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Comparing the Performance Status Scale and MD Anderson Dysphagia Inventory as swallowing outcome measures in head and neck cancer: a prospective cohort study
Author(s) -
Khan M.K.,
Patterson J.,
Owen S.,
Rees S.,
Gamberini L.,
Paleri V.
Publication year - 2015
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.12369
Subject(s) - medicine , swallowing , prospective cohort study , head and neck cancer , dysphagia , cancer , cohort , physical therapy , patient reported outcome , surgery , quality of life (healthcare) , nursing
Objectives To examine the relationship between the two disease‐specific measures currently in use to assess swallowing outcomes following treatment in patients with head and neck cancer: the Performance Status Scale ( PSS ) and MD Anderson Dysphagia Inventory ( MDADI ). Design A prospective cohort study. Setting Four head and neck cancer multidisciplinary clinics in the North of E ngland Cancer Network. Participants 114 patients with cancers of the upper aerodigestive tract. Main outcome measure Measures of swallowing function administered prospectively across 4 timepoints Results Spearman's correlation coefficients were used to measure the relationship between the two scales. There was statistically significant correlation between the two tools at pre‐treatment ( r s = 0.428, P < 0.000), 3 months post‐treatment (r s = 0.454, P < 0.002), 6 months post‐treatment ( r s = 0.551, P < 0.000) and 12 months post‐treatment ( r s = 0.680, P < 0.000). Conclusion This is the first prospective study comparing the MDADI and PSS questionnaires at multiple time points. Our study shows that these different instruments have a good relationship in measuring swallowing function in patients with head and neck cancer in short and medium term after treatment.