Skip to main content
main-content
Erschienen in: Dysphagia 6/2021

18.01.2021 | Original Article

The Timed Swallowing Proficiency for Eating and Drinking (SPEAD) Test: Development and Initial Validation of an Instrument to Objectify (Impaired) Swallowing Capacity in Head and Neck Cancer Patients

verfasst von: R. T. Karsten, F. J. M. Hilgers, L. van der Molen, K. van Sluis, L. E. Smeele, M. M. Stuiver

Erschienen in: Dysphagia | Ausgabe 6/2021

Einloggen, um Zugang zu erhalten

Abstract

Objective swallowing outcomes measure the physical swallowing function, while subjective outcomes measure swallowing perception. A test for swallowing capacity, measuring the ingestion of all consistencies is currently not available. Therefore, the Swallowing Proficiency for Eating And Drinking (SPEAD) test was developed. It entails the timed ingestion of thin liquid, thick liquid and solid. In this study, its feasibility, reliability and validity were evaluated in patients with dysphagia after treatment for head and neck cancer (HNC) and healthy participants. Thirty-eight HNC patients and forty healthy participants were enrolled in this study and performed the SPEAD test three times. Video recordings of the test were evaluated three times by one observer, and once by three additional observers, to assess test–retest, intra-rater and inter-rater reliability. Validity was assessed by calculating effect sizes for the difference between results of patients and healthy participants and by evaluating correlations with objective (e.g., videofluoroscopy and functional oral intake scale) and subjective (e.g., SWAL-QOL) swallowing outcomes. Test–retest, intra-rater and inter-rater reliability of ingestion duration was good to excellent. All hypotheses with regard to magnitude and direction of correlations were confirmed, supporting construct validity of the test. Our initial results suggest that the SPEAD test reliably measures the transport capacity of the upper digestive tract (in grams per second) and that this test can be useful to objectively evaluate and monitor the (safe) swallowing capacity in HNC patients, in both research as well as daily clinical practice.
Zugang erhalten Sie mit:
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Weitere Produktempfehlungen anzeigen
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat van den Berg MG, Rutten H, Rasmussen-Conrad EL, et al. Nutritional status, food intake, and dysphagia in long-term survivors with head and neck cancer treated with chemoradiotherapy: a cross-sectional study. Head Neck. 2014;36(1):60–5. CrossRef van den Berg MG, Rutten H, Rasmussen-Conrad EL, et al. Nutritional status, food intake, and dysphagia in long-term survivors with head and neck cancer treated with chemoradiotherapy: a cross-sectional study. Head Neck. 2014;36(1):60–5. CrossRef
2.
Zurück zum Zitat Hutcheson KA, Lewin JS, Barringer DA, et al. Late dysphagia after radiotherapy-based treatment of head and neck cancer. Cancer. 2012;118(23):5793–9. CrossRef Hutcheson KA, Lewin JS, Barringer DA, et al. Late dysphagia after radiotherapy-based treatment of head and neck cancer. Cancer. 2012;118(23):5793–9. CrossRef
3.
Zurück zum Zitat Kreeft AM, van der Molen L, Hilgers FJ, Balm AJ. Speech and swallowing after surgical treatment of advanced oral and oropharyngeal carcinoma: a systematic review of the literature. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2009;266(11):1687-98. Kreeft AM, van der Molen L, Hilgers FJ, Balm AJ. Speech and swallowing after surgical treatment of advanced oral and oropharyngeal carcinoma: a systematic review of the literature. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2009;266(11):1687-98.
