Subjective and Objective Measures in Assessing Neck Disability and Pain in Head and Neck Cancer

2021 ◽  
Author(s):  
Linda C. Magaña ◽  
Sebastian Murati ◽  
Michelle Riffitts ◽  
Christine Harrison ◽  
Alexandra Harris ◽  
...  
2016 ◽  
Vol 19 (9) ◽  
pp. 949-956 ◽  
Author(s):  
Leanne K. Jackson ◽  
Sheila H. Ridner ◽  
Jie Deng ◽  
Carmin Bartow ◽  
Kyle Mannion ◽  
...  

2014 ◽  
Vol 32 (15_suppl) ◽  
pp. 6051-6051
Author(s):  
Leanne Kolnick Jackson ◽  
Sheila H. Ridner ◽  
Jie Deng ◽  
Carmin Bartow ◽  
Kyle Mannion ◽  
...  

2019 ◽  
Vol 162 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Marci L. Nilsen ◽  
Lingyun Lyu ◽  
Michael A. Belsky ◽  
Leila J. Mady ◽  
Dan P. Zandberg ◽  
...  

Objective Although neck impairment has been described following surgical resection, limited studies have investigated its prevalence in nonsurgical treatment. The purpose of this study is to determine the prevalence and predictors of neck disability following head and neck cancer (HNC) treatment and to explore its association with quality of life (QOL). Study Design Cross-sectional study. Setting HNC survivorship clinic. Subjects and Methods We identified 214 survivors who completed treatment ≥1 year prior to evaluation in the clinic. Self-reported neck impairment was measured using the Neck Disability Index. QOL was measured using the University of Washington QOL Questionnaire, with physical and social subscale scores calculated. Regression analysis and trend tests were employed to explore associations. Results Over half of survivors (54.2%) reported neck disability. The odds of neck disability in survivors who received nonsurgical treatment and those who received surgery plus adjuvant treatment were 3.46 and 4.98 times higher compared to surgery alone ( P = .008, P = .004). Survivors who underwent surgery only had higher physical and social QOL than those who received nonsurgical treatment (physical QOL: P < .001, social QOL: P = .023) and those who received surgery plus adjuvant treatment (physical QOL: P < .001, social QOL: P = .039). Conclusion This study revealed a high prevalence of neck disability following nonsurgical treatment. While neck disability is an established sequela of surgical resection, the impact of nonsurgical treatment has gone unrecognized. Early identification and intervention to prevent progression of neck disability are crucial to optimize QOL.


2020 ◽  
Vol 163 (4) ◽  
pp. 763-770 ◽  
Author(s):  
Alexandria Harris ◽  
Lingyun Lyu ◽  
Tamara Wasserman-Winko ◽  
Susan George ◽  
Jonas T. Johnson ◽  
...  

Objective To examine the relationship between symptoms of neck disability and swallowing dysfunction among head and neck cancer (HNC) survivors. Study Design Cross-sectional analysis. Setting Single-center, university-affiliated HNC survivorship clinic. Subjects and Methods Survivors’ patient-reported symptoms of neck disability and swallowing dysfunction were prospectively collected from March 2017 to May 2018. Neck disability and swallowing dysfunction were measured using the Neck Disability Index and Eating Assessment Tool (EAT-10), respectively. Linear regression was used to analyze the association between neck disability and swallowing dysfunction. Results A total of 179 survivors, predominantly male (n = 130, 72.6%) with an average age of 64.64 ± 9.91 years, were included in the analysis. Primary cancer sites were oropharynx (n = 85, 47.5%), oral cavity (n = 59, 33.0%), and larynx/hypopharynx (n = 35, 19.5%). Mean EAT-10 score was 10.07 ± 10.89 (range = 0-40; >2 indicative of swallowing dysfunction). Survivors treated for early stage cancer had lower EAT-10 scores than those with advanced stage (early = 3.55 ± 7.46; advanced = 11.95 ± 11.02, P < .001). After controlling for age, time since treatment, American Joint Committee on Cancer stage, and treatment modality, the EAT-10 score for patients with mild neck disability was 6.88 (95% confidence interval [CI], 3.71-10.06; P < .001) points higher than those without neck disability, and the score for those with moderate-complete neck disability was 13.65 (95% CI, 9.47-17.83; P < .001) points higher than those without neck disability. Conclusions Swallowing dysfunction is a commonly recognized effect of HNC treatment. The prevalence and burden of neck disability are shown to be highly correlated with swallowing dysfunction. These results support the need for comprehensive, multidisciplinary rehabilitation interventions for patients with HNC.


1998 ◽  
Vol 23 (4) ◽  
pp. 376-376
Author(s):  
Quak ◽  
Van Bokhorst ◽  
Klop ◽  
Van Leeuwen ◽  
Snow

1969 ◽  
Vol 2 (3) ◽  
pp. 533-541
Author(s):  
William E. Powers ◽  
Joseph H. Ogura

Sign in / Sign up

Export Citation Format

Share Document