Publications
63 results found
Clunie G, Belsi A, Roe J, et al., 2020, Not Just Dyspnoea – Swallowing as a Concern for Adults with Laryngotracheal Stenosis Who Undergo Reconstructive Surgery?, UK Swallowing Research Group 2020 Conference
Hardman J, Liu Z, Brady G, et al., 2020, Transoral robotic surgery for recurrent cancers of the upper aerodigestive tract-Systematic review and meta-analysis, HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, Vol: 42, Pages: 1089-1104, ISSN: 1043-3074
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- Citations: 14
Brady GC, Goodrich J, Roe JWG, 2020, Using experience-based co-design to improve the pre-treatment care pathway for people diagnosed with head and neck cancer, SUPPORTIVE CARE IN CANCER, Vol: 28, Pages: 739-745, ISSN: 0941-4355
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- Citations: 17
Nund RL, Brown B, Ward EC, et al., 2019, What Are We Really Measuring? A Content Comparison of Swallowing Outcome Measures for Head and Neck Cancer Based on the International Classification of Functioning, Disability and Health (ICF), DYSPHAGIA, Vol: 34, Pages: 575-591, ISSN: 0179-051X
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- Citations: 14
Patterson J, Toft K, McAuley F, et al., 2019, Feasibility and outcomes of fibreoptic endoscopic evaluation of swallowing following prophylactic swallowing rehabilitation in head and neck cancer, CLINICAL OTOLARYNGOLOGY, Vol: 44, Pages: 549-556, ISSN: 1749-4478
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- Citations: 4
Roe JWG, Hutcheson KA, 2018, Speech voice and swallow rehabilitation after chemoradiation, Scott-Brown's Otorhinolaryngology and Head and Neck Surgery: Volume 3: Head and Neck Surgery, Plastic Surgery, Pages: 531-539, ISBN: 9781138094642
Brady GC, Roe JWG, O' Brien M, et al., 2018, An investigation of the prevalence of swallowing difficulties and impact on quality of life in patients with advanced lung cancer, SUPPORTIVE CARE IN CANCER, Vol: 26, Pages: 515-519, ISSN: 0941-4355
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- Citations: 14
Brady G, Roe J, 2018, Dysphagia associated with head and neck cancer, Clinical Cases in Dysphagia, Pages: 66-83, ISBN: 9781138087545
This clinical case considers the complexities of management of dysphagia following treatment for head and neck cancer (HNC). The chapter explores the side effects of radical treatments, including surgery and chemoradiotherapy (CRT), on the patient’s swallowing function and the management options available to clinicians. It includes the perspective of a person coping with dysphagia after radical surgery and adjuvant CRT for HNC. Surgery and/or CRT are the mainstay treatment for HNC. One of the most common and profound effects of HNC and its treatment are the acute and long-term difficulties with eating and drinking. The nature and severity of dysphagia for the HNC patient are both complex and have the potential to change over time, depending on the treatments received. Patients should be informed of the potential acute and longer-term risk for dysphagia and therefore be empowered to monitor symptoms, access support and play an active role in their rehabilitation.
Clunie GM, Kinshuck AJ, Sandhu GS, et al., 2017, Voice and swallowing outcomes for adults undergoing reconstructive surgery for laryngotracheal stenosis, CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, Vol: 25, Pages: 195-199, ISSN: 1068-9508
Purpose of review Adult laryngotracheal stenosis is a rare, multifactorial condition which carries a significant physical and psychosocial burden. Surgical approaches have developed in recent years, however, voice and swallowing function can be affected prior to treatment, in the immediate postoperative phase, and as an ongoing consequence of the condition and surgical intervention. In this study we discuss: the nature of the problem; surgical interventions to address airway disorders; optimal patterns of care to maximize voice and swallowing outcomes.Recent findings Studies in this field are limited and focused on surgical outcomes and airway status with voice and swallowing a secondary consideration. Retrospective studies of swallowing have focused on factors such as the duration of dysphagia symptoms following airway surgery and made comparisons between type of surgery, use of stent, and length of swallowing problems. The literature suggests that patients are likely to return to their preoperative diet. There has been a focus on voice outcomes following cricotracheal resection which results in a postoperative decrease in the fundamental frequency. However, study comparisons are limited by the use of inconsistent outcome measures (for both voice and swallowing) which are often not validated, with heterogeneous groups and varying surgical techniques.Summary The limited literature suggests that swallowing function is more likely to recover to presurgical status than voice function. Further prospective studies incorporating consistent instrumental, clinician, and patient-reported outcome measurement are required to understand the nature and extent of dysphagia and dysphonia resulting from this condition and its treatment.
