Impact of Parkinson's Disease-Related Dysphagia Severity on Quality of Life: Comparison Between Self-Reports and Videofluoroscopic Swallowing Study Results

Serkan Bengisu; Merve Savaş; Demet Aygün; Senanur Kahraman Beğen; Tutku Altıntaş; Burak Manay

Makale detayları

Impact of Parkinson's Disease-Related Dysphagia Severity on Quality of Life: Comparison Between Self-Reports and Videofluoroscopic Swallowing Study Results

Yazarlar:

Serkan Bengisu | Merve Savaş | Demet Aygün | Senanur Kahraman Beğen | Tutku Altıntaş | Burak Manay

Yayıncı:

Istanbul University

Ana Başlıklar:

Otorhinolaryngology

Dergi:

The Turkish Journal of Ear Nose and Throat Vol.34 Issue 3, pp.84-91

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001329968

pISSN:

2602-4837

Anahtar kelimeler:

Özet:

 Objective: The aim of this study was to evaluate the impact of dysphagia due to Parkinsons disease PD on quality of life and to compare the results of the objective assessment with those of patient self-reports. Materials and Methods: The study included 28 participants with PD. Patients were assessed clinically using the Eating Assessment Tool EAT-10 and objectively via video-fluoroscopy VFSS. The data obtained with VFSS were scored using the Penetration Aspiration Scale PAS and Functional Oral Intake Scale FOIS by an SLP blinded to patient information and clinical assessment methods. Swallowing disorder-related quality of life was assessed using the Swallowing Quality of Life Questionnaire SWAL-QOL. Results: It was found that as PD severity and duration increase, the severity of swallowing impairment also increases, leading to a negative effect on quality of life being affected negatively accordingly p0.05. According to the SWAL-QOL questionnaire results, dysphagic patients had lower SWAL-QOL scores, particularly in terms of burden, eating desire, duration, symptom frequency, food selection, and mental health domains. In addition, a statistically significant difference was found between the groups with and without dysphagia in all EAT-10, PAS, and FOIS scores p0.000, p0.20, p 011. There was no statistically significant difference between self-reports on the presence of swallowing disorders and the results of the objective assessment using the VFSS p0.298. Conclusion: In patients with PD, swallowing impairment becomes more pronounced as the duration and severity of the disease increase, and quality of life is negatively affected. The results of this study suggest that the results between objective assessments and patient reports are inconsistent and therefore emphasise the importance of objective measurement methods in dysphagia assessment.

 Objective: The aim of this study was to evaluate the impact of dysphagia due to Parkinsons disease PD on quality of life and to compare the results of the objective assessment with those of patient self-reports. Materials and Methods: The study included 28 participants with PD. Patients were assessed clinically using the Eating Assessment Tool EAT-10 and objectively via video-fluoroscopy VFSS. The data obtained with VFSS were scored using the Penetration Aspiration Scale PAS and Functional Oral Intake Scale FOIS by an SLP blinded to patient information and clinical assessment methods. Swallowing disorder-related quality of life was assessed using the Swallowing Quality of Life Questionnaire SWAL-QOL. Results: It was found that as PD severity and duration increase, the severity of swallowing impairment also increases, leading to a negative effect on quality of life being affected negatively accordingly p0.05. According to the SWAL-QOL questionnaire results, dysphagic patients had lower SWAL-QOL scores, particularly in terms of burden, eating desire, duration, symptom frequency, food selection, and mental health domains. In addition, a statistically significant difference was found between the groups with and without dysphagia in all EAT-10, PAS, and FOIS scores p0.000, p0.20, p 011. There was no statistically significant difference between self-reports on the presence of swallowing disorders and the results of the objective assessment using the VFSS p0.298. Conclusion: In patients with PD, swallowing impairment becomes more pronounced as the duration and severity of the disease increase, and quality of life is negatively affected. The results of this study suggest that the results between objective assessments and patient reports are inconsistent and therefore emphasise the importance of objective measurement methods in dysphagia assessment.

