PMID- 30805293
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220331
IS  - 2211-4599 (Print)
IS  - 2211-4599 (Electronic)
IS  - 2211-4599 (Linking)
VI  - 13
IP  - 1
DP  - 2019 Jan
TI  - Dysphagia Following Anterior Cervical Spine Surgery: Assessment Using an Abridged 
      SWAL-QOL.
PG  - 102-109
LID - 10.14444/6014 [doi]
AB  - BACKGROUND: Study design: Retrospective cohort study. Objective: To determine 
      which components of the swallowing disorders quality of life (SWAL-QOL) survey 
      are most relevant to assess dysphagia following anterior cervical spine surgery 
      (ACSS). Summary of background data: The SWAL-QOL survey is an instrument that has 
      been applied to patients undergoing ACSS procedures as a means of objectifying 
      swallow function. However, the SWAL-QOL is lengthy, cumbersome, and primarily 
      used for otolaryngological procedures. METHODS: Patients undergoing ACSS 
      procedures were administered the SWAL-QOL prior to surgery and at 6- and 12-week 
      postoperative visits. The preoperative and postoperative SWAL-QOL scores were 
      compared using paired t tests. Questions with statistically and clinically 
      significant postoperative changes were used to create an abridged survey. 
      RESULTS: Fifty patients completed surveys at all 3 encounters and were included 
      in the analysis. The total scaled score at 6 weeks was significantly lower than 
      the preoperative score (P = .003) but returned to near baseline scores by 12 
      weeks (P = .178). Five sections had significantly lower scores at both 
      postoperative visits compared to their respective preoperative values. 
      Additionally, 13 individual questions had significantly lower scores at both 
      postoperative visits, while 8 had significantly lower scores at only 1 of the 
      postoperative visits. Of these 21 questions demonstrating statistical 
      significance, 16 also demonstrated a clinically significant decrease (>5.0%) from 
      preoperative scores. These 16 questions were included in the abridged survey 
      developed for use in ACSS patients. CONCLUSIONS: The results of this study 
      suggest that several questions in the full SWAL-QOL questionnaire demonstrated 
      minor or no changes at postoperative visits following ACSS. As a result, we 
      propose a modified, 16-question SWAL-QOL survey including only questions that 
      were both statistically and clinically significant. This truncated survey may be 
      better suited for use in cervical spine patients.
FAU - Mayo, Benjamin C
AU  - Mayo BC
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Massel, Dustin H
AU  - Massel DH
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Bohl, Daniel D
AU  - Bohl DD
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Patel, Dil V
AU  - Patel DV
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Khechen, Benjamin
AU  - Khechen B
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Haws, Brittany E
AU  - Haws BE
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Narain, Ankur S
AU  - Narain AS
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Hijji, Fady Y
AU  - Hijji FY
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
LA  - eng
PT  - Journal Article
DEP - 20190222
PL  - Netherlands
TA  - Int J Spine Surg
JT  - International journal of spine surgery
JID - 101579005
PMC - PMC6383463
OTO - NOTNLM
OT  - ACDF
OT  - SWAL-QOL
OT  - anterior cervical discectomy and fusion
OT  - anterior cervical spine surgery
OT  - dysphagia
OT  - swallowing
COIS- Disclosures and COI: No funds were received in support of this work. No benefits 
      in any form have been or will be received from any commercial party related 
      directly or indirectly to the subject of this manuscript. No FDA device/drug 
      status to report. We have not discussed unlabeled/investigational uses of any 
      commercial product or device.
EDAT- 2019/02/26 06:00
MHDA- 2019/02/26 06:01
PMCR- 2019/02/22
CRDT- 2019/02/27 06:00
PHST- 2019/02/27 06:00 [entrez]
PHST- 2019/02/26 06:00 [pubmed]
PHST- 2019/02/26 06:01 [medline]
PHST- 2019/02/22 00:00 [pmc-release]
AID - 10.14444/6014 [doi]
PST - epublish
SO  - Int J Spine Surg. 2019 Feb 22;13(1):102-109. doi: 10.14444/6014. eCollection 2019 
      Jan.