4.
Zurück zum Zitat Langendijk JA, Doornaert P, Verdonck-de Leeuw IM, et al. Impact of late treatment-related toxicity on quality of life among patients with head and neck cancer treated with radiotherapy. J Clin Oncol: Off J Am Soc Clin Oncol. 2008;26(22):3770–6. CrossRef Langendijk JA, Doornaert P, Verdonck-de Leeuw IM, et al. Impact of late treatment-related toxicity on quality of life among patients with head and neck cancer treated with radiotherapy. J Clin Oncol: Off J Am Soc Clin Oncol. 2008;26(22):3770–6. CrossRef
5.
Zurück zum Zitat Garcia-Peris P, Paron L, Velasco C, et al. Long-term prevalence of oropharyngeal dysphagia in head and neck cancer patients: impact on quality of life. Clin Nutr. 2007;26(6):710–7. CrossRef Garcia-Peris P, Paron L, Velasco C, et al. Long-term prevalence of oropharyngeal dysphagia in head and neck cancer patients: impact on quality of life. Clin Nutr. 2007;26(6):710–7. CrossRef
6.
Zurück zum Zitat Tschiesner U, Rogers S, Dietz A, Yueh B, Cieza A. Development of ICF core sets for head and neck cancer. Head Neck. 2010;32(2):210–20. PubMed Tschiesner U, Rogers S, Dietz A, Yueh B, Cieza A. Development of ICF core sets for head and neck cancer. Head Neck. 2010;32(2):210–20. PubMed
7.
Zurück zum Zitat Kraaijenga SA, van der Molen L, van den Brekel MW, Hilgers FJ. Current assessment and treatment strategies of dysphagia in head and neck cancer patients: a systematic review of the 2012/13 literature. Curr Opin Support Palliat Care. 2014;8(2):152–63. CrossRef Kraaijenga SA, van der Molen L, van den Brekel MW, Hilgers FJ. Current assessment and treatment strategies of dysphagia in head and neck cancer patients: a systematic review of the 2012/13 literature. Curr Opin Support Palliat Care. 2014;8(2):152–63. CrossRef
8.
Zurück zum Zitat Aviv JE, Kaplan ST, Thomson JE, et al. The safety of flexible endoscopic evaluation of swallowing with sensory testing (FEESST): an analysis of 500 consecutive evaluations. Dysphagia. 2000;15(1):39–44. CrossRef Aviv JE, Kaplan ST, Thomson JE, et al. The safety of flexible endoscopic evaluation of swallowing with sensory testing (FEESST): an analysis of 500 consecutive evaluations. Dysphagia. 2000;15(1):39–44. CrossRef
9.
Zurück zum Zitat Langmore SE. History of fiberoptic endoscopic evaluation of swallowing for evaluation and management of pharyngeal dysphagia: changes over the years. Dysphagia. 2017;32(1):27–38. CrossRef Langmore SE. History of fiberoptic endoscopic evaluation of swallowing for evaluation and management of pharyngeal dysphagia: changes over the years. Dysphagia. 2017;32(1):27–38. CrossRef
10.
Zurück zum Zitat Karaho T, Nakajima J, Satoh T, et al. Mano-videoendoscopic assessment in the evaluation of the pharyngeal contraction and upper esophageal sphincter function in dysphagic patients. Auris, nasus, larynx. 2016. Karaho T, Nakajima J, Satoh T, et al. Mano-videoendoscopic assessment in the evaluation of the pharyngeal contraction and upper esophageal sphincter function in dysphagic patients. Auris, nasus, larynx. 2016.
11.
Zurück zum Zitat Carnaby GD, Crary MA. Development and validation of a cancer-specific swallowing assessment tool: MASA-C. Support Care Cancer. 2014;22(3):595–602. CrossRef Carnaby GD, Crary MA. Development and validation of a cancer-specific swallowing assessment tool: MASA-C. Support Care Cancer. 2014;22(3):595–602. CrossRef
12.
