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Erschienen in: Dysphagia 4/2018

20.01.2018 | Original Article

Temporal Analysis of Factors Associated with EAT-10 in Outpatients with Oropharyngeal Dysphagia from a Tertiary Care Clinic

verfasst von: R. S. Bartlett, PhD, J. E. Moore, MS, S. L. Thibeault, PhD

Erschienen in: Dysphagia | Ausgabe 4/2018

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Abstract

Self-perception of disease is increasingly recognized as a determinant of health. The Eating Assessment Tool-10 (EAT-10) is a functional health status questionnaire that measures the symptomatic severity of dysphagia from the patient’s perspective. The objective of this work was to identify factors (demographics, clinical variables, swallowing physiology, health-related quality of life) associated with longitudinal change in EAT-10 scores in outpatients with oropharyngeal dysphagia at a multi-disciplinary, tertiary care clinic. All patients with swallowing concerns that were included in the UW Madison Voice and Swallowing Outcomes database from 12/2012 to 04/2015 were invited to complete EAT-10 and a general health-related quality of life survey (SF-12v2) at their initial evaluation and six months later. Forty-two patients were included in analysis (n = 42). Weaning from a gastrostomy tube was significantly associated with EAT-10 improvement. Approximately 70% of the sample had mild dysphagia, and floor effects were observed for all EAT-10 items in this sample subset. Mean SF-12v2 Physical Component Summary score was substantially lower than that of the general population. Significant, weak–moderate correlations were found between EAT-10 and SF-12v2 scores for all comparisons except for Physical Health Composite at six months (rs = = 0.24 to − 0.43). Weaning from a feeding tube appears to meaningfully improve self-perceived symptoms of dysphagia. Given the floor effects observed, validity of EAT-10 for patients with mild dysphagia should be examined. Future research should address contributors to self-perceived symptom change across the range of dysphagia severity.
Literatur
5.
Zurück zum Zitat Nozaki S, Saito T, Matsumura T, et al. Relationship between weight loss and dysphagia in patients with Parkinson’s disease. Rinshō Shinkeigaku. 1999;39:1010–4.PubMed Nozaki S, Saito T, Matsumura T, et al. Relationship between weight loss and dysphagia in patients with Parkinson’s disease. Rinshō Shinkeigaku. 1999;39:1010–4.PubMed
7.
Zurück zum Zitat Robbins J, Langmore S, Hind JA, Erlichman M. Dysphagia research in the 21st century and beyond: proceedings from Dysphagia Experts Meeting, August 21, 2001. J Rehabil Res Dev. 2002;39:543–8.PubMed Robbins J, Langmore S, Hind JA, Erlichman M. Dysphagia research in the 21st century and beyond: proceedings from Dysphagia Experts Meeting, August 21, 2001. J Rehabil Res Dev. 2002;39:543–8.PubMed
22.
Zurück zum Zitat Speyer R, Cordier R, Kertscher B, Heijnen BJ. Psychometric properties of questionnaires on functional health status in oropharyngeal dysphagia: a systematic literature review. Biomed Res Int. 2014;2014:1–11.CrossRef Speyer R, Cordier R, Kertscher B, Heijnen BJ. Psychometric properties of questionnaires on functional health status in oropharyngeal dysphagia: a systematic literature review. Biomed Res Int. 2014;2014:1–11.CrossRef
24.
Zurück zum Zitat Ware JE, Kosinski M, Keller SD. How to score the SF-12 physical and mental health summary scales. 2nd ed. Boston: The Health Institute, New England Medical Center; 1998. Ware JE, Kosinski M, Keller SD. How to score the SF-12 physical and mental health summary scales. 2nd ed. Boston: The Health Institute, New England Medical Center; 1998.
27.
