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Pr\u00e4therapeutisch werden sie aber selten thematisiert, obwohl diese den Erfolg einer onkologischen Therapie nachhaltig beeinflussen k\u00f6nnen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Ziel dieser Arbeit ist die systematische Erfassung des Schluck- und Nutritionsstatus von KHT-Patienten vor Beginn einer onkologischen Therapie.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Bei 102 Patienten wurden zur objektiven Erfassung des Schluckverm\u00f6gens endoskopisch die Penetration\/Aspiration via PA-Skala (PAS), die Oralisierungseinschr\u00e4nkung (Functional Oral Intake Scale, FOIS) und die Versorgungsrelevanz (VRS) erhoben. Die subjektive Einsch\u00e4tzung des Schluckverm\u00f6gens erfolgte via Fragebogen gEAT-10 (\u201eGerman EAT-10\u201c), die orientierende Erfassung des Nutritionsstatus via Body-Mass-Index (BMI). Schluckverm\u00f6gen und BMI wurden uni- und multivariat auf m\u00f6gliche Einflussfaktoren gepr\u00fcft.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Auff\u00e4llige PAS-, FOIS- und VRS-Werte wurden bei \u2264\u202f15\u202f% der Patienten festgestellt. Der BMI war h\u00e4ufiger zu hoch als zu niedrig. Das objektiv erfasste Schluckverm\u00f6gen war v.\u202fa. vom Tumorstadium abh\u00e4ngig und korrelierte mittelstark mit gEAT-10. Der gEAT-10-Gesamtscore war auff\u00e4llig. Der Nutritionsstatus war von Patientengeschlecht und VRS abh\u00e4ngig.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Pr\u00e4therapeutisch zeigte sich bei der Mehrzahl der Patienten keine Dysphagie oder Malnutrition. Ein auff\u00e4lliges Schluckverm\u00f6gen war mit h\u00f6heren Tumorstadien assoziiert, eine Malnutrition mit weiblichem Geschlecht und Versorgungsrelevanz. Nichtsdestotrotz sollte hinsichtlich moderner onkologischer Therapie der Schluck- und Nutritionsstatus bei KHT-Patienten bereits pr\u00e4therapeutisch systematisch erfasst werden, um ein optimales Patienten-Outcome zu erzielen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-021-01128-8","type":"journal-article","created":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T17:26:47Z","timestamp":1643995607000},"page":"533-539","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Pr\u00e4therapeutische Dysphagie bei Kopf-Hals-Tumor-Patienten","Pre-treatment dysphagia in head-and-neck cancer patients"],"prefix":"10.1007","volume":"70","author":[{"given":"Uta","family":"Lehner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugen","family":"Zaretsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Almut","family":"Goeze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Wermter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris A.","family":"Stuck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Birk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Neff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahram","family":"Ghanaati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Sader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Hey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,2,4]]},"reference":[{"issue":"2","key":"1128_CR1","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1016\/j.ijrobp.2018.01.097","volume":"101","author":"E Greco","year":"2018","unstructured":"Greco\u00a0E, Simic\u00a0T, Ringash\u00a0J, Tomlinson\u00a0G, Inamoto\u00a0Y (2018) Dysphagia treatment for patients with head and neck cancer undergoing radiation therapy: a meta-analysis review. 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