Is EAT-10 Useful to Assess Swallowing during the Chemo-Radiotherapy Phase in Patients with Head and Neck Cancer? A Pilot Study
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- Neus Bofill-Soler
- Physical Medicine and Rehabilitation Department, Hospital Verge de la Cinta, Tortosa, Catalunya, Spain
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- Anna Guillen-Sola
- Physical Medicine and Rehabilitation Department, Parc de Salut Mar, Barcelona, Catalunya, Spain
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- Ester Marco
- Physical Medicine and Rehabilitation Department, Parc de Salut Mar, Barcelona, Catalunya, Spain
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- Sonia Nieto-Cadalso
- Physical Medicine and Rehabilitation Department, Parc de Salut Mar, Barcelona, Catalunya, Spain
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- Mª Camèlia Barrera
- Hospital de l’Esperança, Barcelona, Spain
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- Oscar Pera-Cegarra
- Radiation Oncology Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Catalunya, Spain
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- Ismael Membrive
- Radiation Oncology Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Catalunya, Spain
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- Xavier Duran
- Assessoria metodològica i Bioestadística, IMIM - Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Catalunya, Spain
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- Palmira Foro
- Radiation Oncology Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Catalunya, Spain
抄録
<jats:sec><jats:title>Objective/Hypothesis:</jats:title><jats:p>The 10-item Eating-Assessment Tool (EAT-10) is a dysphagia screening test. In HNC patients, screening and diagnosis of dysphagia are not well-established. To determine the metrological properties of the EAT-10 compared with videofluoroscopy in non-surgical HNC-patients and to assess the relationship between EAT-10 scores and patients’ self-reported symptoms.</jats:p></jats:sec><jats:sec><jats:title>Study Design:</jats:title><jats:p>Prospective cohort study.</jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p>Forty-six HNC-patients recently diagnosed and referred to chemoradiotherapy (CRT). Main outcome was evidence of dysphagia according to EAT-10 score, self-perception on a Visual Analog Scale (VAS) of impaired swallowing, severity on the Penetration-Aspiration Scale (PAS), and the Functional Oral Intake Scale (FOIS). Patients were assessed at baseline, before-CRT, after-CRT, and at 3-month follow-up.</jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p>A strong baseline correlation between EAT-10, VAS, and FOIS was observed. All 3 values decreased in weeks 6 to 9 after CRT initiation; a poor correlation of EAT-10 with VAS was observed at 3-month follow-up. A receiver operating characteristic curve determined new cut-off points (sensitivity/specificity) for safe swallowing: baseline 3 (86%, 77%); post-CRT, 15 (62.5%, 80%); and 3-month follow-up, 4 (83%, 75%).</jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p>New safe-swallow EAT-10-points are suggested for this population during screening and the oncological follow-up. A poor correlation between EAT10-score and patient self-reported symptoms was observed at the end-RT and at 3-month follow-up, highlighting the need for an objective evaluation instrument.</jats:p></jats:sec>
収録刊行物
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- Annals of Otology, Rhinology & Laryngology
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Annals of Otology, Rhinology & Laryngology 130 (7), 689-698, 2020-10-23
SAGE Publications