TY - JOUR
T1 - European white paper
T2 - oropharyngeal dysphagia in head and neck cancer
AU - Baijens, Laura W. J.
AU - Walshe, Margaret
AU - Aaltonen, Leena-Maija
AU - Arens, Christoph
AU - Cordier, Reinie
AU - Cras, Patrick
AU - Crevier-Buchman, Lise
AU - Curtis, Chris
AU - Golusinski, Wojciech
AU - Govender, Roganie
AU - Eriksen, Jesper Grau
AU - Hansen, Kevin
AU - Heathcote, Kate
AU - Hess, Markus M.
AU - Hosal, Sefik
AU - Klussmann, Jens Peter
AU - Leemans, C. Rene
AU - MacCarthy, Denise
AU - Manduchi, Beatrice
AU - Marie, Jean-Paul
AU - Nouraei, Reza
AU - Parkes, Claire
AU - Pflug, Christina
AU - Pilz, Walmari
AU - Regan, Julie
AU - Rommel, Nathalie
AU - Schindler, Antonio
AU - Schols, Annemie M. W. J.
AU - Speyer, Renee
AU - Succo, Giovanni
AU - Wessel, Irene
AU - Willemsen, Anna C. H.
AU - Yilmaz, Taner
AU - Clave, Pere
N1 - Funding Information:
Sergio Marin: Centro de Investigaci?n Biom?dica en Red de Enfermedades Hep?ticas y Digestivas (CIBERehd), Barcelona, Spain. Rowan Willems: Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. Mireia Bol?var:37Gastrointestinal Physiology Laboratory. Hospital de Matar?, Universitat Aut?noma de Barcelona, Matar?, Spain.
Publisher Copyright:
© 2020, The Author(s).
PY - 2021/2
Y1 - 2021/2
N2 - Purpose To develop a European White Paper document on oropharyngeal dysphagia (OD) in head and neck cancer (HNC). There are wide variations in the management of OD associated with HNC across Europe. Methods Experts in the management of specific aspects of OD in HNC across Europe were delegated by their professional medical and multidisciplinary societies to contribute to this document. Evidence is based on systematic reviews, consensus-based position statements, and expert opinion. Results Twenty-four sections on HNC-specific OD topics. Conclusion This European White Paper summarizes current best practice on management of OD in HNC, providing recommendations to support patients and health professionals. The body of literature and its level of evidence on diagnostics and treatment for OD in HNC remain poor. This is in the context of an expected increase in the prevalence of OD due to HNC in the near future. Contributing factors to increased prevalence include aging of our European population (including HNC patients) and an increase in human papillomavirus (HPV) related cancer, despite the introduction of HPV vaccination in various countries. We recommend timely implementation of OD screening in HNC patients while emphasizing the need for robust scientific research on the treatment of OD in HNC. Meanwhile, its management remains a challenge for European professional associations and policymakers.
AB - Purpose To develop a European White Paper document on oropharyngeal dysphagia (OD) in head and neck cancer (HNC). There are wide variations in the management of OD associated with HNC across Europe. Methods Experts in the management of specific aspects of OD in HNC across Europe were delegated by their professional medical and multidisciplinary societies to contribute to this document. Evidence is based on systematic reviews, consensus-based position statements, and expert opinion. Results Twenty-four sections on HNC-specific OD topics. Conclusion This European White Paper summarizes current best practice on management of OD in HNC, providing recommendations to support patients and health professionals. The body of literature and its level of evidence on diagnostics and treatment for OD in HNC remain poor. This is in the context of an expected increase in the prevalence of OD due to HNC in the near future. Contributing factors to increased prevalence include aging of our European population (including HNC patients) and an increase in human papillomavirus (HPV) related cancer, despite the introduction of HPV vaccination in various countries. We recommend timely implementation of OD screening in HNC patients while emphasizing the need for robust scientific research on the treatment of OD in HNC. Meanwhile, its management remains a challenge for European professional associations and policymakers.
KW - Head and neck cancer
KW - Dysphagia
KW - White paper
KW - Deglutition
KW - Swallowing
KW - QUALITY-OF-LIFE
KW - FIBEROPTIC ENDOSCOPIC EVALUATION
KW - TRANSORAL ROBOTIC SURGERY
KW - MODULATED RADIATION-THERAPY
KW - SQUAMOUS-CELL CARCINOMA
KW - LOCALLY ADVANCED HEAD
KW - UPPER ESOPHAGEAL SPHINCTER
KW - SKELETAL-MUSCLE MASS
KW - ITEM RESPONSE THEORY
KW - MULTIDISCIPLINARY TEAM MANAGEMENT
U2 - 10.1007/s00405-020-06507-5
DO - 10.1007/s00405-020-06507-5
M3 - Article
C2 - 33341909
SN - 0937-4477
VL - 278
SP - 577
EP - 616
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
IS - 2
ER -