Relationship Between the Eating Assessment Tool-10 and Objective Clinical Ratings of Swallowing Function in Individuals with Head and Neck Cancer
Relationship Between the Eating Assessment Tool-10 and Objective Clinical Ratings of Swallowing Function in Individuals with Head and Neck Cancer
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DOI：
10.1007/s00455-016-9741-7
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发表时间：
2017-02-01
期刊：
影响因子：
2.6
通讯作者：
Plowman, Emily K.
中科院分区：
文献类型：
--
作者：
Arrese, Loni C.;Carrau, Ricardo;Plowman, Emily K.
进食评估工具-10 （EAT-10）是一个有效的、易于管理的患者报告的吞咽困难严重程度量表。虽然其检测吞咽障碍的能力已在其他患者群体中进行了研究，但该仪器在头颈癌（HNC）患者中的应用尚未得到研究。本研究的目的是确定HNC患者吞咽障碍评分（EAT-10）与吞咽生理学客观临床评分之间的关系。44名HNC参与者完成了EAT-10和标准化的透视吞咽研究。盲法评分者使用穿透-吸入量表（PAS）确定气道安全性，使用改良的钡吞咽损伤量表(MBSImP （TM) A (c)）确定吞咽功能。参与者被分为三组（治疗前至治疗后1年，治疗后1-5年，治疗后5年）。进行了独立t检验、Pearson’s和Spearman’s Rho相关性和多重比较的Bonferroni校正。不安全吞咽HNC患者的EAT-10评分（M = 24.45, SD = 8.32）明显高于安全吞咽HNC患者（M = 16.20, SD = 12.14）， t(21) = -2.36, p < 0.04。治疗前至治疗后1年内，EAT-10评分与MBSImP (TM) A (c)（咽合成物）和PAS评分之间存在显著相关性（p < 0.05）。然而，在癌症治疗后超过1年的时间组中，未观察到HNC患者的相关性。
The Eating Assessment Tool-10 (EAT-10) represents a validated, easy to administer patient report dysphagia severity scale. Although its ability to detect swallowing impairment has been investigated in other patient populations, the utility of this instrument in individuals with head and neck cancer (HNC) has not been studied. The aim of the current investigation was to determine the relationship between patient ratings of swallowing impairment (EAT-10) and objective clinical ratings of swallow physiology in individuals with HNC. Forty-four HNC participants completed the EAT-10 and a standardized videofluoroscopy swallow study. Blinded raters determined airway safety using the penetration-aspiration scale (PAS) and swallowing function using the modified barium swallow impairment profile (MBSImP (TM) A (c)). Participants were stratified into three groups (pre-treatment through 1 year post-treatment, 1-5 years post-treatment, and > 5 years post-treatment). Independent t tests, Pearson's and Spearman's Rho correlations, and a Bonferroni correction for multiple comparisons were performed. EAT-10 scores were significantly higher in HNC patients with unsafe swallowing (M 24.45, SD 8.32) compared to those with safe swallowing (M 16.20, SD 12.14), t(21) = -2.36, p < 0.04. Significant correlations were revealed between EAT-10 scores and the MBSImP (TM) A (c) (pharyngeal composite), and PAS scores (p < 0.05) for the pre-treatment to within 1 year post-treatment group. No associations, however, were observed for HNC patients in the time groups representing greater than 1-year post cancer treatment.