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Trial reportHead & neck2025

Preventing radiation-induced dysphagia and trismus in head and neck cancer-A randomized controlled trial.

Kerstin Petersson, Caterina Finizia, Nina Pauli, Lisa Tuomi

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04005521 (Preventive Randomized Study Regarding Jaw- and Swallowing Intervention for Patients Receiving Radiotherapy for Head and Neck Cancer), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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.

NCT04005521 naactive not recruitingnot on this map

Preventive Randomized Study Regarding Jaw- and Swallowing Intervention for Patients Receiving Radiotherapy for Head and Neck Cancer: the Effect of Preventive Intervention for Trismus, Swallowing Function and Quality of Life

TypeinterventionalSponsorSahlgrenska University HospitalRan2019 to 2028Enrolled80ConditionsHead and Neck Neoplasm, Trismus, Deglutition DisordersArmsPreventive intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Kerstin PeterssonDepartment of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-4171-5454
Caterina FiniziaDepartment of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Nina PauliDepartment of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Lisa TuomiDepartment of Otorhinolaryngology, Head and Neck Surgery, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0003-2081-3589

Funding

Anna-Lisa and Bror Björnsson FoundationAssar Gabrielsson FoundationLions Cancer Foundation WestSjöberg FoundationSwedish Cancer FoundationSwedish state under the agreement between the Swedish government and the county councils, the ALF-agreementThe Health & Medical Care Comittee of the Region Västra Götaland
6 · The paper itself

Abstract

backgroundRadiation-induced dysphagia and restricted mouth opening are common problems among patients with head and neck cancer. The aim of the present randomized controlled trial was to determine if an exercise protocol could prevent swallowing and mouth opening impairment.

methodsEighty-nine participants were randomly assigned to either an active group performing preventive swallowing and mouth opening exercises (n = 45) or to a control group (n = 44). Outcome measures were collected at baseline before radiotherapy and approximately 1-month post-treatment. Primary endpoints were changes in swallowing function according to the Penetration Aspiration Scale and mouth opening ability measured in millimeters. Intention-to-treat analysis was used.

resultsSwallowing function and mouth opening deteriorated in both groups, with no statistically significant positive effect of the protocol detected at follow-up. Among patients who completed >75% of exercises, there was a trend toward better outcomes.

conclusionsPreventive exercises did not improve short-term swallowing function and mouth opening after radiotherapy.

Indexed as

Deglutition DisordersExercise TherapyHead and Neck NeoplasmsRadiation InjuriesTrismusAdultAgedDeglutitionFemaleHumansMaleMiddle AgedTreatment Outcomedeglutition disordershead and neck neoplasmsintervention studyradiotherapyrandomized

Identifiers

PMID39091121
PMCPMC11635747

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Registered trials

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.