 Objective: The aim of this study was to evaluate the impact of dysphagia due to Parkinsons disease PD on quality of life and to compare the results of the objective assessment with those of patient self-reports. Materials and Methods: The study included 28 participants with PD. Patients were assessed clinically using the Eating Assessment Tool EAT-10 and objectively via video-fluoroscopy VFSS. The data obtained with VFSS were scored using the Penetration Aspiration Scale PAS and Functional Oral Intake Scale FOIS by an SLP blinded to patient information and clinical assessment methods. Swallowing disorder-related quality of life was assessed using the Swallowing Quality of Life Questionnaire SWAL-QOL. Results: It was found that as PD severity and duration increase, the severity of swallowing impairment also increases, leading to a negative effect on quality of life being affected negatively accordingly p0.05. According to the SWAL-QOL questionnaire results, dysphagic patients had lower SWAL-QOL scores, particularly in terms of burden, eating desire, duration, symptom frequency, food selection, and mental health domains. In addition, a statistically significant difference was found between the groups with and without dysphagia in all EAT-10, PAS, and FOIS scores p0.000, p0.20, p 011. There was no statistically significant difference between self-reports on the presence of swallowing disorders and the results of the objective assessment using the VFSS p0.298. Conclusion: In patients with PD, swallowing impairment becomes more pronounced as the duration and severity of the disease increase, and quality of life is negatively affected. The results of this study suggest that the results between objective assessments and patient reports are inconsistent and therefore emphasise the importance of objective measurement methods in dysphagia assessment.

 Objective: The aim of this study was to evaluate the impact of dysphagia due to Parkinsons disease PD on quality of life and to compare the results of the objective assessment with those of patient self-reports. Materials and Methods: The study included 28 participants with PD. Patients were assessed clinically using the Eating Assessment Tool EAT-10 and objectively via video-fluoroscopy VFSS. The data obtained with VFSS were scored using the Penetration Aspiration Scale PAS and Functional Oral Intake Scale FOIS by an SLP blinded to patient information and clinical assessment methods. Swallowing disorder-related quality of life was assessed using the Swallowing Quality of Life Questionnaire SWAL-QOL. Results: It was found that as PD severity and duration increase, the severity of swallowing impairment also increases, leading to a negative effect on quality of life being affected negatively accordingly p0.05. According to the SWAL-QOL questionnaire results, dysphagic patients had lower SWAL-QOL scores, particularly in terms of burden, eating desire, duration, symptom frequency, food selection, and mental health domains. In addition, a statistically significant difference was found between the groups with and without dysphagia in all EAT-10, PAS, and FOIS scores p0.000, p0.20, p 011. There was no statistically significant difference between self-reports on the presence of swallowing disorders and the results of the objective assessment using the VFSS p0.298. Conclusion: In patients with PD, swallowing impairment becomes more pronounced as the duration and severity of the disease increase, and quality of life is negatively affected. The results of this study suggest that the results between objective assessments and patient reports are inconsistent and therefore emphasise the importance of objective measurement methods in dysphagia assessment.

Makale detayları

Impact of Parkinson's Disease-Related Dysphagia Severity on Quality of Life: Comparison Between Self-Reports and Videofluoroscopic Swallowing Study Results

Yazarlar:

Serkan Bengisu | Merve Savaş | Demet Aygün | Senanur Kahraman Beğen | Tutku Altıntaş | Burak Manay

Yayıncı:

Istanbul University

Ana Başlıklar:

Otorhinolaryngology

Dergi:

The Turkish Journal of Ear Nose and Throat Vol.34 Issue 3, pp.84-91

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001329968

pISSN:

2602-4837

Parkinson disease

dysphagia

quality of life

videofluoroscopy

self reports

Sayı

Makale detayları

Impact of Parkinson's Disease-Related Dysphagia Severity on Quality of Life: Comparison Between Self-Reports and Videofluoroscopic Swallowing Study Results

Yazarlar: Serkan Bengisu | Merve Savaş | Demet Aygün | Senanur Kahraman Beğen | Tutku Altıntaş | Burak Manay

Yayıncı: Istanbul University

Ana Başlıklar: Otorhinolaryngology

Dergi: The Turkish Journal of Ear Nose and Throat Vol.34 Issue 3, pp.84-91

Belge Tipi: Makale

Yayın Tarihi: 9/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001329968

pISSN: 2602-4837

Parkinson disease

dysphagia

quality of life

videofluoroscopy

self reports

Sayı

Yazarlar:

Serkan Bengisu | Merve Savaş | Demet Aygün | Senanur Kahraman Beğen | Tutku Altıntaş | Burak Manay

Yayıncı:

Istanbul University

Ana Başlıklar:

Otorhinolaryngology

Dergi:

The Turkish Journal of Ear Nose and Throat Vol.34 Issue 3, pp.84-91

Belge Tipi:

Makale

Yayın Tarihi:

9/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001329968

pISSN:

2602-4837