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      Affective symptoms and swallow‐specific quality of life in total laryngectomy patients

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          Abstract

          Background

          The aim of this study is to determine the prevalence of clinically relevant affective symptoms and level of swallow‐specific quality of life (QoL) in dysphagic patients with total laryngectomy (TL) and to explore the relationship between affective symptoms and swallow‐specific QoL.

          Methods

          Thirty‐five TL patients completed the Hospital Anxiety and Depression Scale (HADS) and the MD Anderson Dysphagia Inventory (MDADI). Student's t test and linear regression were used.

          Results

          Eight (23%) patients showed clinically relevant symptoms of anxiety, 8 (23%) of depression, and 11 (31%) showed either one. These groups had significantly lower mean MDADI scores. One‐point increase in HADS‐anxiety or HADS‐depression subscale score corresponds with a decrease of 2.7 or 3.0 points, on average, respectively, of the MDADI total score.

          Conclusions

          Clinically relevant affective symptoms were present in approximately one‐third of the TL patients. These preliminary results show that increased affective symptom scores correlate with a decreased swallow‐specific QoL.

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          Most cited references35

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          The hospital anxiety and depression scale.

          A S Zigmond, R P Snaith (1983)
          A self-assessment scale has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The anxiety and depressive subscales are also valid measures of severity of the emotional disorder. It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments.
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            The validity of the Hospital Anxiety and Depression Scale. An updated literature review.

            Ingvar Bjelland, Alv A Dahl, Tone Haug … (2002)
            To review the literature of the validity of the Hospital Anxiety and Depression Scale (HADS). A review of the 747 identified papers that used HADS was performed to address the following questions: (I) How are the factor structure, discriminant validity and the internal consistency of HADS? (II) How does HADS perform as a case finder for anxiety disorders and depression? (III) How does HADS agree with other self-rating instruments used to rate anxiety and depression? Most factor analyses demonstrated a two-factor solution in good accordance with the HADS subscales for Anxiety (HADS-A) and Depression (HADS-D), respectively. The correlations between the two subscales varied from.40 to.74 (mean.56). Cronbach's alpha for HADS-A varied from.68 to.93 (mean.83) and for HADS-D from.67 to.90 (mean.82). In most studies an optimal balance between sensitivity and specificity was achieved when caseness was defined by a score of 8 or above on both HADS-A and HADS-D. The sensitivity and specificity for both HADS-A and HADS-D of approximately 0.80 were very similar to the sensitivity and specificity achieved by the General Health Questionnaire (GHQ). Correlations between HADS and other commonly used questionnaires were in the range.49 to.83. HADS was found to perform well in assessing the symptom severity and caseness of anxiety disorders and depression in both somatic, psychiatric and primary care patients and in the general population.
            Article 0 comments Cited 1099 times – based on 0 reviews     Review now
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              Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update on 93 randomised trials and 17,346 patients.

              Jean-Pierre Pignon, Aurelie Maitre, Emilie Maillard … (2009)
              Our previous individual patient data (IPD) meta-analysis showed that chemotherapy improved survival in patients curatively treated for non-metastatic head and neck squamous cell carcinoma (HNSCC), with a higher benefit with concomitant chemotherapy. However the heterogeneity of the results limited the conclusions and prompted us to confirm the results on a more complete database by adding the randomised trials conducted between 1994 and 2000. The updated IPD meta-analysis included trials comparing loco-regional treatment to loco-regional treatment+chemotherapy in HNSCC patients and conducted between 1965 and 2000. The log-rank-test, stratified by trial, was used to compare treatments. The hazard ratios of death were calculated. Twenty-four new trials, most of them of concomitant chemotherapy, were included with a total of 87 trials and 16,485 patients. The hazard ratio of death was 0.88 (p<0.0001) with an absolute benefit for chemotherapy of 4.5% at 5 years, and a significant interaction (p<0.0001) between chemotherapy timing (adjuvant, induction or concomitant) and treatment. Both direct (6 trials) and indirect comparisons showed a more pronounced benefit of the concomitant chemotherapy as compared to induction chemotherapy. For the 50 concomitant trials, the hazard ratio was 0.81 (p<0.0001) and the absolute benefit 6.5% at 5 years. There was a decreasing effect of chemotherapy with age (p=0.003, test for trend). The benefit of concomitant chemotherapy was confirmed and was greater than the benefit of induction chemotherapy.
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                Author and article information

                Contributors
                Glen J. F. Kemps:
                ORCID: https://orcid.org/0000-0002-0284-9433
                glen.kemps@mumc.nl
                Journal
                Journal ID (nlm-ta): Head Neck
                Journal ID (iso-abbrev): Head Neck
                Journal ID (doi): 10.1002/(ISSN)1097-0347
                Journal ID (publisher-id): HED
                Title: Head & Neck
                Publisher: John Wiley & Sons, Inc. (Hoboken, USA )
                ISSN (Print): 1043-3074
                ISSN (Electronic): 1097-0347
                Publication date (Electronic): 04 July 2020
                Publication date (Print): November 2020
                Volume: 42
                Issue: 11 ( doiID: 10.1002/hed.v42.11 )
                Pages: 3179-3187
                Affiliations
                [ 1 ] Department of Otorhinolaryngology, Head and Neck Surgery Maastricht University Medical Center Maastricht The Netherlands
                [ 2 ] School for Oncology and Developmental Biology (GROW) Maastricht University Maastricht The Netherlands
                [ 3 ] School of Mental Health and Neurosciences (MHeNS) Maastricht University Maastricht The Netherlands
                [ 4 ] Department of Methodology and Statistics Maastricht University Maastricht The Netherlands
                [ 5 ] Care and Public Health Research Institute – CAPHRI Maastricht University Medical Center Maastricht The Netherlands
                Author notes
                [*] [* ] Correspondence

                Glen J. F. Kemps, Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, PO Box 5800, 6202 AZ Maastricht, the Netherlands.

                Email: glen.kemps@ 123456mumc.nl

                Author information
                https://orcid.org/0000-0002-0284-9433
                Article
                Publisher ID: HED26365
                DOI: 10.1002/hed.26365
                PMC ID: 7586820
                PubMed ID: 32621568
                SO-VID: 3b091063-5bc4-4019-a858-a6424b032e11
                Copyright © © 2020 The Authors. Head & Neck published by Wiley Periodicals LLC.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 11 October 2019
                Date revision received : 26 May 2020
                Date accepted : 16 June 2020
                Page count
                Figures: 2, Tables: 3, Pages: 9, Words: 6016
                Categories
                Subject: Original Article
                Subject: Original Articles
                Custom metadata
                source-schema-version-number 2.0
                cover-date November 2020
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.3 mode:remove_FC converted:26.10.2020

                ScienceOpen disciplines: Otolaryngology
                Keywords: dysphagia,hads,laryngectomy,mdadi,swallow‐specific quality of life
                Data availability:
                ScienceOpen disciplines: Otolaryngology
                Keywords: dysphagia, hads, laryngectomy, mdadi, swallow‐specific quality of life

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