Prevalence of Self‐Reported Oropharyngeal Dysphagia and Associated Factors in Iranian Patients With Head and Neck Cancer
Notice bibliographique
Résumé
INTRODUCTION: Dysphagia is a common complication in patients with head and neck cancer (HNC), primarily due to the tumour location and the adverse effects of treatment, which significantly diminish patients' quality of life (QOL). OBJECTIVE: This study aimed to assess the prevalence of self-reported oropharyngeal dysphagia and identify associated factors in Iranian patients diagnosed with HNC. METHODS: Out of an initial cohort of 142 HNC patients, 113 completed the Eating Assessment Tool (EAT-10), and 90 completed the Persian version of the MD Anderson Dysphagia Inventory (P-MDADI) to evaluate dysphagia prevalence and its impact on QOL. Associations between demographic variables and dysphagia duration were analysed using chi-square tests and Kendall's Tau correlation. RESULTS: Among the 113 patients with HNC (mean age 55.95 years, SD 14.78; 61.1% male), 78.8% reported dysphagia (95% CI, 71.10-86.41%). Dysphagia prevalence was highest in patients with tumours in the oral cavity (85.7%), pharynx (91.3%), larynx (70%), and sinus/nose (52.9%). Significant correlations were observed between EAT-10 scores, tumour site, and dysphagia duration (p < 0.05). P-MDADI scores indicated substantial emotional (92% reported feeling "self-conscious"), physical (91% noted "prolonged eating"), and functional challenges, underscoring dysphagia's profound impact on QOL. CONCLUSION: This study demonstrates a high prevalence of dysphagia among Iranian HNC patients, with marked variation by tumour site and dysphagia duration. P-MDADI findings underscore the substantial impact of dysphagia on QOL, affecting patients functionally, physically, and emotionally. WHAT THIS PAPER ADDS: What is already known on the subject Oropharyngeal dysphagia (swallowing dysfunction) is a common consequence in patients with head and neck cancer (HNC). The presence of dysphagia leads to malnutrition, dehydration and reduced quality of life in these patients. Although the prevalence of dysphagia has been studied in various countries worldwide, there is no evidence specifically addressing Iranian patients with HNCs. What this paper adds to the existing knowledge The results of this study indicate the first prevalence estimates of self-reported dysphagia among Iranian patients with HNC. It recognizes demographic and clinical factors associated with dysphagia risk (tumour location and duration) and emphasizes the importance of patient-reported outcomes in complementing traditional clinical evaluations. What are the potential or actual clinical implications of this work? Routine screening for dysphagia using patient-reported measures such as MD Anderson Dysphagia Inventory (MDADI) can improve early diagnosis and proper management in Iranian speech therapy and oncology clinics. The findings support multidisciplinary management and may guide healthcare and rehabilitation programs appropriate to the cultural and clinical needs of patients with HNCs.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».