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RESEARCH PRODUCT
Multicenter prospective study on the use and outcome of rehabilitation after total laryngectomy in Germany
Orlando Guntinas-lichiusMichael FuchsHans-joachim VogelKatherine TaylorBianca Erdmann-reuschAlexandra MeyerJudith KeszteSusanne Singersubject
Malemedicine.medical_specialtyVoice Qualitymedicine.medical_treatmentLaryngectomySpeech TherapyOutcome (game theory)OddsCohort Studies03 medical and health sciences0302 clinical medicineQuality of lifeReference ValuesGermanySurveys and QuestionnairesmedicineHumansProspective Studies030223 otorhinolaryngologyProspective cohort studyLaryngeal NeoplasmsPostoperative CareRehabilitationbusiness.industrySpeech IntelligibilityOdds ratioSpeech rehabilitationPrognosisLaryngectomyTreatment OutcomeOtorhinolaryngologyPatient Satisfaction030220 oncology & carcinogenesisQuality of LifePhysical therapyFemaleLarynx Artificialbusinessdescription
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 starting rehabilitation. This was also what most users (27%) found the most helpful part of rehabilitation. Conclusions Patients are interested in attending rehabilitation. They especially want to improve their speech capacity, which indeed is better among users of rehabilitation than in those without.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2018-12-12 | Head & Neck |