AI Article Synopsis
- - The study investigates if swallowing ability measured before surgery can predict swallowing recovery post-transoral robotic surgery (TORS) for head and neck cancer patients.
- - Conducted at a cancer center in the UK, it involved 51 patients, with most showing moderate-to-severe health issues, and many needing tube feeding following the surgery.
- - Results indicate a significant correlation between pre-treatment swallowing assessments and the length of time patients required tube feeding, suggesting these measures can be valuable for predicting recovery.
Article Abstract
Objectives: To explore whether pre-treatment swallowing measures predict swallowing recovery at 6 weeks after transoral robotic surgery (TORS).
Design: Prospective cohort study.
Setting: Tertiary care cancer centre in the United Kingdom.
Participants: Fifty-one consecutive patients undergoing TORS for head and neck cancer, between April 2013 and February 2015.
Main Outcome Measures: Swallowing function assessed by Performance Status Scale (PSS) Normalcy of Diet, timed water swallow test capacity scores (WST) and duration of tube feeding.
Results: The primary site distribution was as follows: 21 oropharynx, 8 larynx, 6 mucosectomy and 6 hypopharynx. T stages included 7 staged Tx, 21 T1-T2 tumours and 1 T3 tumour. Moderate-to-severe comorbidity was found in 45/51 patients. Mean PSS score was 83 (sd 27.54); mean WST score was 11.14 (sd 7.97). Most patients (73%) required tube feeding post-operatively, with mean tube feed duration of 18.08 days (sd 17.91); 76% resumed oral intake by 6 weeks. Pre-treatment swallow tests showed moderate negative correlation with tube feeding duration: PSS (rho 0-.430, P = .003); WST (rho 0-.503, P = 0.002).
Conclusions: The majority of TORS patients resume oral intake by 6 weeks. This study shows that impaired swallowing prior to surgery correlates with post-operative duration of tube feeding and strengthens the evidence for the utility of these measures in this clinical setting.
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| http://dx.doi.org/10.1111/coa.12731 | DOI Listing |
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