Quality of Life of Patients Using Esophageal Speech after Total Laryngectomy: A Systematic Review Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Inclusion Criteria
- Studies had to have been published between 2010 and 2023. The limitation was set to highlight contemporary findings related to the subject.
- The voice therapy that patients have received should have been performed using the esophageal speech technique.
- Studies should include questionnaires and auditory analyses to assess patients’ QoL after using esophageal speech. Failure to comply with the above is a criterion for exclusion from the research analysis.
2.2. Data Sources and Search Strategy
2.3. Article Selection and Data Collection Process
- The aim of the study.
- The participants.
- The procedures that were followed and/or the tools that were used.
- The results of the study and the conclusions drawn by the authors.
- Information on bias control.
2.4. Participant Characteristics and Sample Size
2.5. Bias Check
3. Results
- Voice Handicap Index (VHI)—in five studies.
- Voice-Related Quality of Life (V-RQOL)—in two studies.
- Short-Form Health Survey (SF-36)—in one study.
- European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30)—in two studies.
- HEAD & NECK CANCER (EORTC QLQ-H&N35)—in two studies.
- University of Washington Quality of Life (UW-QOL)—in two studies.
- Functional Assessment of Cancer Therapy-General (FACT-G)—in two studies.
- Groningen Enjoyment of Speech Questionnaire (GESQ)—in two studies.
- Hospital Anxiety and Depression Scale (HADS)—in one study.
- Portuguese Self Evaluation of Communication Experiences after Laryngectomy Cancer Questionnaire (P-SECEL)—in one study
3.1. Analysis of the Studies
3.2. Studies’ Findings
3.3. Bias Sources
- Group 1: Studies with solid methodology and a low rate of bias
- Group 2: Studies with weak methodology and higher rate of bias
- Rehabilitation following total laryngectomy: Oncologic, functional, socio-occupational, and psychological aspects [37].
- Verbal performance of total laryngectomized patients rehabilitated with esophageal speech and tracheoesophageal speech: impacts on patient quality of life [6].
- Quality of life after total laryngectomy: impact of different vocal rehabilitation methods in a middle-income country [1].
- Speech rehabilitation during the first year after total laryngectomy [36].
- Voice-Related Quality of Life in Post-Laryngectomy Rehabilitation: Tracheoesophageal Fistula’s Wellness [35].
- Satisfaction and Quality of Life in Laryngectomees after Voice Prosthesis Rehabilitation [39].
- Comparison of Voice Handicap Index in Patients with Esophageal and Tracheoesophageal Speech after Total Laryngectomy.
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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(a) | ||||||
---|---|---|---|---|---|---|
Qualitative Studies | [35] | [36] | [37] | [5] | [1] | [4] |
Was there a clear statement of research aims? | Y | Y | Y | Y | Y | Y |
Did the authors look for the right type of papers? | Y | Y | Y | Y | Y | Y |
Do you think all the important—relevant studies were included? | Y | Y | Y | CT | N | N |
Did the authors do enough to assess the quality of the included studies? | Y | Y | CT | Y | Y | Y |
Were the authors clear about the results? | Y | Y | Y | Y | Y | Y |
Can the results be applied to the local population? | Y | Y | Y | CT | CT | Y |
Were all important outcomes considered? | Y | Y | Y | Y | Y | Y |
(b) | ||||||
Qualitative Studies | [6] | [38] | [39] | |||
Was there a clear statement of research aims? | Y | Y | Y | |||
Did the authors look for the right type of papers? | Y | Y | Y | |||
Do you think all the important—relevant studies were included? | Y | Y | N | |||
Did the authors do enough to assess the quality of the included studies? | Y | Y | Y | |||
Were the authors clear about the results? | Y | Y | Y | |||
Can the results be applied to the local population? | Y | Y | CT | |||
Were all important outcomes considered? | Y | Y | Y |
Studies | Title | Sample Size | Groups Consistency | Method | Results |
---|---|---|---|---|---|
