Health-Related Quality of Life and Oropharyngeal Dysphagia: A Systematic Review
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The negative impact of increased bolus modification on health-related quality of life (HRQoL) in persons with oropharyngeal dysphagia (OD) has been described in previous literature; however, findings may have been influenced by the severity of OD and underlying etiology. The current systematic review therefore aims to investigate the relationships between HRQoL and OD and to report on changes in HRQoL and OD following intervention. This review was conducted in accordance with the PRISMA statement. A systematic search of the literature was performed using PubMed and Embase. All available English publications up to February 2016 that reported on OD and HRQoL were included. Articles that studied OD arising from esophageal dysfunction or included less than 15 participants with OD, were excluded. Thirty-five studies met the inclusion criteria. Inverse bidirectional relationships were found between decreased HRQoL and increased OD severity. Following intervention, changes were evident through improved HRQoL with decreased OD severity. The findings of this paper highlight the importance of targeting HRQoL in patients with OD. However, because of the heterogeneity in methodology, terminology, and assessment procedures used in the retrieved articles, the generalization of study results is limited. More research investigating the relationships between HRQoL and OD is needed. Future studies should implement study designs that lead to stronger levels of evidence, quantify the severity of OD and underlying diseases, use validated measures and less ambiguous terminology.
KeywordsOropharyngeal dysphagia Health-related quality of life Deglutition
We would like to thank the librarians of Waleus Library (Leiden University Medical Center, the Netherlands) for formulating the literature search strategies.
Compliance with Ethical Standards
Conflict of interest
The authors declare they have no conflict of interest.
- 1.Cichero, J.A. and K.W. Altman, Definition, prevalence and burden of oropharyngeal dysphagia: A serious problem among older adults worldwide and the impact on prognosis and hospital resources. Nestle Nutrition Institute Workshop Service. Nestic Ltd., 2012;(72): p. 1–11.Google Scholar
- 6.da Silva Brandão DM, da Silva Nascinmento JL, da Vianna LG. Functional capacity and quality of life among elderly patients with or without OD after an ischemic stroke. Rev Assoc Med Bras. 2010;56(6):738–43.Google Scholar
- 13.European Society for Swallowing Disorders (ESSD). Position statement on the standardization of diagnostic methods—videofluoroscopy (VFS) and fiberoptic endoscopic evaluation of swallowing (FEES). 2nd ESSD Congress 2012. www.myessd.org.
- 22.World Health Organisation. WHOQOL: measuring quality of life. 1997 [cited 2015 25th March]. http://www.who.int/mental_health/media/68.pdf.
- 24.Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. JNS. 2005;37(4):336–42.Google Scholar
- 25.American Thoracic Society. Functional status. 2007. www.qol.thoracic.org.
- 30.Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7):1-6.Google Scholar
- 31.Kmet LM, Lee RC, Cook LS. Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Edmonton, University of Calgary, Faculty of Medicine: Alberta Heritage Foundation for Medical Research (AHFMR), HTA; 2004.Google Scholar
- 32.National Health and Medical Research Council (NHMRC), A guide to the development, implementation and evaluation of clinical practice guidelines. 1999, Canberra: NHMRC.Google Scholar
- 37.Bibi S, et al. The impact of oropharyngeal dysphagia on quality of life in individuals with age over 50 years. Rawal Med J. 2015;40(1):37–40.Google Scholar
- 41.Dos Santos Queija D, et al. Swallowing and quality of life after total laryngectomy and pharyngolaryngectomy. Braz J Otorhinolaryngol. 2009;75(4):556–64.Google Scholar
- 50.Nguyen N, Frank C, Moltz C, Vos P, Smith H, Karlsson U, Dutta S, Midyett A, Barloon J, Sallah S. Impact of dysphagia on quality of life after treatment of head-and-neck cance. Head Neck. 2005;61(3):772–8.Google Scholar
- 62.Ware JEJ, Kosinski M, Keller SD. SF 36 physical and mental health summary scales: a user’s manual. MA: The Health Institute, New England Medical Center; 1994.Google Scholar