'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy

Wall, Laurelie R. and Cartmill, Bena and Ward, Elizabeth C. and Hill, Anne J. and Isenring, Elizabeth and Byrnes, Joshua and Chambers, Suzanne and Dunn, Jeff and Nixon, Jodie and Whelan, Jane and Porceddu, Sandro V. (2016) 'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy. Oral Oncology, 54. pp. 47-53. ISSN 1368-8375

Abstract

Background: In light of growing service demands, the use of computerized screening processes have been proposed to optimize patient triage and enhance the efficiency and synergy of multidisciplinary care practices. This study evaluated the accuracy of a novel system, ScreenIT, to detect swallowing, nutrition and distress status in HNC patients receiving (chemo)radiotherapy ([C]RT), and facilitate appropriate referrals for MDT management.

Materials and methods: Patient-reported data obtained from ScreenIT was compared to blinded face-to-face assessment by speech pathology/dietetic clinicians across five domains: side-effects, swallowing/oral intake, nutrition, distress, and need for supportive care services. Agreement was analysed using percent exact and close agreement (PEA/PCA) and kappa statistics.

Results: Clinically acceptable agreement (PEA/PCA 80% or higher) was achieved for the majority of domains. In areas of discordance, ScreenIT demonstrated a higher sensitivity to patient-perceived concerns, particularly regarding distress. Management pathways generated by ScreenIT initiated clinically appropriate referrals for high and medium-risk patients for swallowing/nutrition and distress.

Conclusion: Findings suggest that ScreenIT may provide an effective and efficient means of monitoring swallowing, nutrition and distress status during (C)RT, and facilitate clinically appropriate prioritization of MDT supportive care intervention.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty / Department / School: No Faculty
Date Deposited: 02 Jun 2017 05:10
Last Modified: 23 Feb 2018 00:39
Uncontrolled Keywords: distress; head and neck cancer; nutrition; screening; supportive care intervention; swallowing; telehealth
Fields of Research : 11 Medical and Health Sciences > 1112 Oncology and Carcinogenesis > 111204 Cancer Therapy (excl. Chemotherapy and Radiation Therapy)
11 Medical and Health Sciences > 1103 Clinical Sciences > 110320 Radiology and Organ Imaging
Identification Number or DOI: 10.1016/j.oraloncology.2016.01.004
URI: http://eprints.usq.edu.au/id/eprint/32454

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