Evidence map›Paper›PMID 33963434›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 Surgery2022

Asymptomatic swallowing disorders may be present in individuals with laryngeal and hypopharyngeal cancer treated with chemo-radiotherapy.

César Álvarez-Marcos, Andrea Vicente Benito, Agueda Gayol Fernández, Daniel Pedregal-Mallo, Paloma Sirgo Rodríguez, Liliana Santamarina Rabanal, José Luis Llorente, Fernando López, Juan Pablo Rodrigo

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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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Voice outcomes in patients with advanced laryngeal and hypopharyngeal cancer treated with chemo-radiotherapy.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
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4 · The record

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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

9 authors.

César Álvarez-MarcosDepartment of Otolaryngology, Hospital Universitario Central de Asturias (HUCA), Avenida de Roma, s/n, 33011, Oviedo, Spain.ORCID http://orcid.org/0000-0002-4056-8421
Andrea Vicente BenitoSpeech Therapy, Faculty of Psychology, University of Oviedo, Oviedo, Spain.
Agueda Gayol FernándezSpeech Therapy, Faculty of Psychology, University of Oviedo, Oviedo, Spain.
Daniel Pedregal-MalloDepartment of Otolaryngology, Hospital Universitario Central de Asturias (HUCA), Avenida de Roma, s/n, 33011, Oviedo, Spain.ORCID http://orcid.org/0000-0001-8899-7957
Paloma Sirgo RodríguezSpeech Therapy, Faculty of Psychology, University of Oviedo, Oviedo, Spain.
Liliana Santamarina RabanalSpeech Therapy, Faculty of Psychology, University of Oviedo, Oviedo, Spain.
José Luis LlorenteDepartment of Otolaryngology, Hospital Universitario Central de Asturias (HUCA), Avenida de Roma, s/n, 33011, Oviedo, Spain.ORCID http://orcid.org/0000-0001-7713-5526
Fernando LópezDepartment of Otolaryngology, Hospital Universitario Central de Asturias (HUCA), Avenida de Roma, s/n, 33011, Oviedo, Spain. flopez_1981@yahoo.es.ORCID http://orcid.org/0000-0001-7019-9746
Juan Pablo RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias (HUCA), Avenida de Roma, s/n, 33011, Oviedo, Spain.ORCID http://orcid.org/0000-0003-3063-0890

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with advanced laryngeal and hypopharyngeal cancer are often treated with chemo-radiotherapy to avoid total laryngectomy. Subclinical swallowing disorders could be present in these patients even though patients do not complain of any symptoms. We sought to evaluate the impact of chemoradiation on swallowing and quality of life.

methodsWe studied 21 patients undergoing chemo-radiotherapy for advanced laryngeal and hypopharyngeal cancer. All patients were tumor-free and none reported symptoms related to dysphagia during follow-up or showed altered routine screening tests (EAT-10) to detect it. Swallowing functions were assessed using volume-viscosity swallow test (V-VST) and fiberoptic endoscopic evaluation of swallowing (FEES). Quality of life was assessed with the EORT-H&N35, and SWAL-QOL scales.

resultsFrequent alterations in swallowing efficacy (100%) and safety (85.5%) were detected with V-VST and FEES. Quality-of-life scales showed a reduction in their scores between 12 and 17%, mainly in the areas of symptoms.

conclusionSwallowing disorders are common after chemo-radiotherapy, even in patients who do not clinically manifest these disorders, contributing to a decrease in patients' quality of life. FEES and V-VST are useful procedures to detect asymptomatic swallowing disorders.

Indexed as

Deglutition DisordersHypopharyngeal NeoplasmsChemoradiotherapyDeglutitionHumansQuality of LifeChemo-radiotherapyLaryngeal and hypopharyngeal cancerQuality of lifeSwallowing

Identifiers

PMID33963434

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