Implementing flexible endoscopic evaluation of swallow screening within annual cancer surveillance appointments to monitor for late‐stage radiation‐induced dysphagia: A feasibility study
Emma J. Stradling, Molly K. Barnhart, Rachelle A. Robinson, Penny J. Mogg, Elizabeth C. Ward, Robert I. Smee- Otorhinolaryngology
Abstract
Background
Late‐stage progressive decline of swallowing function after radiotherapy for head and neck cancer (HNC) is often difficult to monitor. This study examined the feasibility and clinical outcomes of speech‐language pathology implementing flexible endoscopic evaluation of swallow (FEES) screening during annual cancer surveillance visits to monitor late‐stage swallowing function.
Methods
Patients >2 years post treatment who attended routine oncological visits underwent FEES screening. Feasibility (service data, stakeholder survey) and swallowing outcomes (oral intake, secretions, internal lymphedema, penetration–aspiration, and residue) were collected.
Results
Screening was completed with 70% (50/71) of eligible patients. Medical staff and speech‐language pathologists indicated the protocol was worthwhile and achievable to incorporate into practice. Almost all patients were willing to complete the protocol annually. FEES outcomes identified 84% with dysphagia versus only 26% self‐reported dysphagia.
Conclusion
Findings indicate FEES screening incorporated into annual oncological reviews is feasible and effective at monitoring late‐stage swallowing function following HNC.