Zurück zum Zitat Rademaker AW, Pauloski BR, Logemann JA, Shanahan TK. Oropharyngeal swallow efficiency as a representative measure of swallowing function. J Speech Hear Res. 1994;37(2):314–25. CrossRef Rademaker AW, Pauloski BR, Logemann JA, Shanahan TK. Oropharyngeal swallow efficiency as a representative measure of swallowing function. J Speech Hear Res. 1994;37(2):314–25. CrossRef
13.
Zurück zum Zitat Martin-Harris B, Brodsky MB, Michel Y, et al. MBS measurement tool for swallow impairment–MBSImp: establishing a standard. Dysphagia. 2008;23(4):392–405. CrossRef Martin-Harris B, Brodsky MB, Michel Y, et al. MBS measurement tool for swallow impairment–MBSImp: establishing a standard. Dysphagia. 2008;23(4):392–405. CrossRef
14.
Zurück zum Zitat Hutcheson KA, Barrow MP, Barringer DA, et al. Dynamic imaging grade of swallowing toxicity (DIGEST): scale development and validation. Cancer. 2017;123(1):62–70. CrossRef Hutcheson KA, Barrow MP, Barringer DA, et al. Dynamic imaging grade of swallowing toxicity (DIGEST): scale development and validation. Cancer. 2017;123(1):62–70. CrossRef
15.
Zurück zum Zitat Rinkel RN, Verdonck-de Leeuw IM, Langendijk JA, et al. The psychometric and clinical validity of the SWAL-QOL questionnaire in evaluating swallowing problems experienced by patients with oral and oropharyngeal cancer. Oral Oncol. 2009;45(8):e67-71. CrossRef Rinkel RN, Verdonck-de Leeuw IM, Langendijk JA, et al. The psychometric and clinical validity of the SWAL-QOL questionnaire in evaluating swallowing problems experienced by patients with oral and oropharyngeal cancer. Oral Oncol. 2009;45(8):e67-71. CrossRef
16.
Zurück zum Zitat van der Molen L, van Rossum MA, Ackerstaff AH, et al. Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients’ views. BMC Ear Nose Throat Disorders. 2009;9:10. CrossRef van der Molen L, van Rossum MA, Ackerstaff AH, et al. Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients’ views. BMC Ear Nose Throat Disorders. 2009;9:10. CrossRef
17.
Zurück zum Zitat Kirsh E, Naunheim M, Holman A, et al. Patient-reported versus physiologic swallowing outcomes in patients with head and neck cancer after chemoradiation. Laryngoscope. 2019;129(9):2059–64. CrossRef Kirsh E, Naunheim M, Holman A, et al. Patient-reported versus physiologic swallowing outcomes in patients with head and neck cancer after chemoradiation. Laryngoscope. 2019;129(9):2059–64. CrossRef
18.
Zurück zum Zitat World Health Organization. International Classification of Functioning, Disability and Health. 2001. World Health Organization. International Classification of Functioning, Disability and Health. 2001.
19.
Zurück zum Zitat Nathadwarawala KM, Nicklin J, Wiles CM. A timed test of swallowing capacity for neurological patients. J Neurol, Neurosurg Psychiatry. 1992;55(9):822–5. CrossRef Nathadwarawala KM, Nicklin J, Wiles CM. A timed test of swallowing capacity for neurological patients. J Neurol, Neurosurg Psychiatry. 1992;55(9):822–5. CrossRef
20.
Zurück zum Zitat Nathadwarawala KM, McGroary A, Wiles CM. Swallowing in neurological outpatients: use of a timed test. Dysphagia. 1994;9(2):120–9. CrossRef Nathadwarawala KM, McGroary A, Wiles CM. Swallowing in neurological outpatients: use of a timed test. Dysphagia. 1994;9(2):120–9. CrossRef
21.
Zurück zum Zitat Patterson JM, Hildreth A, McColl E, et al. The clinical application of the 100mL water swallow test in head and neck cancer. Oral Oncol. 2011;47(3):180–4. CrossRef Patterson JM, Hildreth A, McColl E, et al. The clinical application of the 100mL water swallow test in head and neck cancer. Oral Oncol. 2011;47(3):180–4. CrossRef
22.
