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Relationship between oral intake, patient perceived swallowing impairment, and objective videofluoroscopic measures of swallowing in patients with head and neck cancer
Author(s) -
Arrese Loni C.,
Schieve Heidi J.,
Graham Jennifer M.,
Stephens Julie A.,
Carrau Ricardo L.,
Plowman Emily K.
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25542
Subject(s) - swallowing , medicine , head and neck cancer , head and neck , feeding tube , cancer , physical therapy , dentistry , surgery
Background We aimed to: (1) examine relationships between the Functional Oral Intake Scale (FOIS), Eating Assessment Tool‐10 (EAT‐10), and objective measures of swallowing (Modified Barium Swallow Impairment Profile [MBSImP©] and penetration‐aspiration scale [PAS]) in patients with head and neck cancer, (2) compare outcomes between oral intake vs tube‐dependent patients, and (3) compare outcomes across time points. Methods A total of 58 patients with head and neck cancer completed the FOIS, EAT‐10, and underwent a standardized videofluoroscopy (VFSS). VFSS were analyzed using the PAS and MBSImP©. Nonparametric analyses were performed. Results A relationship between the FOIS and EAT‐10 ( r = −0.46; P < .001) was revealed. No other associations were observed ( P < .05). Feeding status did not impact PAS or MBSImP©; however, patients with head and neck cancer who were tube dependent demonstrated higher (worse) EAT‐10 scores ( P = .01). Conclusions In this cohort, a relationship between patient‐perceived swallowing impairment and functional oral intake was revealed; however, no associations were observed between the FOIS and objective measures of swallowing impairment or swallowing safety.