Page 99 - Functional impairment and cues for rehabilitation of head and neck cancer patients -

DIGEST grade based on VFS (n = 10) Safety grade 0
Safety grade 1
Safety grade 2
Safety grade 3 Safety grade 4 Efficiency grade 0 Efficiency grade 1 Efficiency grade 2 Efficiency grade 3 Efficiency grade 4 DIGEST grade 0 DIGEST grade 1 DIGEST grade 2 DIGEST grade 3 DIGEST grade 4
Pneumonia since six-year follow-up Feeding tube dependent
Modified diet (FOIS < 7)
Weight in kg Median (range)
Pain (VAS) Median (range)
Perceived:
Xerostomia
Difficulty swallowing Difficulty masticating
Problems with:
Oral transport with solids
Oral transport with thick liquids
Oral transport with thin liquids Swallowing problems with solids Swallowing problems with thick liquids Swallowing problems with thin liquids
8 (80)
2 (20)
0 (0)
0 (0)
0 (0)
1 (10)
6 (60)
1 (10)
2 (20)
0 (0)
1 (10)
7 (70)
2 (20)
0 (0)
0 (0)
0 (0)
0 (0)
0 (0)
76 (68–103) 0 (0–25)
10 (71) 7 (50) 1 (7)
2 (14) 1 (7) 0 (0) 7 (50) 1 (7) 0 (0)
49-94% 7 (70) 40-89% 6-51% 1 (10) 2-40% 0-28% 1 (10) 2-40% 0-28% 1 (10) 2-40% 0-28% 0 (0) 0-28% 2-40% 0 (0) 0-28% 31-83% 4 (40) 17-69% 2-40% 1 (10) 2-40% 6-51% 5 (50) 24-76% 0-28% 0 (0) 0-28% 2-40% 0 (0) 0-28% 40-89% 5 (50) 24-76% 6-51% 3 (30) 11-60% 0-28% 2 (20) 6-51% 0-28% 0 (0) 0-28% 0-22% 0 (0) 0-22% 0-22% 0 (0) 0-22% 0-22% 0 (0) 0-22% 69-89 77 (70–103) 72-85 0-12 0 (0–30) 0-4
45-88% 10 (71) 45-88% 27-73% 10 (71) 45-88% 1-31% 3 (21) 8-48%
4-40% 6 (43) 21-67% 1-31% 2 (14) 4-40% 0-22% 0 (0) 0-22% 27-73% 9 (64) 39-84% 1-31% 3 (21) 8-48% 0-22% 2 (14) 4-40%
4
Long-term function after CRT and preventive rehabilitation
Table 2 Swallowing related outcomes at six- and ten-year plus follow-up of patients evaluable at ten-year plus follow- up (n = 14).
Number of patients (%)
Six-year follow-up
95%CI
Ten-year plus follow-up
95%CI
Objective outcomes
Subjective outcomes
Abbreviations: CI = confidence interval, DIGEST = Dynamic Imaging Grade of Swallowing Toxicity, FOIS = functional oral intake scale, MIO = maximal inter-incisal opening, VAS = visual analog scale, VFS = videofluoroscopy.
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