Zurück zum Zitat Huckabee ML, McIntosh T, Fuller L, et al. The Test of Masticating and Swallowing Solids (TOMASS): reliability, validity and international normative data. Int J Lang Commun Disord. 2018;53(1):144–56. CrossRef Huckabee ML, McIntosh T, Fuller L, et al. The Test of Masticating and Swallowing Solids (TOMASS): reliability, validity and international normative data. Int J Lang Commun Disord. 2018;53(1):144–56. CrossRef
23.
Zurück zum Zitat Lamvik-Gozdzikowska K, Guiu Hernandez E, Apperley O, McIntosh T, Huckabee ML. Quantitative assessment of oral phase efficiency: validation of the Test of Masticating and Swallowing Solids (TOMASS). Int J Lang Commun Disord. 2019;54(3):444–50. CrossRef Lamvik-Gozdzikowska K, Guiu Hernandez E, Apperley O, McIntosh T, Huckabee ML. Quantitative assessment of oral phase efficiency: validation of the Test of Masticating and Swallowing Solids (TOMASS). Int J Lang Commun Disord. 2019;54(3):444–50. CrossRef
24.
Zurück zum Zitat Mehanna H, Paleri V, West CM, Nutting C. Head and neck cancer–Part 1: Epidemiology, presentation, and prevention. BMJ (Clinical Research ed). 2010;341:c4684. CrossRef Mehanna H, Paleri V, West CM, Nutting C. Head and neck cancer–Part 1: Epidemiology, presentation, and prevention. BMJ (Clinical Research ed). 2010;341:c4684. CrossRef
26.
Zurück zum Zitat Goepfert RP, Lewin JS, Barrow MP, et al. Grading dysphagia as a toxicity of head and neck cancer: differences in severity classification based on MBS DIGEST and clinical CTCAE grades. Dysphagia. 2018;33(2):185–91. CrossRef Goepfert RP, Lewin JS, Barrow MP, et al. Grading dysphagia as a toxicity of head and neck cancer: differences in severity classification based on MBS DIGEST and clinical CTCAE grades. Dysphagia. 2018;33(2):185–91. CrossRef
27.
Zurück zum Zitat Karsten RT, van der Molen L, Hamming-Vrieze O, et al. Long-term swallowing, trismus, and speech outcomes after combined chemoradiotherapy and preventive rehabilitation for head and neck cancer; 10-year plus update. Head Neck. 2020. Karsten RT, van der Molen L, Hamming-Vrieze O, et al. Long-term swallowing, trismus, and speech outcomes after combined chemoradiotherapy and preventive rehabilitation for head and neck cancer; 10-year plus update. Head Neck. 2020.
28.
Zurück zum Zitat Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabilitat. 2005;86(8):1516–20. CrossRef Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabilitat. 2005;86(8):1516–20. CrossRef
29.
Zurück zum Zitat Karsten RT, Stuiver MM, van der Molen L, et al. From reactive to proactive tube feeding during chemoradiotherapy for head and neck cancer: A clinical prediction model-based approach. Oral Oncol. 2019;88:172–9. CrossRef Karsten RT, Stuiver MM, van der Molen L, et al. From reactive to proactive tube feeding during chemoradiotherapy for head and neck cancer: A clinical prediction model-based approach. Oral Oncol. 2019;88:172–9. CrossRef
30.
Zurück zum Zitat van der Molen L, van Rossum MA, Burkhead LM, et al. A randomized preventive rehabilitation trial in advanced head and neck cancer patients treated with chemoradiotherapy: feasibility, compliance, and short-term effects. Dysphagia. 2011;26(2):155–70. CrossRef van der Molen L, van Rossum MA, Burkhead LM, et al. A randomized preventive rehabilitation trial in advanced head and neck cancer patients treated with chemoradiotherapy: feasibility, compliance, and short-term effects. Dysphagia. 2011;26(2):155–70. CrossRef
31.
Zurück zum Zitat McHorney CA, Robbins J, Lomax K, et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III Documentation of reliability and validity. Dysphagia. 2002;17(2):97–114. CrossRef McHorney CA, Robbins J, Lomax K, et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III Documentation of reliability and validity. Dysphagia. 2002;17(2):97–114. CrossRef
