Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems

Nadine Lawson, Gintas P. Krisciunas, Susan E. Langmore, Kerlly Castellano, William Sokoloff, Reza Hayatbakhsh

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: The Australian healthcare system has invested heavily in multidisciplinary cancer care teams. Despite such investments, guidelines that clearly delineate standard of care dysphagia treatment are lacking and services provided to Head and Neck Cancer (HNC) patients are not always consistent. There is little consensus regarding the frequency and intensity of dysphagia therapy. This is largely due to a lack of well-designed clinical trials that establish the efficacy of any dysphagia therapy in this patient population. The aim of this study was to evaluate HNC dysphagia therapy patterns among Australian speech-language pathologists (SLPs). Method: A 22 question internet-based survey was administered to a web-based professional interest group. Results were analysed by institution type and individual clinical experience. Result: A response rate of 46% was achieved (67 out of 144 surveyed). This survey identified several aspects of dysphagia management that were provided uniformly in addition to many aspects of care that showed a lack of consensus. Conclusion: By comparing the results of this survey with existing international best-evidence treatment guidelines, the development of uniform Australian guidelines may be facilitated. However, more authoritative data on dysphagia treatment efficacy is needed to provide uniform evidence-based HNC dysphagia treatment guidelines.

Original languageEnglish (US)
Pages (from-to)128-138
Number of pages11
JournalInternational Journal of Speech-Language Pathology
Volume19
Issue number2
DOIs
StatePublished - Mar 4 2017
Externally publishedYes

Fingerprint

Head and Neck Neoplasms
Deglutition Disorders
Delivery of Health Care
Guidelines
Therapeutics
Consensus
Public Opinion
Standard of Care
Head and Neck Cancer
Dysphagia
Therapy
Health Care System
Cancer Patients
Internet
Language
Clinical Trials
Population
Surveys and Questionnaires
Neoplasms

Keywords

  • Dysphagia
  • Head and Neck Cancer
  • Speech-Language Pathology
  • Swallowing
  • Usual practice

ASJC Scopus subject areas

  • Research and Theory
  • Otorhinolaryngology
  • Language and Linguistics
  • LPN and LVN
  • Speech and Hearing

Cite this

Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems. / Lawson, Nadine; Krisciunas, Gintas P.; Langmore, Susan E.; Castellano, Kerlly; Sokoloff, William; Hayatbakhsh, Reza.

In: International Journal of Speech-Language Pathology, Vol. 19, No. 2, 04.03.2017, p. 128-138.

Research output: Contribution to journalArticle

Lawson, Nadine ; Krisciunas, Gintas P. ; Langmore, Susan E. ; Castellano, Kerlly ; Sokoloff, William ; Hayatbakhsh, Reza. / Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems. In: International Journal of Speech-Language Pathology. 2017 ; Vol. 19, No. 2. pp. 128-138.
@article{1c3254a780724d089484510dd542ba26,
title = "Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems",
abstract = "Purpose: The Australian healthcare system has invested heavily in multidisciplinary cancer care teams. Despite such investments, guidelines that clearly delineate standard of care dysphagia treatment are lacking and services provided to Head and Neck Cancer (HNC) patients are not always consistent. There is little consensus regarding the frequency and intensity of dysphagia therapy. This is largely due to a lack of well-designed clinical trials that establish the efficacy of any dysphagia therapy in this patient population. The aim of this study was to evaluate HNC dysphagia therapy patterns among Australian speech-language pathologists (SLPs). Method: A 22 question internet-based survey was administered to a web-based professional interest group. Results were analysed by institution type and individual clinical experience. Result: A response rate of 46{\%} was achieved (67 out of 144 surveyed). This survey identified several aspects of dysphagia management that were provided uniformly in addition to many aspects of care that showed a lack of consensus. Conclusion: By comparing the results of this survey with existing international best-evidence treatment guidelines, the development of uniform Australian guidelines may be facilitated. However, more authoritative data on dysphagia treatment efficacy is needed to provide uniform evidence-based HNC dysphagia treatment guidelines.",
keywords = "Dysphagia, Head and Neck Cancer, Speech-Language Pathology, Swallowing, Usual practice",
author = "Nadine Lawson and Krisciunas, {Gintas P.} and Langmore, {Susan E.} and Kerlly Castellano and William Sokoloff and Reza Hayatbakhsh",
year = "2017",
month = "3",
day = "4",
doi = "10.3109/17549507.2016.1159334",
language = "English (US)",
volume = "19",
pages = "128--138",
journal = "International Journal of Speech-Language Pathology",
issn = "1754-9507",
publisher = "Informa Healthcare",
number = "2",

