title: "ScreenIT": Computerized screening of swallowing, nutrition and distress in head and neck cancer patients during (chemo)radiotherapy.
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.
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Centre for Functioning and Health Research, Queensland Health, Brisbane, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; Speech Pathology Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia. Electronic address: l.wall@uq.edu.au.
authors.forename: Laurelie R
authors.initials: LR
authors.lastname: Wall
authors.affiliation: Centre for Functioning and Health Research, Queensland Health, Brisbane, Australia; Speech Pathology Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia.
authors.forename: Bena
authors.initials: B
authors.lastname: Cartmill
authors.affiliation: Centre for Functioning and Health Research, Queensland Health, Brisbane, Australia; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Ward
authors.affiliation: School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; Centre for Research Excellence in Telehealth, The University of Queensland, Brisbane, Australia.
authors.forename: Anne J
authors.initials: AJ
authors.lastname: Hill
authors.affiliation: Dietetics Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia; Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Isenring
authors.affiliation: Centre for Applied Economics, School of Medicine, Griffith University, Queensland, Australia.
authors.forename: Joshua
authors.initials: J
authors.lastname: Byrnes
authors.affiliation: Menzies Health Institute QLD, Griffith University, Queensland, Australia; Cancer Council Queensland, Brisbane, Australia.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Chambers
authors.affiliation: Menzies Health Institute QLD, Griffith University, Queensland, Australia; Cancer Council Queensland, Brisbane, Australia.
authors.forename: Jeff
authors.initials: J
authors.lastname: Dunn
authors.affiliation: Occupational Therapy Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia.
authors.forename: Jodie
authors.initials: J
authors.lastname: Nixon
authors.affiliation: Social Work Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia.
authors.forename: Jane
authors.initials: J
authors.lastname: Whelan
authors.affiliation: Radiation Oncology Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia; School of Medicine, The University of Queensland, Brisbane, Australia.
authors.forename: Sandro V
authors.initials: SV
authors.lastname: Porceddu
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003680:Deglutition Disorders / Q000000981:diagnostic imaging*; D003936:Diagnosis, Computer-Assisted / Q000592:standards*; D005260:Female; D006258:Head and Neck Neoplasms / Q000628:therapy*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009752:Nutritional Status; D011446:Prospective Studies; D015203:Reproducibility of Results; D016896:Treatment Outcome
keywords: Distress; Head and neck cancer; Nutrition; Screening; Supportive care intervention; Swallowing; Telehealth