{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T16:57:53Z","timestamp":1789750673018,"version":"4.0.1"},"reference-count":157,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the diagnostic profile of early (i.e., &lt;\u20096\u2009months of treatment) and late (i.e., \u2265\u20096 months of treatment) radiation\u2010associated dysphagia (RAD) in patients with head and neck cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>The literature was queried from inception to July 19, 2024. Outcomes included patient\u2010reported outcome measures, aspiration prevalence, pharyngoesophageal stricture rate, and gastric tube presence. Data were collected at various time points from baseline up to 24\u2009months post\u2010treatment; longer\u2010term data beyond 24\u2009months was descriptively summarized. Meta\u2010analysis of continuous measures (mean) and proportions (%) with 95% confidence intervals (CI) was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 2881 abstracts identified, 99 studies (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200915\u2009578 patients) were included. Mean age was 58.4\u2009years; 78.9% of patients were male. M.D. Anderson Dysphagia Inventory composite scores were 71.2 (CI: 66.8\u201375.6) at 3\u2009months and 82.8 (CI: 79.2\u201386.3) at 24\u2009months, signifying improvement in swallowing\u2010related quality of life. Aspiration prevalence was 28.4% (CI: 11.6\u201349.1) at 3\u2009months and 8.8% (CI: 0.13\u201328.7) at 24\u2009months. Stricture rate was 21.2% (CI: 9.7\u201315.2) at 6\u2009months and 9.1% [CI: 3.0\u201317.9] at 24\u2009months. Gastric tube presence declined from baseline (44.5% [CI: 36.8\u201352.4]) to 6\u2009months (12.3% [CI: 9.7\u201316.6]) and fluctuated from 1 to 10\u2009years post\u2010treatment (range: 4.14% [CI: 2.7\u20135.9] to 9.17% [CI: 5.5\u201314.2]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RAD severity peaks within 3\u2009months post\u2010treatment, with improvement by 6\u2009months. However, even at 2\u2009years post\u2010treatment, a substantial number of patients continue to experience clinically significant dysphagia. These findings highlight the persistent burden of RAD, underscoring the need for proactive longer\u2010term dysphagia evaluation and management in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70107","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T09:40:56Z","timestamp":1764841256000},"page":"597-623","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Longitudinal Patterns of Radiation\u2010Associated Dysphagia in Patients With Head and Neck Cancer: A Systematic Review"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9839-4374","authenticated-orcid":false,"given":"Anuja H.","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Medical University of South Carolina  Charleston South Carolina USA"},{"name":"Georgetown University School of Medicine  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan T.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Medical University of South Carolina  Charleston South Carolina USA"},{"name":"Penn State College of Medicine  Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0664-4571","authenticated-orcid":false,"given":"Shaun A.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin C.","family":"Pelic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Davidson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1293-501X","authenticated-orcid":false,"given":"Ashli K.","family":"O'Rourke","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Medical University of South Carolina  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2020.0031"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25412"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010011\u20101342\u20102"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.302"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2024.0049"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010025\u201013695\u2010y"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.4715"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2020.04.016"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2004.06.017"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010024\u201010782\u20103"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2015.01.019"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semradonc.2008.09.007"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0360\u20103016(78)90180\u20103"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2020.104853"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010020\u201010128\u20109"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2013.06.001"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010016\u20109710\u20101"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2008.11.041"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"issue":"7","key":"e_1_2_12_21_1","first-page":"870","article-title":"The Development and Validation of a Dysphagia\u2010Specific Quality\u2010of\u2010Life Questionnaire for Patients With Head and Neck Cancer: The M. 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