Hutcheson KA, Barrow MP, Barringer DA, et al., 2017, Dynamic Imaging Grade of Swallowing Toxicity (DIGEST): Scale Development and Validation, CANCER, Vol: 123, Pages: 62-70, ISSN: 0008-543X
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- Citations: 114
Gujral DM, Long M, Roe JWG, et al., 2017, Standardisation of Target Volume Delineation for Carotid-sparing Intensity-modulated Radiotherapy in Early Glottis Cancer, CLINICAL ONCOLOGY, Vol: 29, Pages: 42-50, ISSN: 0936-6555
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- Citations: 13
Petkar I, Rooney K, Roe JWG, et al., 2016, DARS: a phase III randomised multicentre study of dysphagia- optimised intensity-modulated radiotherapy (Do-IMRT) versus standard intensity- modulated radiotherapy (S-IMRT) in head and neck cancer, BMC Cancer, Vol: 16, ISSN: 1471-2407
BackgroundPersistent dysphagia following primary chemoradiation (CRT) for head and neck cancers can have a devastating impact on patients’ quality of life. Single arm studies have shown that the dosimetric sparing of critical swallowing structures such as the pharyngeal constrictor muscle and supraglottic larynx can translate to better functional outcomes. However, there are no current randomised studies to confirm the benefits of such swallow sparing strategies. The aim of Dysphagia/Aspiration at risk structures (DARS) trial is to determine whether reducing the dose to the pharyngeal constrictors with dysphagia-optimised intensity- modulated radiotherapy (Do-IMRT) will lead to an improvement in long- term swallowing function without having any detrimental impact on disease-specific survival outcomes.Methods/designThe DARS trial (CRUK/14/014) is a phase III multicentre randomised controlled trial (RCT) for patients undergoing primary (chemo) radiotherapy for T1-4, N0-3, M0 pharyngeal cancers. Patients will be randomised (1:1 ratio) to either standard IMRT (S-IMRT) or Do-IMRT. Radiotherapy doses will be the same in both groups; however in patients allocated to Do-IMRT, irradiation of the pharyngeal musculature will be reduced by delivering IMRT identifying the pharyngeal muscles as organs at risk. The primary endpoint of the trial is the difference in the mean MD Anderson Dysphagia Inventory (MDADI) composite score, a patient-reported outcome, measured at 12 months post radiotherapy. Secondary endpoints include prospective and longitudinal evaluation of swallow outcomes incorporating a range of subjective and objective assessments, quality of life measures, loco-regional control and overall survival. Patients and speech and language therapists (SLTs) will both be blinded to treatment allocation arm to minimise outcome-reporting bias.DiscussionDARS is the first RCT investigating the effect of swallow sparing strategies on improving long-term swallowing outcomes
Wells M, King E, Toft K, et al., 2016, Development and feasibility of a Swallowing intervention Package (SiP) for patients receiving radiotherapy treatment for head and neck cancer-the SiP study protocol, Pilot and Feasibility Studies, Vol: 2, ISSN: 2055-5784
BACKGROUND: Head and neck cancer (HNC) is the sixth most common cancer worldwide, and the functional, psychological and social consequences of HNC cancer and its treatment can be severe and chronic. Dysphagia (swallowing problems) affects up to two thirds of patients undergoing combined chemoradiotherapy. Recent reviews suggest that prophylactic swallowing exercises may improve a range of short- and long-term outcomes; however, the importance of psychological and behavioural factors on adherence to swallowing exercises has not been adequately studied. This study aims to develop and test the feasibility of a Swallowing intervention Package (SiP) designed in partnership with patients, speech and language therapists (SLTs) and other members of the head and neck multi-disciplinary team (MDT), for patients undergoing chemoradiotherapy (CRT) or radiotherapy (RT) for head and neck cancer. METHODS/DESIGN: This feasibility study uses quantitative and qualitative research methods, within a quasi-experimental design, to assess whether patients will tolerate and adhere to the SiP intervention, which aspects of the intervention can be implemented and which cannot, whether treatment fidelity can be achieved across different contexts, whether study processes and outcome measures will be feasible and acceptable and to what extent the intervention is likely to have an impact on swallowing dysfunction and quality of life. Patients are being recruited from five sites in Scotland and England (three interventions and two usual care). The SLT based in the relevant intervention centre teaches the exercise programme and provides supporting materials. A combination of patient-reported outcome measures (PROMs), adherence measures and clinical swallowing assessments are used prior to intervention (baseline), at the end of treatment, 3 and 6 months post-treatment. DISCUSSION: This collaborative study has taken a unique approach to the development of a patient-centred and evidence-based swallow
Patterson JM, Brady GC, Roe JWG, 2016, Research into the prevention and rehabilitation of dysphagia in head and neck cancer: a UK perspective, CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, Vol: 24, Pages: 208-214, ISSN: 1068-9508
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- Citations: 9
Roe JWG, Carding PN, Drinnan MJ, et al., 2016, Swallowing performance and tube feeding status in patients treated with parotid-sparing intensity-modulated radiotherapy for head and neck cancer, HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, Vol: 38, Pages: E1436-E1444, ISSN: 1043-3074
