SWALLOWING AND QUALITY OF LIFE OUTCOMES EARLY AFTER RADIATION THERAPY IN HEAD AND NECK CANCER PATIENTS

Authors : Selen Serel Aslan

Pages : 0-0

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Publication Date : 2016-06-11

Article Type : Research Paper

Abstract :Purpose: The aim of the study was to determine the changes in swallowing function and quality of life in early period a er radiotherapy in head and neck cancer insert ignore into journalissuearticles values(HNC); patients. Methods: Fourty patients with HNC were included in the study. Swallowing function was evaluated by Modified Barium Swallowing Study. Penetration-Aspiration Scale was used to determine the penetration aspiration severity. European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire insert ignore into journalissuearticles values(EORTC QLQ-C30); and European Organization for the Research and Treatment of Cancer, Quality of Life Assessments in Head and Neck Cancer insert ignore into journalissuearticles values(EORTC QLQ-H&N35); which are specific to cancer patients with acceptable validity and reliability were used for quality of life assessment. All evaluations were performed three times including before radiotherapy, 1 and 3 months a er radiotherapy. Results: The aspiration severity were gradually increased a er radiotherapy insert ignore into journalissuearticles values(p<0.001);. There was no di erence a er radiotherapy in all subscales of EORTC QLQ-C30 insert ignore into journalissuearticles values(p>0.0166);. Pain and fee - ling illness decreased insert ignore into journalissuearticles values(p<0.001);, swallowing problems, dry mouth, sticky saliva insert ignore into journalissuearticles values(p<0.001);, teeth, mouth-opening problems insert ignore into journalissuearticles values(p<0.016); increased a er radiotherapy. There was a moderate, negative correlation between aspiration severity and general health status scale insert ignore into journalissuearticles values(p<0.001);. There was a moderate, positive correlation between aspiration severity and symptom scale, swallowing ability, social eating, dry mouth, sticky saliva and coughing insert ignore into journalissuearticles values(p<0.05);. Discussion: It can be concluded that swallowing function and swallowing related quality of life parameters were a ected negatively in the early period a er radiotherapy despite no change in general quality of life perception. It is important for clinicians to be aware of swallowing disorders and its e ects on quality of life in the early period to prevent patients from potential long-term e ects of swallowing disorders on general quality of life. 
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