PMID- 32296979 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1434-4726 (Electronic) IS - 0937-4477 (Print) IS - 0937-4477 (Linking) VI - 277 IP - 8 DP - 2020 Aug TI - Swallow-related quality of life and oropharyngeal dysphagia in myotonic dystrophy. PG - 2357-2362 LID - 10.1007/s00405-020-05964-2 [doi] AB - PURPOSE: This study describes swallow-related quality of life (SWAL-QOL) in patients with myotonic dystrophy type 1 (DM1) and investigates its association with swallowing function and disease severity. METHODS: A SWAL-QOL questionnaire was completed by 75 DM1 patients and 25 healthy control subjects. The severity of the disease was evaluated using the muscular impairment rating scale (MIRS). Twenty-eight DM1 patients underwent a videofluroscopic swallowing examination (VFS). Spearman's correlation coefficient was used to measure the direction and strength of associations. RESULTS: The SWAL-QOL median scores were significantly lower for the DM1 group than for the healthy control group. The scores for the majority of the SWAL-QOL domains were lower in patients with proximal muscular weakness (MIRS 4 and 5). Postswallow vallecular pooling and piecemeal deglutition were the most impaired VFS outcome variables. CONCLUSION: Our results suggest that a multidimensional swallowing assessment is recommended for DM1 patients as SWAL-QOL and VFS measure different aspects of the swallowing function, thus providing complementary information. FAU - Pilz, Walmari AU - Pilz W AUID- ORCID: 0000-0002-3914-5587 AD - Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands. w.pilz@mumc.nl. AD - School for Mental Health and Neuroscience, MHeNs, Maastricht University, Maastricht, The Netherlands. w.pilz@mumc.nl. FAU - Passos, Valeria Lima AU - Passos VL AD - Department of Methodology and Statistics, Maastricht University, Maastricht, The Netherlands. AD - School for Public Health and Primary Care, CAPHRI, Maastricht University, Maastricht, The Netherlands. FAU - Verdonschot, Rob J AU - Verdonschot RJ AD - Emergency Department, Erasmus Medical Center, Rotterdam, The Netherlands. FAU - Meijers, Jolanda AU - Meijers J AD - Department of Radiology, Maastricht University Medical Center, Maastricht, The Netherlands. FAU - Roodenburg, Nel AU - Roodenburg N AD - Department of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands. FAU - Halmans, Yana AU - Halmans Y AD - Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands. FAU - Faber, Catharina G AU - Faber CG AD - Department of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands. FAU - Kremer, Bernd AU - Kremer B AD - Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands. AD - School for Oncology and Developmental Biology, GROW, Maastricht University, Maastricht, The Netherlands. FAU - Baijens, Laura W J AU - Baijens LWJ AD - Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands. AD - School for Oncology and Developmental Biology, GROW, Maastricht University, Maastricht, The Netherlands. LA - eng PT - Journal Article DEP - 20200415 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 SB - IM MH - Deglutition MH - *Deglutition Disorders/diagnosis/etiology MH - Humans MH - *Myotonic Dystrophy/complications MH - Quality of Life MH - Severity of Illness Index MH - Surveys and Questionnaires PMC - PMC7335374 OTO - NOTNLM OT - Deglutition disorders OT - Dysphagia OT - Myotonic dystrophy OT - Quality of life OT - Videofluoroscopy COIS- The authors declare that they have no conflict of interest. EDAT- 2020/04/17 06:00 MHDA- 2021/04/28 06:00 PMCR- 2020/04/15 CRDT- 2020/04/17 06:00 PHST- 2020/03/04 00:00 [received] PHST- 2020/04/01 00:00 [accepted] PHST- 2020/04/17 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2020/04/17 06:00 [entrez] PHST- 2020/04/15 00:00 [pmc-release] AID - 10.1007/s00405-020-05964-2 [pii] AID - 5964 [pii] AID - 10.1007/s00405-020-05964-2 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2020 Aug;277(8):2357-2362. doi: 10.1007/s00405-020-05964-2. Epub 2020 Apr 15.