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- Citations: 8
Goldsmith TA, Roe JWG, 2015, Human papilloma virus-related oropharyngeal cancer: opportunities and challenges in dysphagia management, CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, Vol: 23, Pages: 185-190, ISSN: 1068-9508
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- Citations: 6
Brady GC, Carding PN, Bhosle J, et al., 2015, Contemporary management of voice and swallowing disorders in patients with advanced lung cancer, CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, Vol: 23, Pages: 191-196, ISSN: 1068-9508
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- Citations: 10
Leslie P, Sandsund C, Roe J, 2014, Researching the rehabilitation needs of patients with life-limiting disease: Challenges and opportunities, Progress in Palliative Care, Vol: 22, Pages: 313-318, ISSN: 0969-9260
People with life-limiting disease are among the most vulnerable groups accessing healthcare. Given this vulnerability, polarized views have been expressed in the literature regarding such individuals’ involvement in research studies. This is further compounded when the research is focused on rehabilitation, the concept of which is often misunderstood by patients, carers, and medical professionals. A number of factors can affect how we conduct research to elicit the needs of people with life-limiting disease, including social, historical, and cultural influences. Despite advances in palliative care research, challenges remain for those working across the specialism. In this review, we discuss the challenges of conducting rehabilitation research in this distinct clinical specialism and important considerations when involving patients and carers. We highlight the opportunities for understanding patient rehabilitation needs through mixed methods research design for studies involving those undergoing potentially complex rehabilitation interventions across settings.
Roe JWG, Drinnan MJ, Carding PN, et al., 2014, Patient-reported outcomes following parotid-sparing intensity-modulated radiotherapy for head and neck cancer. How important is dysphagia?, ORAL ONCOLOGY, Vol: 50, Pages: 1182-1187, ISSN: 1368-8375
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- Citations: 64
Paleri V, Roe JWG, Strojan P, et al., 2014, Strategies to reduce long-term postchemoradiation dysphagia in patients with head and neck cancer: An evidence-based review, HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, Vol: 36, Pages: 431-443, ISSN: 1043-3074
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- Citations: 74
Dwivedi RC, St Rose S, Roe JWG, et al., 2012, Validation of the sydney swallow questionnaire (SSQ) in a cohort of head and neck cancer patients, Dysphagia, Vol: 27, ISSN: 0179-051X
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- Citations: 1
Roe JWG, Carding PN, Rhys-Evans PH, et al., 2012, Assessment and management of dysphagia in patients with head and neck cancer who receive radiotherapy in the United Kingdom - A web-based survey, ORAL ONCOLOGY, Vol: 48, Pages: 343-348, ISSN: 1368-8375
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- Citations: 54
Roe JW, Carding PN, Dwivedi RC, et al., 2011, Swallowing outcomes following intensity modulated radiation therapy (IMRT) for head and neck cancer - A systematic review, Dysphagia, Vol: 26, ISSN: 0179-051X
Roe JWG, Ashforth KM, 2011, Prophylactic swallowing exercises for patients receiving radiotherapy for head and neck cancer, CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY, Vol: 19, Pages: 144-149, ISSN: 1068-9508
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- Citations: 31
Dwivedi RC, Rose SS, Roe JWG, et al., 2011, FIRST REPORT ON THE RELIABILITY AND VALIDITY OF SPEECH HANDICAP INDEX IN NATIVE ENGLISH-SPEAKING PATIENTS WITH HEAD AND NECK CANCER, HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, Vol: 33, Pages: 341-348, ISSN: 1043-3074
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- Citations: 38
Roe JWG, Carding PN, Dwivedi RC, et al., 2010, Swallowing outcomes following Intensity Modulated Radiation Therapy (IMRT) for head & neck cancer - A systematic review, ORAL ONCOLOGY, Vol: 46, Pages: 727-733, ISSN: 1368-8375
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- Citations: 73
Roe JWG, Leslie P, 2010, Beginning of the end? Ending the therapeutic relationship in palliative care, INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, Vol: 12, Pages: 304-308, ISSN: 1754-9507
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- Citations: 17
Dwivedi RC, Roe JWG, Kazi RA, et al., 2010, Outcome Assessment in Oral and Oropharyngeal Cancers, JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, Vol: 39, Pages: 215-215, ISSN: 1916-0216
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- Citations: 2
Dwivedi RC, St Rose S, Roe JWG, et al., 2010, Validation of the Sydney Swallow Questionnaire (SSQ) in a cohort of head and neck cancer patients, ORAL ONCOLOGY, Vol: 46, Pages: E10-E14, ISSN: 1368-8375
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- Citations: 83
Huins C, Lobeck E, Roe J, 2009, Unilateral vocal cord paralysis in patients with lung cancer, European Journal of Palliative Care, Vol: 16, Pages: 214-217, ISSN: 1352-2779
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- Citations: 1
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