{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:09:40Z","timestamp":1780412980933,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T00:00:00Z","timestamp":1583107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005622","name":"Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005622","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Little is known about what factors affect patient\u2010reported swallowing outcome after total laryngectomy. We explored whether patient demographics, surgical variables, use of adjuvant treatment, and time since surgery were associated with patient\u2010reported swallowing outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional study of laryngectomees in eight UK hospitals. Demographic, treatment, and surgical variables were drawn from medical notes. The swallowing outcomes after laryngectomy (SOAL) questionnaire captured perceived swallowing outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and twenty one participants had complete data on treatment\u2010related variables. In regression analysis, having a free jejunum flap repair and requiring chemoradiation were the only two variables that added significantly to the model of worse self\u2010reported swallowing outcome (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> adjusted = .23, <jats:italic>P<\/jats:italic> &lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The SOAL is a sensitive measure of self\u2010reported swallowing outcome after laryngectomy. Type of surgical closure and the type of additional treatment influenced the swallowing outcome reported by patients. Changes in perceived swallowing function need to be routinely evaluated to inform clinical decision\u2010making and intervention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26132","type":"journal-article","created":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T13:21:04Z","timestamp":1583155264000},"page":"1963-1969","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Factors affecting swallowing outcomes after total laryngectomy: Participant self\u2010report using the swallowing outcomes after laryngectomy questionnaire"],"prefix":"10.1002","volume":"42","author":[{"given":"Mary T.","family":"Lee","sequence":"first","affiliation":[{"name":"Head and Neck Centre University College London Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roganie","family":"Govender","sequence":"additional","affiliation":[{"name":"Head and Neck Centre University College London Hospital  London UK"},{"name":"Research Department of Behavioural Science and Health University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny J.","family":"Roy","sequence":"additional","affiliation":[{"name":"Centre for Language and Communication Science Research, School of Health Sciences, City University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Vaz","sequence":"additional","affiliation":[{"name":"Head and Neck Centre University College London Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2091-4849","authenticated-orcid":false,"given":"Katerina","family":"Hilari","sequence":"additional","affiliation":[{"name":"Centre for Language and Communication Science Research, School of Health Sciences, City University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31497-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215108002119"},{"issue":"2","key":"e_1_2_6_4_1","first-page":"295","article-title":"Biomechanics of Pharyngeal Deglutitive Function following Total Laryngectomy","volume":"155","author":"Zhang T","year":"2016","journal-title":"Laryngol Neurolaryngol"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25508"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12036"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000162"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.2.181"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-008-9189-5"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810390906"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12466"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.08.023"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12443"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1598-7"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2016.05.017"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2018.11.022"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812437315"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199907)21:4<319::AID-HED5>3.0.CO;2-H"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.6.526"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23305"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2014.09.002"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12148"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24291"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/dow028"},{"key":"e_1_2_6_25_1","unstructured":"Cancer Research UK. 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