Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Matko, Š; Knauseder, C; Riedl, D; Grote, V; Fischer, MJ; Vorbach, SM; Pfaller-Frank, K; Frank, W; Licht, T.
The Role of Dysphagia on Head and Neck Cancer Patients' Quality of Life, Functional Disabilities and Psychological Distress: Outcomes of Cancer Rehabilitation from an Observational Single-Center Study.
Curr Oncol. 2025; 32(4):
Doi: 10.3390/curroncol32040220
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- Co-Autor*innen der Med Uni Graz
- Grote Vincent Thomas
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- Abstract:
- Many patients with head-and-neck cancer (HNC) suffer from speech or swallowing disorders. We investigated the impact of dysphagia on health-related quality of life (HRQOL), functioning, and distress in HNC survivors, and whether cancer rehabilitation can alleviate these conditions. Before admission (T0) and at discharge (T1) of three-week inpatient cancer rehabilitation, patient-reported outcomes were collected. HRQOL, symptoms, functioning, and psychological distress were assessed with EORTC QLQ-C30 and Hospital Anxiety and Depression Scale (HADS) questionnaires. Of 63 HNC patients, 22 had dysphagia, 23 needed no speech therapy (Control-1), and 18 needed speech therapy, but showed no symptoms of dysphagia (Control-2). Before rehabilitation, HRQOL, physical, social, and emotional functioning were significantly lower in dysphagia patients than in controls. Dysphagia patients reported more severe general symptoms including fatigue, pain, sleep disturbances, nausea/vomiting, diarrhea, and financial worries. Furthermore, the emotional and social functioning of Control-2 was significantly worse than Control-1. For all HNC patients, social, emotional, and role functioning, fatigue, nausea/vomiting, insomnia, and appetite loss significantly improved at T1. Improvements in HRQOL were most noticeable in dysphagia patients. Psychooncological counseling reduced depression in dysphagia and Control-2 patients to levels seen in the general population. In conclusion, dysphagia patients suffer severely from impaired functioning and systemic symptoms but benefit substantially from rehabilitation.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Quality of Life - administration & dosage
- Deglutition Disorders - psychology, rehabilitation, etiology
- Male - administration & dosage
- Female - administration & dosage
- Head and Neck Neoplasms - rehabilitation, psychology, complications
- Middle Aged - administration & dosage
- Psychological Distress - administration & dosage
- Aged - administration & dosage
- Adult - administration & dosage
- Find related publications in this database (Keywords)
- patient-reported outcomes
- speech therapy
- psychooncology
- fatigue
- depression
- cancer survivorship