Evidence map›Paper›PMID 30593593›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2019

Swallowing-related quality of life after free flap surgery due to cancer of the head and neck.

Sanna Lahtinen, Petri Koivunen, Tero Ala-Kokko, Outi Kaarela, Päivi Laurila, Janne H Liisanantti

Abstract read
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
  2. Complications and outcomes after definitive surgery for traumatic high-energy pelvic fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  3. Review
  4. Article
  5. Article
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  8. Article
  9. The course of swallowing problems in the first 2 years after diagnosis of head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Review
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

6 authors.

Sanna LahtinenResearch Group of Surgery, Anesthesia and Intensive Care, Department of Anesthesiology, Medical Research Center, Oulu University Hospital, University of Oulu, P.O. Box 21, 90029, Oulu, Finland. sanna.lahtinen@ppshp.fi.ORCID http://orcid.org/0000-0002-9337-2764
Petri KoivunenPEDEGO Research Unit, Department of Otorhinolaryngology and Head and Neck, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland.
Tero Ala-KokkoResearch Group of Surgery, Anesthesia and Intensive Care, Department of Anesthesiology, Medical Research Center, Oulu University Hospital, University of Oulu, P.O. Box 21, 90029, Oulu, Finland.
Outi KaarelaResearch Group of Surgery, Anesthesia and Intensive Care, Department of Surgery, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland.
Päivi LaurilaDivision of Operative Care and Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland.
Janne H LiisananttiResearch Group of Surgery, Anesthesia and Intensive Care, Department of Anesthesiology, Medical Research Center, Oulu University Hospital, University of Oulu, P.O. Box 21, 90029, Oulu, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTreatment of head and neck cancers (HNC) often leads to impairment in speech and swallowing functions. This study evaluated swallowing problems and the impact of complications on swallowing-related QOL after free flap surgery for HNC.

methodsSwallowing-related QOL was assessed using MDADI and SWAL questionnaires.

resultsOf 45 assessed patients, 25 (45.5%) had at least one postoperative complication. Patients reported less than < 86 points in 8/9 SWAL-QOL domains. The SWAL-QL total score or MDADI composite scores were not related to surgical complications. Those with medical complications had lower scores in SWAL-QOL domains of mental health (82.8 (21.8) vs 65.5 (24.2), p = 0.024) and sleep (77.6 (23.0) vs 52.3 (24.3), p = 0.003).

conclusionsIn conclusion, swallowing related QOL is significantly impaired after 2 years of the tumor resection and free flap reconstruction for cancer of the head and neck, when using the cut-off value of 86 points in SWAL-QOL assessment tool. Surgical complications did not have an impact on swallowing-related QOL but medical complications were related to impairment in general QOL-related domains.

Indexed as

DeglutitionQuality of LifeAgedDeglutition DisordersFemaleFree Tissue FlapsHead and Neck NeoplasmsHumansMaleMiddle AgedPostoperative ComplicationsSpeechSurveys and QuestionnairesCancer of the head and neckDysphagiaFree flap surgeryQuality of life

Identifiers

PMID30593593
PMCPMC6411665

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LicenceCC BY
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Registered trials

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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.