Evidence map›Paper›PMID 37798715›Full record

SynthesisBMC palliative care2023

Swallowing disorders and mortality in adults with advanced cancer outside the head and neck and upper gastrointestinal tract: a systematic review.

Danielle Nunes Moura Silva, Laélia Cristina Caseiro Vicente, Vanessa Laís Pontes Glória, Amélia Augusta de Lima Friche

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Association between swallowing function, activities of daily living, and eating posture in patients with terminal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  4. 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

4 authors at 2 institutions in 1 country.

Danielle Nunes Moura SilvaUniversidade Federal de Minas Gerais (UFMG), Pós-Graduação Em Ciências Fonoaudiológicas, Faculdade de Medicina, 190 Alfredo Balena Avenue, Santa Efigênia, Belo Horizonte City, Minas Gerais State, 30130-100, Brazil. danunesms@hotmail.com.
Laélia Cristina Caseiro VicenteUniversidade Federal de Minas Gerais (UFMG), Pós-Graduação Em Ciências Fonoaudiológicas, Faculdade de Medicina, 190 Alfredo Balena Avenue, Santa Efigênia, Belo Horizonte City, Minas Gerais State, 30130-100, Brazil.
Vanessa Laís Pontes GlóriaInstituto de Previdência Dos Servidores Do Estado de Minas Gerais (IPSEMG), IPSEMG Hospital, 225 Alameda Ezequiel Dias, Centro, Belo Horizonte City, Minas Gerais State, 30130-110, Brazil.
Amélia Augusta de Lima FricheUniversidade Federal de Minas Gerais (UFMG), Pós-Graduação Em Ciências Fonoaudiológicas, Faculdade de Medicina, 190 Alfredo Balena Avenue, Santa Efigênia, Belo Horizonte City, Minas Gerais State, 30130-100, Brazil.
Universidade Federal de Minas Gerais · BRFundação Hospitalar do Estado de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough oncological palliative care is increasingly being offered by multidisciplinary teams, there is still a lack of data about some symptoms handled by these teams, such as dysphagia, in patients with advanced cancer outside swallow regions. This study aimed to estimate the occurrence of dysphagia in prognosis studies of adults with advanced cancer outside the head, neck, and upper gastrointestinal tract, and to determine if there is an association with mortality.

methodsA systematic review of studies that evaluated dysphagia and mortality was conducted (PROSPERO: CRD42021257172). DATA SOURCES: BVS, PubMed, CINAHL, Web of Science, and Scopus. Data between 2011 and 2023 were selected.

resultsAmong the 608 articles screened, only 14 were included, which covered different types of cancer, primarily Lung, and Genitourinary, Skin, Hematological, and Central Nervous System as well. Dysphagia demonstrated a variable frequency, and almost half of the studies found a percentage of dysphagia above 60%, appearing most as a symptom that affects health-related quality of life and prove to be a toxicity of treatment. The association between dysphagia and mortality was only evaluated in three articles that studied advanced lung cancer, in which, after controlling for covariates, swallowing disorders were associated with worse survival, with prevalences of dysphagia and hazard ratios of 78.5% (1.12 [1.04-1.20]), 4% (1.34 [1.28-1.35]), and 3% (1.40 [1.07-1.81]), respectively.

conclusionsThe occurrence of dysphagia in advanced cancer outside the head, neck, and upper GI tract is common, and there seems to be an association with significantly decreased survival in patients with advanced lung cancer.

Indexed as

Deglutition DisordersHead and Neck NeoplasmsLung NeoplasmsUpper Gastrointestinal TractAdultDeglutitionHumansQuality of LifeDeglutition disordersNeoplasmsPalliative carePrognosisSurvivalSystematic review

Identifiers

PMID37798715
PMCPMC10557219
OpenAlexW4387391967

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.