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. 2023 Feb 17;50(2):201-214.
doi: 10.1188/23.ONF.201-214.

Distinct Dysphagia Profiles in Patients With Oral Cancer After Surgery

Asha Mathew  1 , Mark B Lockwood  1 , Alana D Steffen  1 , Amit Jiwan Tirkey  2 , Simon Pavamani  2 , Crystal L Patil  1 , Ardith Z Doorenbos  3
Affiliations

Distinct Dysphagia Profiles in Patients With Oral Cancer After Surgery

Asha Mathew et al. Oncol Nurs Forum. .

Abstract

Objectives: To determine distinct profiles based on symptom severity in patients undergoing surgery for oral cancer and examine whether these profiles differ by participant characteristics.

Sample & setting: 300 patients who underwent surgery for oral cancer at two outpatient clinics between June and December 2021.

Methods & variables: Symptoms were assessed using the MD Anderson Symptom Inventory-Head and Neck Cancer Module. Sociodemographic and clinical characteristics were collected. Latent profile analysis was performed.

Results: Five distinct dysphagia profiles were identified, which qualitatively differed regarding co-occurrence patterns of dysphagia, mucus-related symptoms, speech disturbances, and psychoneurologic symptoms. Significant differences were reported in interference to function, number of co-occurring symptoms, time since diagnosis and treatment completion, use of symptom management medications, oral cancer stage and site, and treatment completed.

Implications for nursing: Identifying distinct dysphagia profiles can improve patient outcomes and help in planning specific nursing interventions to influence nutritional and functional status in oral cancer survivors. Dysphagia and dry mouth can persist beyond one year post-treatment, so follow-up dysphagia assessments are needed.

Keywords: dysphagia; head and neck cancer; latent profile analysis; oral cancer; symptom cluster.

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Figures

FIGURE 1.
FIGURE 1.. Symptom Mean Scores by Profile (N = 300)
profile 1—all mild; profile 2—dry dysphagic; profile 3—psychoneurologic dry dysphagic; profile 4—moist dysphagic; profile 5—psychoneurologic moist dysphagic Note. Mean symptom scores ranged from 0 to 10, with higher scores indicating greater symptom severity.
See this image and copyright information in PMC

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