32.
Zurück zum Zitat Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63. CrossRef Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63. CrossRef
33.
Zurück zum Zitat Cohen J. Statistical power analysis for the behavioral sciences: Routledge; 2013. Cohen J. Statistical power analysis for the behavioral sciences: Routledge; 2013.
34.
Zurück zum Zitat Chan YH. Biostatistics 104: correlational analysis. Singapore Med J. 2003;44(12):614–9. PubMed Chan YH. Biostatistics 104: correlational analysis. Singapore Med J. 2003;44(12):614–9. PubMed
35.
Zurück zum Zitat Hey C, Lange BP, Eberle S, et al. Water swallow screening test for patients after surgery for head and neck cancer: early identification of dysphagia, aspiration and limitations of oral intake. Anticancer Res. 2013;33(9):4017–21. PubMed Hey C, Lange BP, Eberle S, et al. Water swallow screening test for patients after surgery for head and neck cancer: early identification of dysphagia, aspiration and limitations of oral intake. Anticancer Res. 2013;33(9):4017–21. PubMed
36.
Zurück zum Zitat Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: Validity and reliability issues. J Res Med Sci. 2014;19(8):776–85. PubMedPubMedCentral Poorjavad M, Jalaie S. Systemic review on highly qualified screening tests for swallowing disorders following stroke: Validity and reliability issues. J Res Med Sci. 2014;19(8):776–85. PubMedPubMedCentral
37.
Zurück zum Zitat Schepp SK, Tirschwell DL, Miller RM, Longstreth WT Jr. Swallowing screens after acute stroke: a systematic review. Stroke. 2012;43(3):869–71. CrossRef Schepp SK, Tirschwell DL, Miller RM, Longstreth WT Jr. Swallowing screens after acute stroke: a systematic review. Stroke. 2012;43(3):869–71. CrossRef
38.
Zurück zum Zitat Martino R, Silver F, Teasell R, et al. The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke. 2009;40(2):555–61. CrossRef Martino R, Silver F, Teasell R, et al. The Toronto Bedside Swallowing Screening Test (TOR-BSST): development and validation of a dysphagia screening tool for patients with stroke. Stroke. 2009;40(2):555–61. CrossRef
39.
Zurück zum Zitat Osawa A, Maeshima S, Tanahashi N. Water-swallowing test: screening for aspiration in stroke patients. Cerebrovasc Dis. 2013;35(3):276–81. CrossRef Osawa A, Maeshima S, Tanahashi N. Water-swallowing test: screening for aspiration in stroke patients. Cerebrovasc Dis. 2013;35(3):276–81. CrossRef
40.
Zurück zum Zitat Lim SH, Lieu PK, Phua SY, et al. Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia. 2001;16(1):1–6. CrossRef Lim SH, Lieu PK, Phua SY, et al. Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia. 2001;16(1):1–6. CrossRef
41.
Zurück zum Zitat Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke. 2007;38(11):2948–52. CrossRef Trapl M, Enderle P, Nowotny M, et al. Dysphagia bedside screening for acute-stroke patients: the Gugging Swallowing Screen. Stroke. 2007;38(11):2948–52. CrossRef
Metadaten
Titel
The Timed Swallowing Proficiency for Eating and Drinking (SPEAD) Test: Development and Initial Validation of an Instrument to Objectify (Impaired) Swallowing Capacity in Head and Neck Cancer Patients
verfasst von
R. T. Karsten
F. J. M. Hilgers
L. van der Molen
K. van Sluis
L. E. Smeele
M. M. Stuiver
Publikationsdatum
18.01.2021
Verlag
Springer US
Erschienen in
Dysphagia / Ausgabe 6/2021
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-020-10240-w

Weitere Artikel der Ausgabe 6/2021

Dysphagia 6/2021 Zur Ausgabe

Neu im Fachgebiet HNO

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update HNO und bleiben Sie gut informiert – ganz bequem per eMail.