<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:type xml:lang="deu">Text</dc:type>
  <dc:type xml:lang="deu">Wissenschaftlicher Artikel</dc:type>
  <dc:publisher>MDPI</dc:publisher>
  <dc:source xml:lang="deu">Current Ontology</dc:source>
  <dc:description xml:lang="eng">Many patients with head-and-neck cancer (HNC) suffer from speech or swallowing disorders. We investigated the impact of dysphagia on health-related quality of life (HRQOL), functioning, and distress in HNC survivors, and whether cancer rehabilitation can alleviate these conditions. Before admission (T0) and at discharge (T1) of three-week inpatient cancer rehabilitation, patient-reported outcomes were collected. HRQOL, symptoms, functioning, and psychological distress were assessed with EORTC QLQ-C30 and Hospital Anxiety and Depression Scale (HADS) questionnaires. Of 63 HNC patients, 22 had dysphagia, 23 needed no speech therapy (Control-1), and 18 needed speech therapy, but showed no symptoms of dysphagia (Control-2). Before rehabilitation, HRQOL, physical, social, and emotional functioning were significantly lower in dysphagia patients than in controls. Dysphagia patients reported more severe general symptoms including fatigue, pain, sleep disturbances, nausea/vomiting, diarrhea, and financial worries. Furthermore, the emotional and social functioning of Control-2 was significantly worse than Control-1. For all HNC patients, social, emotional, and role functioning, fatigue, nausea/vomiting, insomnia, and appetite loss significantly improved at T1. Improvements in HRQOL were most noticeable in dysphagia patients. Psychooncological counseling reduced depression in dysphagia and Control-2 patients to levels seen in the general population. In conclusion, dysphagia patients suffer severely from impaired functioning and systemic symptoms but benefit substantially from rehabilitation.</dc:description>
  <dc:subject xml:lang="eng">patient-reported outcomes</dc:subject>
  <dc:subject xml:lang="eng">speech therapy</dc:subject>
  <dc:subject xml:lang="eng">psychooncology</dc:subject>
  <dc:subject xml:lang="eng">fatigue</dc:subject>
  <dc:subject xml:lang="eng">depression</dc:subject>
  <dc:subject xml:lang="eng">cancer survivorship</dc:subject>
  <dc:identifier>doi:10.3390/curroncol32040220</dc:identifier>
  <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
  <dc:date>2025-04-10</dc:date>
  <dc:creator>Špela Matko (Ludwig Boltzmann Institute for Rehabilitation Research)</dc:creator>
  <dc:creator>Christine Knauseder (Oncological Rehabilitation Center, Sankt Veit)</dc:creator>
  <dc:creator>Karin Pfaller-Frank</dc:creator>
  <dc:creator>Wilhelm Frank</dc:creator>
  <dc:creator>et al.</dc:creator>
  <dc:type xml:lang="eng">Text</dc:type>
  <dc:type xml:lang="eng">journal article</dc:type>
  <dc:title xml:lang="eng">The Role of Dysphagia on Head and Neck Cancer Patients’ Quality of Life, Functional Disabilities and Psychological Distress: Outcomes of Cancer Rehabilitation from an Observational Single-Center Study</dc:title>
  <dc:format>application/pdf</dc:format>
  <dc:language>eng</dc:language>
  <dc:identifier>https://door.donau-uni.ac.at/o:5476</dc:identifier>
</oai_dc:dc>