Adherence to swallowing recommendations during (chemo)radiotherapy in head and neck cancer survivors: a scoping review.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-06-01 DOI:10.1097/MOO.0000000000000882

Elizabeth A Rowe, Jane Dunton, Samuel Cooke, Despina Laparidou, J M Patterson

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Abstract

Purpose of review: There is a paucity of knowledge regarding patient adherence to dysphagia recommendations. It is recognized that unique barriers and facilitators contribute to poor treatment adherence in head and neck cancer (HNC) survivors. This review aims to identify the key themes and knowledge gaps regarding adherence to swallowing recommendations in HNC survivors during (chemo)radiotherapy (C)RT.

Recent findings: Seven studies were identified. Six facilitators to adherence were extracted, namely pain relief, behavioural intervention, attendance at multidisciplinary clinic, individualised swallowing therapy, absence of prophylactic percutaneous endoscopic gastronomy (PEG) and positive social control from a spouse. Barriers to adherence included pain, depression and presence of prophylactic PEG. Adherence to swallowing recommendations positively impacted swallowing outcomes in one study.

Summary: Little is known about adherence to swallowing recommendations during (C)RT in HNC survivors. Capturing adherence is challenging. Several knowledge gaps were identified. Further research is needed to better understand the barriers and facilitators from the survivors' perspective. This will inform development of best practice regarding how swallowing recommendations are provided to promote adherence and improve outcomes.

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头颈癌幸存者在(化疗)放疗期间坚持吞咽建议:一项范围审查。

综述的目的:关于患者遵守吞咽困难建议的知识缺乏。人们认识到，独特的障碍和促进因素导致头颈癌(HNC)幸存者治疗依从性差。本综述旨在确定HNC幸存者在(化疗)放疗(C)RT期间坚持吞咽建议的关键主题和知识差距。最近的发现:七项研究被确认。提取了6个促进依从性的因素，即疼痛缓解、行为干预、参加多学科诊所、个体化吞咽治疗、缺乏预防性经皮内镜烹饪术(PEG)和配偶的积极社会控制。坚持治疗的障碍包括疼痛、抑郁和预防性PEG的存在。在一项研究中，坚持吞咽建议对吞咽结果有积极影响。总结:对于HNC幸存者在(C)RT期间吞咽建议的依从性知之甚少。坚持是有挑战性的。确定了几个知识空白。需要进一步的研究来更好地从幸存者的角度理解障碍和促进因素。这将为如何提供吞咽建议以促进依从性和改善结果的最佳实践提供信息。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.

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