M K Khan1, J Patterson2, S Owen1, S Rees3, L Gamberini4, V Paleri1,5. 1. Freeman Hospital, Newcastle upon Tyne, UK. 2. Sunderland Royal Hospital, Sunderland, UK. 3. James Cook University Hospital, Middlesbrough, UK. 4. Cumberland Infirmary, Carlisle, UK. 5. Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.
Abstract
OBJECTIVES: To examine the relationship between the two disease-specific measures currently in use to assess swallowing outcomes following treatment in patients with head and neck cancer: the Performance Status Scale (PSS) and MD Anderson Dysphagia Inventory (MDADI). DESIGN: A prospective cohort study. SETTING: Four head and neck cancer multidisciplinary clinics in the North of England Cancer Network. PARTICIPANTS: 114 patients with cancers of the upper aerodigestive tract. MAIN OUTCOME MEASURE: Measures of swallowing function administered prospectively across 4 timepoints RESULTS: Spearman's correlation coefficients were used to measure the relationship between the two scales. There was statistically significant correlation between the two tools at pre-treatment (rs = 0.428, P < 0.000), 3 months post-treatment (rs = 0.454, P < 0.002), 6 months post-treatment (rs = 0.551, P < 0.000) and 12 months post-treatment (rs = 0.680, P < 0.000). CONCLUSION: This is the first prospective study comparing the MDADI and PSS questionnaires at multiple time points. Our study shows that these different instruments have a good relationship in measuring swallowing function in patients with head and neck cancer in short and medium term after treatment.
OBJECTIVES: To examine the relationship between the two disease-specific measures currently in use to assess swallowing outcomes following treatment in patients with head and neck cancer: the Performance Status Scale (PSS) and MD Anderson Dysphagia Inventory (MDADI). DESIGN: A prospective cohort study. SETTING: Four head and neck cancer multidisciplinary clinics in the North of England Cancer Network. PARTICIPANTS: 114 patients with cancers of the upper aerodigestive tract. MAIN OUTCOME MEASURE: Measures of swallowing function administered prospectively across 4 timepoints RESULTS: Spearman's correlation coefficients were used to measure the relationship between the two scales. There was statistically significant correlation between the two tools at pre-treatment (rs = 0.428, P < 0.000), 3 months post-treatment (rs = 0.454, P < 0.002), 6 months post-treatment (rs = 0.551, P < 0.000) and 12 months post-treatment (rs = 0.680, P < 0.000). CONCLUSION: This is the first prospective study comparing the MDADI and PSS questionnaires at multiple time points. Our study shows that these different instruments have a good relationship in measuring swallowing function in patients with head and neck cancer in short and medium term after treatment.
Authors: Virginie Achim; Rachel K Bolognone; Andrew D Palmer; Donna J Graville; Tyler J Light; Ryan Li; Neil Gross; Peter E Andersen; Daniel Clayburgh Journal: JAMA Otolaryngol Head Neck Surg Date: 2018-01-01 Impact factor: 6.223