Rehabilitation of dysphagia and voice problems following total laryngectomy
Rattachement africain : dk, se. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Determine participants' satisfaction with rehabilitation following total laryngectomy (TL) and investigate associations between dysphagia, voice problems, and possible explanatory variables. METHODS: 172 Danish and Swedish participants having received a TL 1.6-18.1 years ago for laryngeal/hypopharyngeal cancer answered a questionnaire regarding satisfaction with rehabilitation following TL and the V-RQOL, MDADI, and HADS questionnaires. RESULTS: 85% and 75% were satisfied with the help received from their local hospital and municipality, respectively. 22%, 78%, and 65% indicated having not received any vocal, swallow, or olfactory rehabilitation, respectively. MDADI mean score was 77.5, V-RQOL was 62.8 and the HADS questionnaire indicated that possible depression or anxiety was present in 16% and 20% of participants, respectively. Multivariate analysis found the following variables to be associated with dysphagia; more voice problems, higher depression score, higher anxiety score, and being treated and rehabilitated in Denmark vs. in Sweden. Furthermore, multivariate analysis found the following variables to be associated with voice problems; more problems with dysphagia and higher depression score. CONCLUSION: We found that the majority of participants were satisfied with the received rehabilitation but that a large proportion reported having no dysphagia or olfactory rehabilitation. We found that voice problems, dysphagia, and depression after TL are tightly linked, and therefore suggest that medical personnel in contact with TL patients should be aware of possible psychological late effects. We found that being treated and rehabilitated in Sweden, vs. in Denmark, was associated with a better swallow outcome and we suggest additional centralization of rehabilitation in especially Denmark.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Rehabilitation of dysphagia and voice problems following total laryngectomy
- Date Crossref
- 17/10/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Zealand University Hospital Department of Otorhinolaryngology and Maxillofacial Surgery pays non établi dans la noticeÉtablissement de santé
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Zealand University Hospital Køge pays non établi dans la noticeÉtablissement de santé
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University of Copenhagen Institute of Clinical Medicine pays non établi dans la noticeUniversité ou école supérieure
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Danish Cancer Society pays non établi dans la noticeOrganisation à but non lucratif
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Rigshospitalet pays non établi dans la noticeÉtablissement de santé
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Lund University Department of Clinical Sciences pays non établi dans la noticeUniversité ou école supérieure
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Skåne University Hospital pays non établi dans la noticeÉtablissement de santé
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Sahlgrenska University Hospital Department of Otorhinolaryngology pays non établi dans la noticeÉtablissement de santé
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University of Southern Denmark Research Unit for ORL - Head & Neck Surgery and Audiology pays non établi dans la noticeUniversité ou école supérieure
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Odense University Hospital pays non établi dans la noticeOrganisme public
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Aarhus University Department of Otorhinolaryngology-Head and Neck Surgery pays non établi dans la noticeUniversité ou école supérieure
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Danish Cancer Institute Cancer Survivorship pays non établi dans la noticeStructure de recherche
Department of Otorhinolaryngology and Maxillofacial Surgery — Zealand University Hospital, Zealand University Hospital Køge et Institute of Clinical Medicine — University of Copenhagen, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.