1. European white paper
- Author
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Anna C.H. Willemsen, Chris Curtis, Taner Yılmaz, C. René Leemans, Jens Peter Klussmann, Lise Crevier-Buchman, Walmari Pilz, Nathalie Rommel, Leena-Maija Aaltonen, Giovanni Succo, Beatrice Manduchi, Kevin Hansen, Jean Paul Marie, Christoph Arens, Sefik Hosal, Denise MacCarthy, Markus Hess, Jesper Grau Eriksen, Christina Pflug, Annemie M. W. J. Schols, Kate Heathcote, Patrick Cras, Irene Wessel, Antonio Schindler, Laura W. J. Baijens, Wojciech Golusiński, Margaret Walshe, Reinie Cordier, Reza Nouraei, Pere Clavé, Roganie Govender, Renée Speyer, Julie Regan, Claire Parkes, LPP - Laboratoire de Phonétique et Phonologie - UMR 7018 (LPP), Université Sorbonne Nouvelle - Paris 3-Centre National de la Recherche Scientifique (CNRS), Clinicum, Korva-, nenä- ja kurkkutautien klinikka, HUS Head and Neck Center, KNO, RS: GROW - R2 - Basic and Translational Cancer Biology, MUMC+: MA Keel Neus Oorheelkunde (9), RS: MHeNs - R3 - Neuroscience, RS: NUTRIM - R3 - Respiratory & Age-related Health, Pulmonologie, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Otolaryngology / Head & Neck Surgery, and CCA - Cancer Treatment and quality of life
- Subjects
medicine.medical_specialty ,MULTIDISCIPLINARY TEAM MANAGEMENT ,Aging ,MODULATED RADIATION-THERAPY ,ITEM RESPONSE THEORY ,Context (language use) ,FIBEROPTIC ENDOSCOPIC EVALUATION ,SKELETAL-MUSCLE MASS ,03 medical and health sciences ,0302 clinical medicine ,White paper ,TRANSORAL ROBOTIC SURGERY ,QUALITY-OF-LIFE ,Transoral robotic surgery ,medicine ,Humans ,3125 Otorhinolaryngology, ophthalmology ,[SHS.LANGUE]Humanities and Social Sciences/Linguistics ,030223 otorhinolaryngology ,Head and neck cancer ,Papillomaviridae ,business.industry ,General Medicine ,Evidence-based medicine ,Dysphagia ,A300 ,Swallowing ,medicine.disease ,3. Good health ,Deglutition ,Europe ,Systematic review ,Otorhinolaryngology ,Head and Neck Neoplasms ,030220 oncology & carcinogenesis ,Family medicine ,UPPER ESOPHAGEAL SPHINCTER ,SQUAMOUS-CELL CARCINOMA ,Human medicine ,medicine.symptom ,How I do it ,business ,LOCALLY ADVANCED HEAD ,Deglutition Disorders ,Oropharyngeal dysphagia - Abstract
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.
- Published
- 2021