{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:55:10Z","timestamp":1783547710725,"version":"3.55.0"},"reference-count":75,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T00:00:00Z","timestamp":1589846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the relationship between symptoms of neck disability and swallowing dysfunction among head and neck cancer (HNC) survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single\u2010center, university\u2010affiliated HNC survivorship clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Survivors\u2019 patient\u2010reported symptoms of neck disability and swallowing dysfunction were prospectively collected from March 2017 to May 2018. Neck disability and swallowing dysfunction were measured using the Neck Disability Index and Eating Assessment Tool (EAT\u201010), respectively. Linear regression was used to analyze the association between neck disability and swallowing dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 179 survivors, predominantly male (n = 130, 72.6%) with an average age of 64.64 \u00b1 9.91 years, were included in the analysis. Primary cancer sites were oropharynx (n = 85, 47.5%), oral cavity (n = 59, 33.0%), and larynx\/hypopharynx (n = 35, 19.5%). Mean EAT\u201010 score was 10.07 \u00b1 10.89 (range = 0\u201040; &gt;2\u00a0indicative of swallowing dysfunction). Survivors treated for early stage cancer had lower EAT\u201010 scores than those with advanced stage (early = 3.55 \u00b1 7.46; advanced = 11.95 \u00b1 11.02, <jats:italic>P<\/jats:italic> &lt;. 001). After controlling for age, time since treatment, American Joint Committee on Cancer stage, and treatment modality, the EAT\u201010 score for patients with mild neck disability was 6.88 (95% confidence interval [CI], 3.71\u201010.06; <jats:italic>P<\/jats:italic> &lt;. 001) points higher than those without neck disability, and the score for those with moderate\u2010complete neck disability was 13.65 (95% CI, 9.47\u201017.83; <jats:italic>P<\/jats:italic> &lt;. 001) points higher than those without neck disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Swallowing dysfunction is a commonly recognized effect of HNC treatment. The prevalence and burden of neck disability are shown to be highly correlated with swallowing dysfunction. These results support the need for comprehensive, multidisciplinary rehabilitation interventions for patients with HNC.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820923630","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T12:18:21Z","timestamp":1589890701000},"page":"763-770","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Neck Disability and Swallowing Function in Posttreatment Head and Neck Cancer Patients"],"prefix":"10.1002","volume":"163","author":[{"given":"Alexandria","family":"Harris","sequence":"first","affiliation":[{"name":"School of Medicine University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingyun","family":"Lyu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics School of Public Health University of Pittsburgh Pittsburgh Pennsylvania 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