P27.01 Multidisciplinary Management of Lung Cancer Patients Presenting with Oropharyngeal Dysphagia

Oropharyngeal dysphagia (OPD) can occur in lung cancer due to neck node compression, laryngeal nerve injury, comorbidities and weakness1,2,3. OPD increases the risk of malnutrition aspiration pneumonia which impact on quality life (QOL), fitness for treatment survival4 5,6. Collaborative working between speech language therapist (SLT) dietitian (DT) aims support safe adequate oral intake patients with OPD, but dedicated resource is uncommon. This service evaluation reviewed SLT/DT interventions implemented reporting within GSTT MDT thoracic oncology clinic, where are core members. A retrospective notes review was conducted clinic all referred SLT June-December 2019 who also received DT input. Data collected included: diagnosis, signs (using Royal Marsden Nutrition Screening Tool)7, swallow function Functional Oral Intake Scale (FOIS))8 intervention received. 19 (11m, 8f), aged 39-82years various tumour locations, pathologies were included. 47% seen by 37% day referral 84% two weeks. 58% a single discipline assessment required from both SLT/DT. were: coughing, breathlessness, wet voice intake/saliva (95%), sticking throat (42%), discomfort swallowing (26%). Patients classified as high medium (37%) or low (21%) malnutrition7. range offered (Fig. 1). All education dietary counselling. 16% considered at and/or following admitted hospital specialist management continued their treatment. could continue safely (median FOIS 6 (range 5-7)) advice. Joint appointments instrumental supported progression more varied diets. Working enabled rapid therapy response times many referral, leading fewer visits. setting facilitated interdisciplinary discussion timely onward referral. Early access therapies provided opportunities education, aimed empower self-manage potentially prevent complications admissions breaks9,10. It acknowledged this small cohort full outcomes not Further research assessing effectiveness larger population recommended.