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Proactive swallowing rehabilitation and feeding tube placement in pharyngeal cancer patientsaassociation of a proactive swallowing rehabilitation program with feeding tube placement in patients treated for pharyngeal cancer

JAMA Otolaryngology—Head & Neck Surgery Apr 25, 2018

Ajmani GS, et al. - Researchers assessed the initiation of a proactive speech and language pathology (SLP) rehabilitation program at a single institution and its relationship with rates of feeding tube placement and dietary intake in patients with head and neck squamous cell carcinoma (HNSCC). A successful establishment of a proactive SLP program could be done as a part of the multidisciplinary care of patients with HNSCC and improve patient quality of life. Among patients receiving a swallow evaluation, for those receiving a pretreatment evaluation vs those referred during or after treatment less frequent feeding tube requirements were demonstrated. At the end of treatment, the rate of tolerating any oral intake improved from 71.1% in the pre-implementation period to 82.4%.
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