Evidence map›Paper›PMID 31073746›Full record

ArticleDysphagia2020

Reducing Late Dysphagia for Head and Neck Cancer Survivors with Oral Gel: A Feasibility Study.

Julie Killerup Kaae, Marie Louise Spejlborg, Ulrik Spork, Kristine Bjørndal, Jesper Grau Eriksen

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Dysphagia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. How enteral nutrition modes influence nasopharyngeal carcinoma survivors with late dysphagia after radiotherapy: a randomized controlled study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. European white paper: oropharyngeal dysphagia in head and neck cancer.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 · 2021
    Article
  9. Quality of life in Iranian patients with head-and-neck cancer.Journal of education and health promotion · 2020
    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

5 authors at 3 institutions in 1 country.

Julie Killerup KaaeDepartment of Clinical Research, University of Southern Denmark, J.B. Winslows Vej 19.3, 5000, Odense C, Denmark. Julie.killerup.kaae@rsyd.dk.ORCID 0000-0002-2500-0125
Marie Louise SpejlborgDepartment of Oncology, Odense University Hospital, Kløvervænget 19, Entrance 85, 5000, Odense C, Denmark.
Ulrik SporkSalient Pharma IvS, Taarbaeck Strandvej 108A, 2930, Klampenborg, Denmark.
Kristine BjørndalDepartment of Otolaryngology - Head and Neck Surgery, Odense University Hospital, J.B. Winslows Vej 4, 5000, Odense C, Denmark.
Jesper Grau EriksenDepartment of Experimental Clinical Oncology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus, Denmark.
Odense University Hospital · DKAarhus University Hospital · DKUniversity of Southern Denmark · DK

Funding

Kræftens Bekæmpelse R134-A8429
6 · The paper itself

Abstract

Dysphagia is a significant late morbidity following treatment with radiotherapy (RT) for head and neck squamous cell carcinomas (HNSCC). The purpose of this feasibility study was to test a gel-based saliva substitute to reduce the subjective assessment of dysphagia while eating food items varying in size and texture. Eligible study subjects treated with curative intended RT and suffering from dysphagia and xerostomia were recruited from the outpatient clinic during a two-month period. Nineteen subjects consented to participation and completed the EORTC QLQ-H&N35 questionnaire and three test meals. A Numeric Rating Scale (NRS) was used for subjective assessment of dysphagia during all test meals. All data on patient, tumor, and treatment characteristics were obtained from the Danish Head and Neck Cancer (DAHANCA) database. NRS data suggested reduction of dysphagia after application of the oral gel. The swallowing dysfunctions, discomfort while swallowing (p = 0.008), stuck food items (p = 0.02), and multiple attempts of clearing the throat (p = 0.05), improved significantly for soft and regular items. Both small- and large-sized food items were tested. EORTC QLQ-H&N35 showed improvement regarding eating problems (p = 0.03) and social eating (p = 0.02). No episodes of food aspiration were recorded during the test meals. Late dysphagia reduces QOL and is an important morbidity following RT. In this feasibility study, the oral gel was able to reduce dysphagia while eating soft and selected regular food items. Eating-related EORTC QLQ-H&N35 items also improved, indicating a beneficial reduction in dysphagia after application of the oral gel.

Indexed as

AgedAged, 80 and overCancer SurvivorsDeglutition DisordersFeasibility StudiesFemaleGelsHead and Neck NeoplasmsHumansHypromellose DerivativesLubricantsMaleMiddle AgedPolyethylene GlycolsRadiation InjuriesSalivaGelsHypromellose DerivativesLubricantsPolyethylene GlycolsDeglutitionDeglutition disordersDysphagiaHead and neck cancerRadiotherapySaliva substitute

Identifiers

PMID31073746
PMCPMC7136308
OpenAlexW2944748533

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.