R N P M Rinkel1, I M Verdonck-de Leeuw2, N van den Brakel1, R de Bree1, S E J Eerenstein1, N Aaronson1, C R Leemans1. 1. VU University Medical Center, Dept of Otolaryngology - Head and Neck Surgery, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands. 2. VU University Medical Center, Dept of Otolaryngology - Head and Neck Surgery, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands. Electronic address: im.verdonck@vumc.nl.
Abstract
OBJECTIVES: To validate questionnaires on voice, speech, and swallowing among laryngeal cancer patients, to assess the need for and use of rehabilitation services, and to determine the association between voice, speech, and swallowing problems, and quality of life and distress. MATERIALS AND METHODS: Laryngeal cancer patients at least three months post-treatment completed the VHI (voice), SHI (speech), SWAL-QOL (swallowing), EORTC QLQ-C30, QLQ-HN35, HADS, and study-specific questions on rehabilitation. RESULTS: Eighty-eight patients and 110 healthy controls participated. Cut off scores of 15, 6, and 14 were defined for the VHI, SHI, and SWAL-QOL (sensitivity > 90%; specificity > 80%). Based on these scores, 56% of the patients reported voice, 63% speech, and 54% swallowing problems. VHI, SHI, and SWAL-QOL scores were associated significantly with quality of life (EORTC QLQ-C30 global quality of life scale) (r = .43 (VHI and SHI) and r = .46 (SWAL-QOL)) and distress (r = .50 (VHI and SHI) and r = .58 (SWAL-QOL)). In retrospect, 32% of the patients indicated the need for rehabilitation at time of treatment, and 81% of these patients availed themselves of such services. Post-treatment, 8% of the patients expressed a need for rehabilitation, and 20% of these patients actually made use of such services. CONCLUSION: Psychometric characteristics of the VHI, SHI, and SWAL-QOL in laryngeal cancer patients are good. The prevalence of voice, speech, and swallowing problems is high, and clearly related to quality of life and distress. Although higher during than after treatment, the perceived need for and use of rehabilitation services is limited.
OBJECTIVES: To validate questionnaires on voice, speech, and swallowing among laryngeal cancerpatients, to assess the need for and use of rehabilitation services, and to determine the association between voice, speech, and swallowing problems, and quality of life and distress. MATERIALS AND METHODS:Laryngeal cancerpatients at least three months post-treatment completed the VHI (voice), SHI (speech), SWAL-QOL (swallowing), EORTC QLQ-C30, QLQ-HN35, HADS, and study-specific questions on rehabilitation. RESULTS: Eighty-eight patients and 110 healthy controls participated. Cut off scores of 15, 6, and 14 were defined for the VHI, SHI, and SWAL-QOL (sensitivity > 90%; specificity > 80%). Based on these scores, 56% of the patients reported voice, 63% speech, and 54% swallowing problems. VHI, SHI, and SWAL-QOL scores were associated significantly with quality of life (EORTC QLQ-C30 global quality of life scale) (r = .43 (VHI and SHI) and r = .46 (SWAL-QOL)) and distress (r = .50 (VHI and SHI) and r = .58 (SWAL-QOL)). In retrospect, 32% of the patients indicated the need for rehabilitation at time of treatment, and 81% of these patients availed themselves of such services. Post-treatment, 8% of the patients expressed a need for rehabilitation, and 20% of these patients actually made use of such services. CONCLUSION: Psychometric characteristics of the VHI, SHI, and SWAL-QOL in laryngeal cancerpatients are good. The prevalence of voice, speech, and swallowing problems is high, and clearly related to quality of life and distress. Although higher during than after treatment, the perceived need for and use of rehabilitation services is limited.
Authors: F V Dinescu; C Ţiple; Magdalena Chirilă; R Mureşan; T Drugan; M Cosgarea Journal: Eur Arch Otorhinolaryngol Date: 2015-10-28 Impact factor: 2.503
Authors: Sophie A C Kraaijenga; Lisette van der Molen; Irene Jacobi; Olga Hamming-Vrieze; Frans J M Hilgers; Michiel W M van den Brekel Journal: Eur Arch Otorhinolaryngol Date: 2014-11-08 Impact factor: 2.503
Authors: Jorine A Vermaire; Cornelis P J Raaijmakers; Evelyn M Monninkhof; C René Leemans; Robert J Baatenburg de Jong; Robert P Takes; Irma M Verdonck-de Leeuw; Femke Jansen; Johannes A Langendijk; Chris H J Terhaard; Caroline M Speksnijder Journal: Support Care Cancer Date: 2022-08-30 Impact factor: 3.359
Authors: Femke Jansen; Ingrid C Cnossen; Simone E J Eerenstein; Veerle M H Coupé; Birgit I Witte; Cornelia F van Uden-Kraan; Patricia Doornaert; Weibel W Braunius; Remco De Bree; José A U Hardillo; Jimmie Honings; György B Halmos; C René Leemans; Irma M Verdonck-de Leeuw Journal: BMC Cancer Date: 2016-08-02 Impact factor: 4.430