Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-27T00:47:04.933Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of the Patient Concerns Inventory to identify speech and swallowing concerns following treatment for oral and oropharyngeal cancer

Published online by Cambridge University Press:  15 June 2012

N Ghazali ,
A Kanatas ,
B Scott ,
D Lowe ,
A Zuydam  and
S N Rogers
N Ghazali*
Affiliation:
Merseyside Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, UK
A Kanatas
Affiliation:
Oral and Maxillofacial Surgery Department, Leeds Teaching Hospitals and St James Institute of Oncology, Leeds, UK
B Scott
Affiliation:
Physiotherapy Department, University Hospital Aintree, Liverpool, UK
D Lowe
Affiliation:
Evidence-Based Practice Research Centre, Faculty of Health, Edge Hill University, Ormskirk, UK
A Zuydam
Affiliation:
Speech and Language Therapy Department, University Hospital Aintree, Liverpool, UK
S N Rogers
Affiliation:
Merseyside Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, UK Evidence-Based Practice Research Centre, Faculty of Health, Edge Hill University, Ormskirk, UK
*
Address for correspondence: Miss Naseem Ghazali, Merseyside Regional Maxillofacial Unit, University Hospital Aintree, Lower Lane, Liverpool L9 7AL, UK Fax: +44 (0)151 529 5288 E-mail: naseemghazali@doctors.org.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Background and aims:

The Patient Concerns Inventory is a holistic, self-reported screening tool for detecting unmet needs in head and neck cancer patients. This study aimed to assess its value in screening for self-perceived swallowing and speech concerns, and in facilitating multidisciplinary supportive care.

Methods:

The Patient Concerns Inventory and the University of Washington Quality of Life questionnaire were completed by 204 post-treatment patients attending routine out-patient review clinics, and those with speech or swallowing issues were identified.

Results:

Swallowing and speech issues were respectively reported by 21 and 7 per cent of University of Washington questionnaire respondents and by 17 and 13 per cent of Patient Concerns Inventory respondents. The two surveys combined indicated that speech or swallowing issues arose in 39 per cent of consultations (n = 178), involving 48 per cent of patients (n = 97). Of these 97 patients, 74 were known to the speech and language therapist. The remaining 23 patients had their concerns discussed in the clinic; three were referred on, and were assessed by the speech and language therapist and given appropriate interventions.

Conclusion:

The use of both surveys concurrently enabled all patients with swallowing or speech issues to discuss these concerns in the clinic and to access appropriate multidisciplinary interventions.

