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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018

Treatment toxicities and their impact on oral intake following non-surgical management for head and neck cancer: a 3-year longitudinal study.

Molly K Barnhart, Rachelle A Robinson, Virginia A Simms, Elizabeth C Ward, Bena Cartmill, Sophie J Chandler, Robert I Smee

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Taste disorder's management: a systematic review.Clinical oral investigations · 2020
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Oral health-related quality of life after radiation therapy for head and neck cancer: the OraRad study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Observational
  9. Screening oropharyngeal dysphagia in patients with head and neck cancer in a radiation oncology department.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
    Article
  10. Article
  11. Lactoferrin supplementation for taste and smell abnormalities among patients receiving cancer chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  12. Article
  13. Clinical and sociodemographic factors that affect the quality of life of survivors of head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  14. The prevalence of patient-reported dysphagia and oral complications in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  15. Article
  16. Article
  17. Content analysis of rehabilitation goals for patients following non-surgical head and neck cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Molly K BarnhartSpeech Pathology Department, Prince of Wales Hospital (POWH), Level 2 High Street Entrance, Randwick, Sydney, NSW, 2031, Australia. Molly.Barnhart@health.nsw.gov.au.ORCID http://orcid.org/0000-0001-6822-3276
Rachelle A RobinsonSpeech Pathology Department, Prince of Wales Hospital (POWH), Level 2 High Street Entrance, Randwick, Sydney, NSW, 2031, Australia.
Virginia A SimmsSpeech Pathology Department, Prince of Wales Hospital (POWH), Level 2 High Street Entrance, Randwick, Sydney, NSW, 2031, Australia.
Elizabeth C WardSchool of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, 4072, Australia.
Bena CartmillCentre for Functioning and Health Research, Queensland Health, Buranda, Brisbane, QLD, 4102, Australia.
Sophie J ChandlerSpeech Pathology Department, Prince of Wales Hospital (POWH), Level 2 High Street Entrance, Randwick, Sydney, NSW, 2031, Australia.
Robert I SmeeComprehensive Cancer Centre, POWH, Sydney, NSW, 2031, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients who receive (chemo)radiotherapy [(C)RT] for head and neck cancer (HNC) experience multiple treatment effects. However, the presence and recovery of treatment toxicities and how these impact on oral intake over time post-treatment are not fully understood. The primary aim of this study was to examine patient perceptions of the toxicities present and which are barriers to oral intake, up to 3 years post (C)RT. The secondary aim was to identify mealtime strategies used to optimise oral intake.

methodsA prospective cohort of 96 patients after completion of (C)RT for HNC reported the presence of toxicities, if they were barriers to oral intake, and use of any mealtime strategies at the end of treatment (EoT), and at 3, 6, 12, 24, and 36 months post-treatment.

resultsAll toxicities and reported barriers changed over time (p < 0.05) except trismus. Odynophagia, reduced appetite, and fatigue improved (p < 0.05) by 3 months. Significantly less patients reported xerostomia and dysgeusia as barriers to oral intake at 3 months despite no improvement in their presence. No change in the presence of any toxicity or its impact on oral intake occurred from 12 to 36 months, with exception of dentition problems which significantly increased at 36 months. Alternating food/fluids was the most frequently used mealtime swallowing strategy at all time points beyond the EoT.

conclusionsThe dysphagia and associated toxicities HNC patients experience are chronic in nature. Rehabilitation should include mealtime strategies and support with adjusting to the changing presence and impact of toxicities on oral intake.

Indexed as

AgedChemoradiotherapyCohort StudiesFemaleHead and Neck NeoplasmsHumansLongitudinal StudiesMaleMiddle AgedTime FactorsBarriersDysphagiaHead and neck cancerOral intakeToxicities

Identifiers

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.