{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T19:51:56Z","timestamp":1793821916814,"version":"4.6.1"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>RESUMO  Introdu\u00e7\u00e3o A utiliza\u00e7\u00e3o de question\u00e1rios sintoma-espec\u00edficos no c\u00e2ncer de cabe\u00e7a e pesco\u00e7o (CCP) em conjunto com avalia\u00e7\u00f5es objetivas da degluti\u00e7\u00e3o pode ser sens\u00edvel \u00e0s mudan\u00e7as na qualidade de vida (QV) decorrentes da disfagia, por\u00e9m \u00e9 uma ferramenta pouco utilizada como complemento de avalia\u00e7\u00f5es cl\u00ednicas.  Objetivo analisar a associa\u00e7\u00e3o entre o question\u00e1rio de disfagia M. D. Anderson (MDADI) com a videofluoroscopia (VF) da degluti\u00e7\u00e3o em pacientes tratados do CCP.  M\u00e9todo Estudo retrospectivo, com revis\u00e3o de prontu\u00e1rios, dados da VF e do question\u00e1rio de disfagia MDADI. Foram inclu\u00eddos indiv\u00edduos maiores de 18 anos, tratados do c\u00e2ncer de cavidade oral, orofaringe, hipofaringe e laringe, independentemente do tratamento curativo. Para o exame de VF, foram consideradas as degluti\u00e7\u00f5es de 5 e 20 ml na consist\u00eancia n\u00e9ctar. O teste n\u00e3o param\u00e9trico de Mann-Whitney foi utilizado para avaliar a associa\u00e7\u00e3o entre o question\u00e1rio MDADI e a VF.  Resultados Casu\u00edstica de 39 indiv\u00edduos, predom\u00ednio de homens, 34 (87,18%), e m\u00e9dia de idade de 61 anos. Preval\u00eancia de c\u00e2ncer de cavidade oral, 16 (41,03%). Vinte e dois (56,4%) possu\u00edam est\u00e1dio cl\u00ednico IV. Cirurgia isolada foi o tratamento mais prevalente, 16 (41,03%). Vinte indiv\u00edduos (51,28%) se alimentavam por via oral. A m\u00e9dia total (MT) do MDADI foi de 63,36. Na correla\u00e7\u00e3o da VF com o MDADI, observou-se associa\u00e7\u00e3o significante entre MT, dom\u00ednio emocional (DE) e dom\u00ednio f\u00edsico (DFis) com penetra\u00e7\u00e3o para 5 ml. Penetra\u00e7\u00e3o e aspira\u00e7\u00e3o com 20 ml determinou preju\u00edzo para quest\u00e3o global (p=0,018 e p=0,0053), DE (p=0,0012 e p=0,027), DFis (p=0,0002 e p=0,0051) e MT (p=0,0023 e p=0,0299), respectivamente. A presen\u00e7a de estase n\u00e3o determinou piora da QV.  Conclus\u00e3o Pacientes tratados do CCP que apresentam penetra\u00e7\u00e3o\/aspira\u00e7\u00e3o demonstram impacto na qualidade de vida nos DE e DFis.<\/jats:p>","DOI":"10.1590\/2317-1782\/20172015175","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T17:28:52Z","timestamp":1489598932000},"source":"Crossref","is-referenced-by-count":4,"title":["Associa\u00e7\u00e3o entre os achados do question\u00e1rio de disfagia M. D. Anderson e a videofluoroscopia da degluti\u00e7\u00e3o ap\u00f3s tratamento do c\u00e2ncer de cabe\u00e7a e pesco\u00e7o"],"prefix":"10.1590","volume":"29","author":[{"given":"Margareth Souza","family":"Andrade","sequence":"first","affiliation":[{"name":"A.C. Camargo Cancer Center,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline Nogueira","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"A.C. Camargo Cancer Center,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata L\u00edgia Vieira","family":"Guedes","sequence":"additional","affiliation":[{"name":"A.C. Camargo Cancer Center,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila Barbosa","family":"Barcelos","sequence":"additional","affiliation":[{"name":"A.C. Camargo Cancer Center,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana Dall\u2019Agnol Siqueira","family":"Slobodticov","sequence":"additional","affiliation":[{"name":"A.C. Camargo Cancer Center,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone Aparecida Claudino","family":"Lopes","sequence":"additional","affiliation":[{"name":"A.C. Camargo Cancer Center,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana L\u00facia Noronha","family":"Francisco","sequence":"additional","affiliation":[{"name":"A.C. Camargo Cancer Center,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabete Carrara de","family":"Angelis","sequence":"additional","affiliation":[{"name":"A.C. 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