0000000000025269
AUTHOR
Judith Keszte
Effects of finding the speech-language pathologist likeable on postlaryngectomy speech intelligibility outcomes
<b><i>Introduction:</i></b> Speech-language pathologists (SLPs) work with patients after total laryngectomy (TL) to regain verbal communication. The influence of the quality of the therapeutic relationship on the success of TL voice rehabilitation in terms of speech intelligibility is not known. Finding each other likeable is an important factor in establishing and maintaining interpersonal relationships in everyday life. The fit of therapist and client is relevant to the therapeutic relationship. The purpose of this study therefore was to assess the association between the degree of SLPs’ likeability ratings and postlaryngectomy speech intelligibility. <b><…
Multicenter prospective study on the use and outcome of rehabilitation after total laryngectomy in Germany
Background The purpose of this study was to assess the use and outcome of rehabilitation after total laryngectomy in Germany. Methods We enrolled patients who were scheduled for total laryngectomy, approached them again after surgery, after 3 months and 1 year. Patients completed questionnaires and were interviewed. Results Of 309 participants, 14% had not received any rehabilitation. Reasons for nonuse were primarily ongoing treatment and poor health. Users of rehabilitation had 4 times the odds of attaining any ability to speak compared to nonusers (odds ratio 3.8, P = .02). The main aim of rehabilitation from the perspective of the users was speech rehabilitation, mentioned by 71% before…
Berufliche Rehabilitation nach Laryngektomie
Ziel dieser Studie war es herauszufinden, wie viele Patienten nach einer Laryngektomie (LE) erfolgreich ins Berufsleben zuruckkehren und welche Faktoren eine berufliche Wiedereingliederung unterstutzen. Laryngektomierte (n=231) im Alter von bis zu 60 Jahren wurden vor der LE (t1), vor der Anschlussheilbehandlung (AHB) (t2), am Ende der AHB (t3), 1 Jahr nach LE (t4), 2 Jahre nach LE (t5) und 3 Jahre nach LE (t6) mithilfe von strukturierten Interviews und Fragebogen befragt. Vor der LE waren n=76 (38%) der Befragten erwerbstatig, 34% erwerbslos, 23% erhielten eine Erwerbsminderungsrente und 3% waren in Vorruhestand. 1 Jahr nach der LE waren 13% erwerbstatig, 2 Jahre nach LE 15% und 3 Jahre n…
Quality of life during the first year after partial laryngectomy: Longitudinal study
This prospective study was conducted to assess changes in quality of life (QOL) of patients who undergo a partial laryngectomy.The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaires Core and Head and Neck (EORTC-QLQ-C30, QLQ-HN35) were used preprocedure (n = 218), 1 week (n = 159), 3 months (n = 122), and 1 year after partial laryngectomy (n = 88). Changes over time were analyzed with the Wilcoxon signed rank test and the Holm-Bonferroni method, and interpreted regarding clinical relevance.Most subscales worsened 1 week postprocedure, but many recovered to baseline level after 1 year. Dyspnea and cognitive functioning deteriorated over time, with worst…
Soziale Integration und deren Bedeutung für die Lebensqualität nach Laryngektomie
Soziale Netzwerke und gesellschaftliche Teilhabe wirken sich im Allgemeinen positiv auf das psychische Befinden aus. Inwiefern Patienten nach einer Kehlkopfentfernung wieder in die Gesellschaft eingebunden werden, ist jedoch wenig untersucht. Ziel der Studie war es, zu prufen, inwieweit Patienten nach einer Laryngektomie sozial integriert sind und ob die soziale Integration mit bestimmten Bereichen der Lebensqualitat zusammenhangt. In einer multizentrischen Studie wurden 161 Patienten ein Jahr nach Laryngektomie befragt. Die soziale Integration wurde anhand eines Index erhoben. Dieser setzt sich aus Fragen zur sozialen Unterstutzung und dem Fragenkomplex zur Einbindung in die Gesellschaft, …
Tobacco and alcohol consumption after total laryngectomy and survival: A German multicenter prospective cohort study
Background We examined the relation of tobacco and alcohol consumption after total laryngectomy with overall survival (OS). Methods Tobacco and alcohol consumption was assessed at 5 time points after total laryngectomy. Patients were followed up for survival until December 31, 2014. A multivariate Cox regression was fitted to test for differences in OS. Results Three hundred fifty-nine patients were included in this study. Compared to former smokers, never smokers had hazard ratios (HRs) of 0.88 (95% confidence intervals [CIs] = 0.50–1.59), and continuous smokers 1.31 (95% CI = 0.87–1.96). Constantly high alcohol consumption after total laryngectomy had an HR of 2.19 (95% CI = 1.30–3.67). D…