"ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy

Laurelie R. Wall, Bena Cartmill, Elizabeth C. Ward, Anne J. Hill, Elizabeth Isenring, Joshua Byrnes, Suzanne Chambers, Jeff Dunn, Jodie Nixon, Jane Whelan, Sandro V. Porceddu

Research output: Contribution to journalArticleResearchpeer-review

14 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)47-53
Number of pages7
JournalOral Oncology
Volume54
DOIs
Publication statusPublished - 1 Mar 2016

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Deglutition
Head and Neck Neoplasms
Radiotherapy
Passive Cutaneous Anaphylaxis
Nutritional Status
Referral and Consultation
Speech-Language Pathology
Dietetics
Triage

Cite this

Wall, Laurelie R. ; Cartmill, Bena ; Ward, Elizabeth C. ; Hill, Anne J. ; Isenring, Elizabeth ; Byrnes, Joshua ; Chambers, Suzanne ; Dunn, Jeff ; Nixon, Jodie ; Whelan, Jane ; Porceddu, Sandro V. / "ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy. In: Oral Oncology. 2016 ; Vol. 54. pp. 47-53.
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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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Wall, LR, Cartmill, B, Ward, EC, Hill, AJ, Isenring, E, Byrnes, J, Chambers, S, Dunn, J, Nixon, J, Whelan, J & Porceddu, SV 2016, '"ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy' Oral Oncology, vol. 54, pp. 47-53. https://doi.org/10.1016/j.oraloncology.2016.01.004

"ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy. / Wall, Laurelie R.; Cartmill, Bena; Ward, Elizabeth C.; Hill, Anne J.; Isenring, Elizabeth; Byrnes, Joshua; Chambers, Suzanne; Dunn, Jeff; Nixon, Jodie; Whelan, Jane; Porceddu, Sandro V.

In: Oral Oncology, Vol. 54, 01.03.2016, p. 47-53.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - "ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy

AU - Wall, Laurelie R.

AU - Cartmill, Bena

AU - Ward, Elizabeth C.

AU - Hill, Anne J.

AU - Isenring, Elizabeth

AU - Byrnes, Joshua

AU - Chambers, Suzanne

AU - Dunn, Jeff

AU - Nixon, Jodie

AU - Whelan, Jane

AU - Porceddu, Sandro V.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - 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.

AB - 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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U2 - 10.1016/j.oraloncology.2016.01.004

DO - 10.1016/j.oraloncology.2016.01.004

M3 - Article

VL - 54

SP - 47

EP - 53

JO - Oral Oncology

JF - Oral Oncology

SN - 1368-8375

ER -