Cancer. 2012;20:2925–31. https://doi.org/10.1007/s00520-012-1422-y.CrossRef Cnossen IC, de Bree R, Rinkel RN, Eerenstein SE, Rietveld DH, Doornaert P, Buter J, Langendijk JA, Leemans CR, Verdonck-de Leeuw IM. Computerized monitoring of patient-reported speech and swallowing problems in head and neck cancer patients in clinical practice. Support Care Cancer. 2012;20:2925–31. https://​doi.​org/​10.​1007/​s00520-012-1422-y.CrossRef
28.
go back to reference Bozec A, Demez P, Gal J, Chamorey E, Louis MY, Blanchard D, De Raucourt D, Merol JC, Brenet E, Dassonville O, Poissonnet G, Santini J, Peyrade F, Benezery K, Lesnik M, Berta E, Ransy P, Babin E. Long-term quality of life and psycho-social outcomes after oropharyngeal cancer surgery and radial forearm free-flap reconstruction: a GETTEC prospective multicentric study. Surg Oncol. 2018;27:23–30. https://doi.org/10.1016/j.suronc.2017.11.005.CrossRef Bozec A, Demez P, Gal J, Chamorey E, Louis MY, Blanchard D, De Raucourt D, Merol JC, Brenet E, Dassonville O, Poissonnet G, Santini J, Peyrade F, Benezery K, Lesnik M, Berta E, Ransy P, Babin E. Long-term quality of life and psycho-social outcomes after oropharyngeal cancer surgery and radial forearm free-flap reconstruction: a GETTEC prospective multicentric study. Surg Oncol. 2018;27:23–30. https://​doi.​org/​10.​1016/​j.​suronc.​2017.​11.​005.CrossRef
34.
go back to reference Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin: PRO-ED; 1997. Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin: PRO-ED; 1997.
35.
go back to reference Langmore S. Endoscopic evaluation and treatment of swallowing disorders. New York: Thieme; 2000. p. 1–6. Langmore S. Endoscopic evaluation and treatment of swallowing disorders. New York: Thieme; 2000. p. 1–6.
37.
go back to reference Karnell MPME. A data base information storage and reporting system for videofluorographic oropharyngeal motility (OPM) swallowing evaluations. Am J Speech Lang Pathol. 1994;3:54–60. Karnell MPME. A data base information storage and reporting system for videofluorographic oropharyngeal motility (OPM) swallowing evaluations. Am J Speech Lang Pathol. 1994;3:54–60.
39.
go back to reference Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001;127:870–6. Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001;127:870–6.
42.
go back to reference Bjordal K, Hammerlid E, Ahlner-Elmqvist M, de Graeff A, Boysen M, Evensen JF, Biorklund A, de Leeuw JR, Fayers PM, Jannert M, Westin T, Kaasa S. Quality of life in head and neck cancer patients: validation of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-H&N35. J Clin Oncol. 1999;17:1008–19. https://doi.org/10.1200/JCO.1999.17.3.1008.CrossRef Bjordal K, Hammerlid E, Ahlner-Elmqvist M, de Graeff A, Boysen M, Evensen JF, Biorklund A, de Leeuw JR, Fayers PM, Jannert M, Westin T, Kaasa S. Quality of life in head and neck cancer patients: validation of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-H&N35. J Clin Oncol. 1999;17:1008–19. https://​doi.​org/​10.​1200/​JCO.​1999.​17.​3.​1008.CrossRef
43.
go back to reference Lovibond SHLP. Manual for the depression, anxiety, stress scales. 2nd ed. Sydney: Psychological Foundation; 1995. Lovibond SHLP. Manual for the depression, anxiety, stress scales. 2nd ed. Sydney: Psychological Foundation; 1995.
51.
go back to reference Verdonck-de Leeuw IM, Eerenstein SE, Van der Linden MH, Kuik DJ, de Bree R, ReneLeemans C. Distress in spouses and patients after treatment for head and neck cancer. Laryngoscope. 2007;117(2):238–41. Verdonck-de Leeuw IM, Eerenstein SE, Van der Linden MH, Kuik DJ, de Bree R, ReneLeemans C. Distress in spouses and patients after treatment for head and neck cancer. Laryngoscope. 2007;117(2):238–41.
Metadata
Title
Affective Symptoms and Oropharyngeal Dysphagia in Head-and-Neck Cancer Patients: A Systematic Review
Authors
Iris Krebbers
Walmari Pilz
Sophie Vanbelle
Rob J. C. G. Verdonschot
Laura W. J. Baijens
Publication date
07-07-2022
Publisher
Springer US
Published in
Dysphagia / Issue 1/2023
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-022-10484-8

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