[35] | Voice-Related Quality of Life in Post Laryngectomy Rehabilitation: Tracheoesophageal Fistula’s Wellness. | n = 63 | Group A: Laryngectomized with TEP Group B: Laryngectomized with ES | VHI | p > 0.01 →ES: 38.53 ± 6.62 →TEP:36.24 ± 7.19 |
V-QOL | p < 0.01 →ES:10.76 ± 2.21 →TEP: 8.73 ± 4.71 | ||||
[36] | Speech rehabilitation during the first year after total laryngectomy. | n = 86 ES | t1: Before total laryngectomy t2: Before or at the very beginning of rehabilitation t3: At the end of inpatient rehabilitation or, in the case of no inpatient rehabilitation, 6 months after total laryngectomy t4: 1 year after total laryngectomy | PLTT | →ES patients: p > 0.01 median, PLTT 2.5 vs. 0 →ES objective intelligibility: p > 0.01 median, 67.5 vs. 65 |
[37] | Rehabilitation following total laryngectomy: Oncologic, functional, socio-occupational, and psychological aspects. | n = 133 | Group A: Healthy population Group B: Laryngectomized population | VHI-30 | p > 0.01 |
EORTC QLQ-C30 | p > 0.01 →ES: 78.37 ± 7.4 →TEP: 55.9 ± 25.1 | ||||
EORTC QLQ-H&N35 | No significant data for E.S. | ||||
[5] | Voice prosthesis rehabilitation after total laryngectomy: are satisfaction and quality of life maintained over time? | n = 42 | Group A: Laryngectomized with TEP Group B: Laryngectomized with ES | VHI SF-36 | →Reduced social function for ES |
Voice Analysis | |||||
[1] | Quality of life after total laryngectomy: impact of different vocal rehabilitation methods in a middle-income country. | n = 22 | SCC of larynx, T3/T4, | UW-QOL | →p < 0.01 in the speech section TEP →better QoL vs. ES |
[4] | Quality of Life in Patients Submitted to Total Laryngectomy. | n = 34 | Group A: Healthy population Group B: Laryngectomized population | HADS | →ES: Depression: 5.86/Anxiety: 4.29 |
P-SECEL | No significant data for E.S. | ||||
EORTC QLQ-C30 | No significant data for E.S. | ||||
EORTC QLQ-H&N35 | No significant data for E.S. | ||||
[6] | Verbal performance of total laryngectomized patients rehabilitated with esophageal speech and tracheoesophageal speech: impacts on patient quality of life. | n = 32 | Group A: Laryngectomized with TEP Group B: Laryngectomized with ES | VHI | p > 0.01 →ES: 37.10 ± 23.02 →TEP: 29 ± 15.87 |
VPQ | p > 0.01 →ES: 29.2 ± 11.3 →TEP: 23.4 ± 11.9 | ||||
V-RQOL | p > 0.01 → ES: 10.1 ± 10.8 → TEP: 8.5 ± 2.3 | ||||
VOICE ANALYSIS | →F0:p < 0.01 ES: 133.09 ± 2.4 TEP: 119 ± 3.3 →NHR: p = 0.2 ES: 0.43 ± 0.21 TEP:0.31±0.14 →MPT: p = 0.01 ES: 2.02 ± 0.38 TEP: 10.64 ± 0.28 | ||||
[38] | Comparison of Voice Handicap Index in Patients with Esophageal and Tracheoesophageal Speech after Total Laryngectomy. | n = 43 | Group A: Laryngectomized with TEP Group B: Laryngectomized with ES | VHI-30 | →p < 0.01 TEP→29.03 ± 23.479 ES→64.51 ± 21.089 |
[39] | Satisfaction and Quality of Life in Laryngectomees after Voice Prosthesis Rehabilitation. | n = 18 | Group A: Laryngectomized with TEP Group B: Laryngectomized with ES Group C: Healthy population | SF-36 | →p < 0.01 for social-functionality section between A,B |
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Plotas, P.; Mastronikolis, S.N.; Papadopoulos, A.; Zarnomitrou, K.; Pagkalou, M.; Kantanis, A.; Alexiou, E.; Katseri, E.; Kyriakopoulou, M.; Reppa, M.; et al. Quality of Life of Patients Using Esophageal Speech after Total Laryngectomy: A Systematic Review Study. J. Pers. Med. 2024, 14, 817. https://doi.org/10.3390/jpm14080817
Plotas P, Mastronikolis SN, Papadopoulos A, Zarnomitrou K, Pagkalou M, Kantanis A, Alexiou E, Katseri E, Kyriakopoulou M, Reppa M, et al. Quality of Life of Patients Using Esophageal Speech after Total Laryngectomy: A Systematic Review Study. Journal of Personalized Medicine. 2024; 14(8):817. https://doi.org/10.3390/jpm14080817
Chicago/Turabian StylePlotas, Panagiotis, Stylianos N. Mastronikolis, Angelos Papadopoulos, Kiriaki Zarnomitrou, Marina Pagkalou, Anastasios Kantanis, Eleni Alexiou, Eygenia Katseri, Maria Kyriakopoulou, Maria Reppa, and et al. 2024. "Quality of Life of Patients Using Esophageal Speech after Total Laryngectomy: A Systematic Review Study" Journal of Personalized Medicine 14, no. 8: 817. https://doi.org/10.3390/jpm14080817