Correlations Between Patient-Reported Dysphagia Screening and Penetration-Aspiration Scores in Head and Neck Cancer Patients Post-oncological Treatment.
Johanna Hedström, Lisa Tuomi, Caterina Finizia and 1 others
PMID 28887707WHAT IT FOUND
Head and neck cancer survivors who reported trouble eating, swallowing and coughing often had severe swallowing findings, but patient reports and test scores were only weakly related overall.
Trouble drinking was less commonly reported.
Key findings
01Patient-reported symptoms and swallowing test scores were only weakly related overall, but the strongest relationships were for patients reporting three or more symptoms and severe test scores.
02Almost 50% of patients reporting three or more symptoms had penetration-aspiration scale scores of 6 or higher.
03Among 38 patients reporting three symptoms, 29 reported eating, swallowing, and coughing when eating/drinking.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The symptom score was created for this study and was not a validated questionnaire. Two patients lacked patient-reported symptom data. Relationships between patient reports and swallowing test scores were weak overall, so the questions did not reliably match clinical findings. The videofluoroscopy scores were made jointly during the examination rather than by blinded independent raters. The study recruited from a tumor board and used telephone screening for swallowing problems, so it may not represent all post-treatment head and neck cancer patients. The study did not test the questions as a screening tool or measure their accuracy for detecting swallowing impairment.
Declared interests
Funded by Stiftelsen Assar Gabrielssons Fond, Cancerfonden, and the Research and development council (SE).
The easy way to misread this
Do not treat these questions as a validated screening tool. The study found only weak relationships overall and did not measure accuracy, so patient reports alone cannot confirm or exclude clinically important swallowing impairment.