}

TY - JOUR

T1 - Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems

AU - Lawson, Nadine

AU - Krisciunas, Gintas P.

AU - Langmore, Susan E.

AU - Castellano, Kerlly

AU - Sokoloff, William

AU - Hayatbakhsh, Reza

PY - 2017/3/4

Y1 - 2017/3/4

N2 - Purpose: The Australian healthcare system has invested heavily in multidisciplinary cancer care teams. Despite such investments, guidelines that clearly delineate standard of care dysphagia treatment are lacking and services provided to Head and Neck Cancer (HNC) patients are not always consistent. There is little consensus regarding the frequency and intensity of dysphagia therapy. This is largely due to a lack of well-designed clinical trials that establish the efficacy of any dysphagia therapy in this patient population. The aim of this study was to evaluate HNC dysphagia therapy patterns among Australian speech-language pathologists (SLPs). Method: A 22 question internet-based survey was administered to a web-based professional interest group. Results were analysed by institution type and individual clinical experience. Result: A response rate of 46% was achieved (67 out of 144 surveyed). This survey identified several aspects of dysphagia management that were provided uniformly in addition to many aspects of care that showed a lack of consensus. Conclusion: By comparing the results of this survey with existing international best-evidence treatment guidelines, the development of uniform Australian guidelines may be facilitated. However, more authoritative data on dysphagia treatment efficacy is needed to provide uniform evidence-based HNC dysphagia treatment guidelines.

AB - Purpose: The Australian healthcare system has invested heavily in multidisciplinary cancer care teams. Despite such investments, guidelines that clearly delineate standard of care dysphagia treatment are lacking and services provided to Head and Neck Cancer (HNC) patients are not always consistent. There is little consensus regarding the frequency and intensity of dysphagia therapy. This is largely due to a lack of well-designed clinical trials that establish the efficacy of any dysphagia therapy in this patient population. The aim of this study was to evaluate HNC dysphagia therapy patterns among Australian speech-language pathologists (SLPs). Method: A 22 question internet-based survey was administered to a web-based professional interest group. Results were analysed by institution type and individual clinical experience. Result: A response rate of 46% was achieved (67 out of 144 surveyed). This survey identified several aspects of dysphagia management that were provided uniformly in addition to many aspects of care that showed a lack of consensus. Conclusion: By comparing the results of this survey with existing international best-evidence treatment guidelines, the development of uniform Australian guidelines may be facilitated. However, more authoritative data on dysphagia treatment efficacy is needed to provide uniform evidence-based HNC dysphagia treatment guidelines.

KW - Dysphagia

KW - Head and Neck Cancer

KW - Speech-Language Pathology

KW - Swallowing

KW - Usual practice

UR - http://www.scopus.com/inward/record.url?scp=84964402763&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964402763&partnerID=8YFLogxK

U2 - 10.3109/17549507.2016.1159334

DO - 10.3109/17549507.2016.1159334

M3 - Article

C2 - 27093099

AN - SCOPUS:84964402763

VL - 19

SP - 128

EP - 138

JO - International Journal of Speech-Language Pathology

JF - International Journal of Speech-Language Pathology

SN - 1754-9507

IS - 2

ER -