Cochrane · systematic review · CD011112
Therapeutic exercises for affecting post‐treatment swallowing in people treated for advanced‐stage head and neck cancers
Perry, A, Lee, SH, Cotton, S, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
ENTAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 8 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Therapeutic swallowing exercises compared with treatment as usual (TAU) for dysphagia in head and neck cancer patients
Population: adults with advanced head and neck cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Swallowing function/efficiency Measured using a rating of oropharyngeal swallowing efficiency (OPSE) quantifying the interaction of the speed of bolus movement and safety/efficiency in clearing material from the oropharynx Dysphagia is defined as ... Therapeutic swallowing exercises vs treatment | no estimate extracted | 1 study · 16 participants | Very low |
Adverse event: Weight loss (> 10%) Change in nutritional status reflected by a patient's weight measured at 6 weeks post‐treatment Therapeutic swallowing exercises vs treatment | RR 0.62 [0.22, 1.71] | 1 study · 27 participants | Very low |
Adverse event: Weight loss (> 10%) Change in nutritional status reflected by a patient's weight during the study period 10 weeks post‐treatment Therapeutic swallowing exercises vs treatment | no estimate extracted | 1 study · 55 participants | Very low |
Adverse event: Weight change Patient's body weight 6 months before the start of treatment was retrieved from the patient's medical notes and "relative weight change" was calculated as the percentage weight change relative to the weight at week 0 6... Therapeutic swallowing exercises vs treatment | MD 1.34 | 1 study · 120 participants | Very low |
Aspiration Scored as present, trace or absent, for any consistency 5 months post‐treatment Therapeutic swallowing exercises vs treatment | no estimate extracted | 1 study · 39 participants | Very low |
Penetration Scored as present, trace or absent, for any consistency 5 months post‐treatment Therapeutic swallowing exercises vs treatment | no estimate extracted | 1 study · 39 participants | Very low |
Therapeutic swallowing exercises compared with sham intervention for dysphagia in head and neck cancer patients
Population: adults with advanced head and neck cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adverse events: Dysphagia‐related complications Occurrence of dysphagia‐related complications: pneumonia, dehydration, mucositis and oral yeast infection Therapeutic swallowing exercises vs sham intervention | no estimate extracted | 1 study · 27 participants | Very low |
Adverse event: Weight loss (> 10%) Change in nutritional status reflected by a patient's weight at 6 weeks after treatment Therapeutic swallowing exercises vs sham intervention | RR 0.62 [0.22, 1.71] | 1 study · 27 participants | Very low |