Keywords

SwallowingSpeechOral CancerOropharyngeal CancerQuestionnairePatient Outcome Assessment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 800 - 808
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Wallace, KL, Middleton, S, Cook, IJ. Development and validation of a self-report symptom inventory to assess the severity of oral-pharyngeal dysphagia. Gastroenterology 2000;118:678–87CrossRefGoogle ScholarPubMed
2 Jacobi, I, van der Molen, L, Huiskens, H, van Rossum, MA, Hilgers, FJ. Voice and speech outcomes of chemoradiation for advanced head and neck cancer: a systematic review. Eur Arch Otorhinolaryngol 2010;267:1495–505CrossRefGoogle ScholarPubMed
3 Chen, AY, Frankowski, R, Bishop-Leone, J, Hebert, T, Leyk, S, Lewin, J et al. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M.D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg 2001;127:870–6Google ScholarPubMed
4 Rinkel, RN, Verdonck de Leeuw, IM, Langendijk, JA, van Reij, EJ, Aaronson, NK, Leemans, CR. The psychometric and clinical validity of the SWAL-QOL questionnaire in evaluating swallowing problems experienced by patients with oral and oropharyngeal cancer. Oral Oncol 2009;45:e67–71 CrossRefGoogle ScholarPubMed
5 Dwivedi, RC, St Rose, S, Roe, JW, Khan, AS, Pepper, C, Nutting, CM et al. Validation of the Sydney Swallow Questionnaire (SSQ) in a cohort of head and neck cancer patients. Oral Oncol 2010;46:e10–14 CrossRefGoogle Scholar
6 Dwivedi, RC, Kazi, RA, Agrawal, N, Nutting, CM, Clarke, PM, Kerawala, CJ et al. Evaluation of speech outcomes following treatment of oral and oropharyngeal cancers. Cancer Treat Rev 2009;35:417–24CrossRefGoogle ScholarPubMed
7 Department of Health. Improving outcomes: A Strategy for Cancer. London: Department of Health, 2011 Google Scholar
8 Hassan, SJ, Weymuller, EA Jr. Assessment of quality of life in head and neck cancer patients. Head Neck 1993;15:485–96CrossRefGoogle ScholarPubMed
9 Rogers, SN, Lowe, D. Screening for dysfunction to promote multidisciplinary intervention by using the University of Washington Quality of Life Questionnaire. Arch Otolaryngol Head Neck Surg 2009;135:369–75CrossRefGoogle ScholarPubMed
10 Thomas, L, Jones, TM, Tandon, S, Katre, C, Lowe, D, Rogers, SN. An evaluation of the University of Washington Quality of Life swallowing domain following oropharyngeal cancer. Eur Arch Otorhinolaryngol 2008;265(suppl 1):S29–37 CrossRefGoogle ScholarPubMed
11 Thomas, L, Jones, TM, Tandon, S, Carding, P, Lowe, D, Rogers, S. Speech and voice outcomes in oropharyngeal cancer and evaluation of the University of Washington Quality of Life speech domain. Clin Otolaryngol 2009;34:34–42 CrossRefGoogle ScholarPubMed
12 Rogers, SN, El-Sheikha, J, Lowe, D. The development of a Patients Concerns Inventory (PCI) to help reveal patients' concerns in the head and neck clinic. Oral Oncol 2009;45:555–61CrossRefGoogle ScholarPubMed
13 Ghazali, N, Kanatas, A, Langley, D, Scott, B, Lowe, D, Rogers, SN. Treatment referral before and after the introduction of the Liverpool Patients Concerns Inventory (PCI) into routine head and neck oncology outpatient clinics. Sup Care Cancer 2011;19:1879–86CrossRefGoogle ScholarPubMed
14 Millsopp, L, Frackleton, S, Lowe, D, Rogers, SN. A feasibility study of computer-assisted health-related quality of life data collection in patients with oral and oropharyngeal cancer. Int J Oral Maxillofac Surg 2006;35:761–4CrossRefGoogle ScholarPubMed
15 Rogers, SN, Gwane, S, Lowe, D, Humphris, G, Yueh, B, Weymuller, EA. The addition of mood and anxiety domains to the University of Washington Quality of Life Scale. Head Neck 2002;24:521–9CrossRefGoogle Scholar
16 Rogers, SN, O'Donnell, JP, Williams-Hewitt, S, Christensen, JC, Lowe, D. Health-related quality of life measured by the UW-QoL – reference values from a general dental practice. Oral Oncol 2006;42:281–7CrossRefGoogle ScholarPubMed
17 Paleri, V, Patterson, J. Use of gastrostomy in head and neck cancer: a systematic review to identify areas for future research. Clin Otolaryngol 2011;35:177–89CrossRefGoogle Scholar
18 Rogers, SN, Thomson, R, O'Toole, P, Lowe, D. Patients' experience with long-term percutaneous endoscopic gastrostomy feeding following primary surgery for oral and oropharyngeal cancer. Oral Oncol 2007;43:499–507 CrossRefGoogle ScholarPubMed
19 Rogers, SN, Scott, B, Lowe, D, Ozakinci, G, Humphris, GM. Fear of recurrence following head and neck cancer in the outpatient clinic. Eur Arch Otorhinolaryngol 2011;267:1943–9CrossRefGoogle Scholar
20 Lee-Jones, C, Humphris, G, Dixon, R, Hatcher, MB. Fear of cancer recurrence – a literature review and proposed cognitive formulation to explain exacerbation of recurrence fears. Psycho-oncology 1997;6:95–105 3.0.CO;2-B>CrossRefGoogle ScholarPubMed
21 Humphris, G, Ozakinci, G. The AFTER intervention: a structured psychological approach to reduce fears of recurrence in patients with head and neck cancer. Br J Health Psychol 2008;13:223–30CrossRefGoogle ScholarPubMed
22 Foot, G, Sanson-Fisher, R. Measuring the unmet needs of people living with cancer. Cancer Forum 1995;19:131–5Google Scholar
23 Pauloski, BR, Rademaker, AW, Logemann, JA, Lazarus, CL, Newman, L, Hamner, A et al. Swallow function and perception of dysphagia in patients with head and neck cancer. Head Neck 2002;24:555–65CrossRefGoogle ScholarPubMed
24 National Institute of Clinical Excellence. Guidelines on Improving Supportive and Palliative Care for Adults with Cancer. The Manual. London: National Institute of Clinical Excellence, 2004 Google Scholar