"ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy

Oral Oncology
Laurelie R WallSandro V Porceddu

Abstract

In light of growing service demands, the use of computerized screening processes have been proposed to optimize patient triage and enhance the efficiency and synergy of multidisciplinary care practices. This study evaluated the accuracy of a novel system, ScreenIT, to detect swallowing, nutrition and distress status in HNC patients receiving (chemo)radiotherapy ([C]RT), and facilitate appropriate referrals for MDT management. Patient-reported data obtained from ScreenIT was compared to blinded face-to-face assessment by speech pathology/dietetic clinicians across five domains: side-effects, swallowing/oral intake, nutrition, distress, and need for supportive care services. Agreement was analysed using percent exact and close agreement (PEA/PCA) and kappa statistics. Clinically acceptable agreement (PEA/PCA 80% or higher) was achieved for the majority of domains. In areas of discordance, ScreenIT demonstrated a higher sensitivity to patient-perceived concerns, particularly regarding distress. Management pathways generated by ScreenIT initiated clinically appropriate referrals for high and medium-risk patients for swallowing/nutrition and distress. Findings suggest that ScreenIT may provide an effective and efficient means of mon...Continue Reading

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Citations

Mar 21, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Elizabeth C WardAnne J Hill
Jun 19, 2018·The Australian Journal of Rural Health·Kelsey A PatemanPauline J Ford
Nov 1, 2018·Journal of Medical Radiation Sciences·Jodie L NixonSandro V Porceddu
Aug 31, 2020·International Journal of Speech-language Pathology·Jacqui FrowenNicole Kiss
Jul 29, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Laura B MoroneyBrett G M Hughes
Apr 30, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Grainne C BradyJustin W G Roe
Jul 14, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·S Duman-LubberdingI M Verdonck-de Leeuw
Nov 11, 2020·Journal of Medical Radiation Sciences·Laurelie R WishartSandro V Porceddu
Feb 9, 2021·American Journal of Speech-language Pathology·Georgia A MalandrakiJaime Bauer Malandraki
Nov 27, 2020·Journal of Stomatology, Oral and Maxillofacial Surgery·J BouaoudP Saintigny

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