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Factors affecting swallowing outcomes after total laryngectomy: Participant self-report using the swallowing outcomes after laryngectomy questionnaire

Lee, M. T., Govender, R., Roy, P. J., Vaz, F. and Hilari, K. ORCID: 0000-0003-2091-4849 (2020). Factors affecting swallowing outcomes after total laryngectomy: Participant self-report using the swallowing outcomes after laryngectomy questionnaire. Head Neck, doi: 10.1002/hed.26132

Abstract

BACKGROUND: Little is known about what factors affect patient-reported swallowing outcome after total laryngectomy. We explored whether patient demographics, surgical variables, use of adjuvant treatment, and time since surgery were associated with patient-reported swallowing outcome.

METHODS: Cross-sectional study of laryngectomees in eight UK hospitals. Demographic, treatment, and surgical variables were drawn from medical notes. The swallowing outcomes after laryngectomy (SOAL) questionnaire captured perceived swallowing outcome.

RESULTS: Two hundred and twenty one participants had complete data on treatment-related variables. In regression analysis, having a free jejunum flap repair and requiring chemoradiation were the only two variables that added significantly to the model of worse self-reported swallowing outcome (R2 adjusted = .23, P < .001).

CONCLUSION: The SOAL is a sensitive measure of self-reported swallowing outcome after laryngectomy. Type of surgical closure and the type of additional treatment influenced the swallowing outcome reported by patients. Changes in perceived swallowing function need to be routinely evaluated to inform clinical decision-making and intervention.

Publication Type: Article
Additional Information: This is the peer reviewed version of the following article: Lee, M. T., Govender, R., Roy, P. J., Vaz, F. and Hilari, K. (2020). Factors affecting swallowing outcomes after total laryngectomy: Participant self-report using the swallowing outcomes after laryngectomy questionnaire.. Head Neck, which has been published in final form at https://doi.org/10.1002/hed.26132 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Publisher Keywords: dysphagia, laryngectomy, patient‐reported outcome measure, SOAL, swallowing
Subjects: P Language and Literature > P Philology. Linguistics
R Medicine > RF Otorhinolaryngology
Departments: School of Health Sciences > Language & Communication Science
URI: https://openaccess.city.ac.uk/id/eprint/23938
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[img] Text - Accepted Version
This document is not freely accessible until 2 March 2021 due to copyright restrictions.

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