{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:04:08Z","timestamp":1768341848721,"version":"3.49.0"},"reference-count":39,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2015,11,13]],"date-time":"2015-11-13T00:00:00Z","timestamp":1447372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this prospective study was to evaluate the swallowing performance of patients with head and neck cancer treated with parotid\u2010sparing intensity\u2010modulated radiotherapy (IMRT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010two patients were recruited. Data were collected before and up to 12 months after treatment. Measures included the Performance Status Scale for head and neck cancer (PSS\u2010HN Normalcy of Diet and Eating in Public subscales), tube feeding status, and 100 mL water swallow test (WST) volume and capacity scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant reduction in PSS\u2010HN and WST scores from baseline to 3 months (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Significant improvements were observed up to 12 months on the PSS\u2010HN. Swallowing volume and capacity scores recovered but did not reach statistical significance. Tube feeding was not required in 47% of the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>IMRT significantly impacts on swallowing performance, although there is a trend for improvement up to 12 months after treatment. Our data support a case\u2010by\u2010case approach to tube feeding. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>38<\/jats:bold>: E1436\u2013E1444, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24255","type":"journal-article","created":{"date-parts":[[2015,11,14]],"date-time":"2015-11-14T04:13:38Z","timestamp":1447474418000},"source":"Crossref","is-referenced-by-count":9,"title":["Swallowing performance and tube feeding status in patients treated with parotid\u2010sparing intensity\u2010modulated radiotherapy for head and neck cancer"],"prefix":"10.1002","volume":"38","author":[{"given":"Justin W.G.","family":"Roe","sequence":"first","affiliation":[{"name":"Department of Speech and Language Therapy The Royal Marsden NHS Foundation Trust London UK"},{"name":"The Institute of Cancer Research London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul N.","family":"Carding","sequence":"additional","affiliation":[{"name":"Speech Pathology, School of Allied Health, Australian National Catholic University, Brisbane Campus Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Drinnan","sequence":"additional","affiliation":[{"name":"Department of Medical Physics Freeman Hospital, Newcastle Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Institute of Cellular Medicine, University of Newcastle upon Tyne  UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin J.","family":"Harrington","sequence":"additional","affiliation":[{"name":"The Institute of Cancer Research London UK"},{"name":"Head and Neck Unit The Royal Marsden NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher M.","family":"Nutting","sequence":"additional","affiliation":[{"name":"The Institute of Cancer Research London UK"},{"name":"Head and Neck Unit The Royal Marsden NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,13]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Department of Health Macmillan Cancer Support NHS Improvement. 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