Dysphagia and its impact on the quality of life of head and neck cancer patients: institution-based cross-sectional study
- PMID: 33413623
- PMCID: PMC7791825
- DOI: 10.1186/s13104-020-05440-4
Dysphagia and its impact on the quality of life of head and neck cancer patients: institution-based cross-sectional study
Abstract
Objective: Impaired swallowing is a primary medical concern in head and neck cancer (HNC) patients. Swallowing therapy and supportive care to relieve swallowing problems among HNC patients are recommended. However, no data shows the effect of dysphagia on the quality of life (QoL) among Ethiopian patients. This cross-sectional study aimed to assess swallowing function and its impact on QoL.
Results: The sample included 102 HNC patients who visited oncology clinics at Tikur Anbessa Specialized Hospital. Majority were male (53.90%), employed (70.6%), single (57.80%), and completed some level of formal education (66.60%) with a mean age of 42.58 years (SD ± 14.08). More than half of the patients (69.6%) medical expenses were covered by the government. Most were suffering from advanced stage HNC (59.80%), squamous cell carcinoma (62.70%), and the most prevalent tumor location was nasopharynx (40.20%). The mean MDADI score was 53.29 (SD ± 15.85). Being female, low income, suffering from laryngeal cancer, advanced tumor, and undergoing a single modality therapy were crucial determinants of poor QoL related to swallowing problems. It is recommended to assess swallowing related QoL of patients using a validated tool and be included in treatment protocols.
Keywords: Dysphagia; Head and neck cancer; Impaired swallowing; MDADI; Quality of life.
Conflict of interest statement
The authors declare that they have no competing interests.
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