{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T08:17:34Z","timestamp":1769242654556,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"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":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Dysphagia is a common complication in patients with head and neck cancer (HNC), primarily due to the tumour location and the adverse effects of treatment, which significantly diminish patients\u2019 quality of life (QOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the prevalence of self\u2010reported oropharyngeal dysphagia and identify associated factors in Iranian patients diagnosed with HNC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Out of an initial cohort of 142 HNC patients, 113 completed the Eating Assessment Tool (EAT\u201010), and 90 completed the Persian version of the MD Anderson Dysphagia Inventory (P\u2010MDADI) to evaluate dysphagia prevalence and its impact on QOL. Associations between demographic variables and dysphagia duration were analysed using chi\u2010square tests and Kendall's Tau correlation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 113 patients with HNC (mean age 55.95 years, SD 14.78; 61.1% male), 78.8% reported dysphagia (95% CI, 71.10\u201386.41%). Dysphagia prevalence was highest in patients with tumours in the oral cavity (85.7%), pharynx (91.3%), larynx (70%), and sinus\/nose (52.9%). Significant correlations were observed between EAT\u201010 scores, tumour site, and dysphagia duration (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). P\u2010MDADI scores indicated substantial emotional (92% reported feeling \u201cself\u2010conscious\u201d), physical (91% noted \u201cprolonged eating\u201d), and functional challenges, underscoring dysphagia's profound impact on QOL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates a high prevalence of dysphagia among Iranian HNC patients, with marked variation by tumour site and dysphagia duration. P\u2010MDADI findings underscore the substantial impact of dysphagia on QOL, affecting patients functionally, physically, and emotionally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on the subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Oropharyngeal dysphagia (swallowing dysfunction) is a common consequence in patients with head and neck cancer (HNC). The presence of dysphagia leads to malnutrition, dehydration and reduced quality of life in these patients.\u00a0Although the prevalence of dysphagia has been studied in various countries worldwide, there is no evidence specifically addressing\u00a0Iranian patients with HNCs.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this paper adds to the existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>The results of this study indicate the first prevalence estimates of self\u2010reported dysphagia among Iranian patients with HNC. It recognizes demographic and clinical factors associated with dysphagia risk (tumour location and duration) and emphasizes the importance of patient\u2010reported outcomes in complementing traditional clinical evaluations.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the potential or actual clinical implications of this work?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Routine screening for dysphagia using patient\u2010reported measures such as\u00a0MD Anderson Dysphagia Inventory (MDADI) can improve early diagnosis and proper management in Iranian speech therapy and oncology clinics. The findings support multidisciplinary management and may guide healthcare and rehabilitation programs appropriate to the cultural and clinical needs of patients with HNCs.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70167","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T17:06:58Z","timestamp":1766164018000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of Self\u2010Reported Oropharyngeal Dysphagia and Associated Factors in Iranian Patients With Head and Neck Cancer"],"prefix":"10.1111","volume":"61","author":[{"given":"Fardin","family":"Sharifi","sequence":"first","affiliation":[{"name":"University of Social Welfare and Rehabilitation Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Behnaz","family":"Bayat","sequence":"additional","affiliation":[{"name":"Hamadan University of Medical Sciences  Hamadan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samira","family":"Azghandi","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahra Sadat","family":"Qoreishi","sequence":"additional","affiliation":[{"name":"University of Social Welfare and Rehabilitation Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Ebrahimipour","sequence":"additional","affiliation":[{"name":"Elisabeth Bruyere Hospital  Ottawa Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jalal","family":"Bakhtiyari","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Kamrani","sequence":"additional","affiliation":[{"name":"University of Social Welfare and Rehabilitation Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-58572-z"},{"issue":"6","key":"e_1_2_9_3_1","first-page":"756","article-title":"Screening Oropharyngeal Dysphagia in Patients With Head and Neck Cancer in a Radiation Oncology Department","volume":"28","author":"Alay\u00f3n L. 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