Zurück zum Zitat Resnick B, Nahm ES. Reliability and validity testing of the revised 12-item Short-Form Health Survey in older adults. J Nurs Meas. 2001;9:151–61.PubMedCrossRef Resnick B, Nahm ES. Reliability and validity testing of the revised 12-item Short-Form Health Survey in older adults. J Nurs Meas. 2001;9:151–61.PubMedCrossRef
28.
Zurück zum Zitat Schindler A, Mozzanica F, Monzani A, et al. Reliability and validity of the Italian eating assessment tool. Ann Otol Rhinol Laryngol. 2013;122:717–24.CrossRefPubMed Schindler A, Mozzanica F, Monzani A, et al. Reliability and validity of the Italian eating assessment tool. Ann Otol Rhinol Laryngol. 2013;122:717–24.CrossRefPubMed
29.
Zurück zum Zitat Quan H, Sundararajan V, Halfon P, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43:1130–9.CrossRefPubMed Quan H, Sundararajan V, Halfon P, et al. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005;43:1130–9.CrossRefPubMed
40.
Zurück zum Zitat Bannerman E, Pendlebury J, Phillips F, Ghosh S. A cross-sectional and longitudinal study of health-related quality of life after percutaneous gastrostomy. Eur J Gastroenterol Hepatol. 2000;12:1101–9.CrossRefPubMed Bannerman E, Pendlebury J, Phillips F, Ghosh S. A cross-sectional and longitudinal study of health-related quality of life after percutaneous gastrostomy. Eur J Gastroenterol Hepatol. 2000;12:1101–9.CrossRefPubMed
41.
Zurück zum Zitat Senft M, Fietkau R, Iro H. The influence of supportive nutritional therapy via percutaneous endoscopically guided gastrostomy on the quality of life of cancer patients. Support Care Cancer. 1993;180:272–5.CrossRef Senft M, Fietkau R, Iro H. The influence of supportive nutritional therapy via percutaneous endoscopically guided gastrostomy on the quality of life of cancer patients. Support Care Cancer. 1993;180:272–5.CrossRef
43.
Zurück zum Zitat Sneeuw KC, Aaronson NK, Sprangers MA, et al. Comparison of patient and proxy EORTC QLQ-C30 ratings in assessing the quality of life of cancer patients. J Clin Epidemiol. 1998;51:617–31.CrossRefPubMed Sneeuw KC, Aaronson NK, Sprangers MA, et al. Comparison of patient and proxy EORTC QLQ-C30 ratings in assessing the quality of life of cancer patients. J Clin Epidemiol. 1998;51:617–31.CrossRefPubMed
46.
Zurück zum Zitat Chen A, Frankowski R, Bishop-Leone J, et al. The Development and validation of a dysphagia-specific Quality-of-life questionnaire for patients with head and neck cancer. Head Neck. 2005;127:870–6. Chen A, Frankowski R, Bishop-Leone J, et al. The Development and validation of a dysphagia-specific Quality-of-life questionnaire for patients with head and neck cancer. Head Neck. 2005;127:870–6.
47.
Zurück zum Zitat Chen AY, Frankowski R, Bishop-Leone J, et al. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001;127:870–6.PubMed Chen AY, Frankowski R, Bishop-Leone J, et al. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg. 2001;127:870–6.PubMed
50.
Zurück zum Zitat Arthur A. Stone, Christine A. Bachrach, Jared B. Jobe, Howard S. Kurtzman, Virginia S. Cain. The science of self-report: implications for research and practice. Psychology Press: Hove: 1999. Arthur A. Stone, Christine A. Bachrach, Jared B. Jobe, Howard S. Kurtzman, Virginia S. Cain. The science of self-report: implications for research and practice. Psychology Press: Hove: 1999.
Metadaten
Titel
Temporal Analysis of Factors Associated with EAT-10 in Outpatients with Oropharyngeal Dysphagia from a Tertiary Care Clinic
verfasst von
R. S. Bartlett, PhD
J. E. Moore, MS
S. L. Thibeault, PhD
Publikationsdatum
20.01.2018
Verlag
Springer US
Erschienen in
Dysphagia / Ausgabe 4/2018
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-018-9874-y

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