Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems

Lawson, Nadine, Krisciunas, Gintas P., Langmore, Susan E., Castellano, Kerlly, Sokoloff, William and Hayatbakhsh, Reza (2016) Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems. International Journal of Speech-Language Pathology, . doi:10.3109/17549507.2016.1159334


Author Lawson, Nadine
Krisciunas, Gintas P.
Langmore, Susan E.
Castellano, Kerlly
Sokoloff, William
Hayatbakhsh, Reza
Title Comparing dysphagia therapy in head and neck cancer patients in Australia with international healthcare systems
Journal name International Journal of Speech-Language Pathology   Check publisher's open access policy
ISSN 1754-9507
1754-9515
Publication date 2016-04-19
Year available 2016
Sub-type Article (original research)
DOI 10.3109/17549507.2016.1159334
Open Access Status Not Open Access
Total pages 11
Place of publication Abingdon, Oxfordshire, United Kingdom
Publisher Taylor & Francis
Collection year 2017
Language eng
Formatted abstract
Purpose: The Australian healthcare system has invested heavily in multidisciplinary cancer care teams. Despite such investments, guidelines that clearly delineate standard of care dysphagia treatment are lacking and services provided to Head and Neck Cancer (HNC) patients are not always consistent. There is little consensus regarding the frequency and intensity of dysphagia therapy. This is largely due to a lack of well-designed clinical trials that establish the efficacy of any dysphagia therapy in this patient population. The aim of this study was to evaluate HNC dysphagia therapy patterns among Australian speech-language pathologists (SLPs).

Method: A 22 question internet-based survey was administered to a web-based professional interest group. Results were analysed by institution type and individual clinical experience.

Result: A response rate of 46% was achieved (67 out of 144 surveyed). This survey identified several aspects of dysphagia management that were provided uniformly in addition to many aspects of care that showed a lack of consensus.

Conclusion: By comparing the results of this survey with existing international best-evidence treatment guidelines, the development of uniform Australian guidelines may be facilitated. However, more authoritative data on dysphagia treatment efficacy is needed to provide uniform evidence-based HNC dysphagia treatment guidelines
Keyword Dysphagia
Head and neck cancer
Speech-language pathology
Swallowing
Usual practice
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
 
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