"ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy

Wall, Laurelie R., Cartmill, Bena, Ward, Elizabeth C., Hill, Anne J., Isenring, Elizabeth, Byrnes, Joshua, Chambers, Suzanne, Dunn, Jeff, Nixon, Jodie, Whelan, Jane and Porceddu, Sandro V. (2016) "ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy. Oral Oncology, 54 47-53. doi:10.1016/j.oraloncology.2016.01.004

Author Wall, Laurelie R.
Cartmill, Bena
Ward, Elizabeth C.
Hill, Anne J.
Isenring, Elizabeth
Byrnes, Joshua
Chambers, Suzanne
Dunn, Jeff
Nixon, Jodie
Whelan, Jane
Porceddu, Sandro V.
Title "ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy
Journal name Oral Oncology   Check publisher's open access policy
ISSN 1879-0593
Publication date 2016-03-01
Sub-type Article (original research)
DOI 10.1016/j.oraloncology.2016.01.004
Open Access Status Not Open Access
Volume 54
Start page 47
End page 53
Total pages 7
Place of publication Kidlington, Oxford, United Kingdom
Publisher Elsevier
Language eng
Subject 2730 Oncology
3504 Oral Surgery
1306 Cancer Research
Formatted abstract
Background: In light of growing service demands, the use of computerized screening processes have been proposed to optimize patient triage and enhance the efficiency and synergy of multidisciplinary care practices. This study evaluated the accuracy of a novel system, ScreenIT, to detect swallowing, nutrition and distress status in HNC patients receiving (chemo)radiotherapy ([C]RT), and facilitate appropriate referrals for MDT management.

Materials and methods: Patient-reported data obtained from ScreenIT was compared to blinded face-to-face assessment by speech pathology/dietetic clinicians across five domains: side-effects, swallowing/oral intake, nutrition, distress, and need for supportive care services. Agreement was analysed using percent exact and close agreement (PEA/PCA) and kappa statistics.

Clinically acceptable agreement (PEA/PCA 80% or higher) was achieved for the majority of domains. In areas of discordance, ScreenIT demonstrated a higher sensitivity to patient-perceived concerns, particularly regarding distress. Management pathways generated by ScreenIT initiated clinically appropriate referrals for high and medium-risk patients for swallowing/nutrition and distress.

Conclusion: Findings suggest that ScreenIT may provide an effective and efficient means of monitoring swallowing, nutrition and distress status during (C)RT, and facilitate clinically appropriate prioritization of MDT supportive care intervention.
Keyword Distress
Head and neck cancer
Supportive care intervention
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

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