The changing landscape of head and neck cancer radiotherapy patients: is high-risk, prolonged feeding tube use indicative of on-treatment weight loss?

Autor: M. Rolfo, Maziar Fahandej, Hui K Gan, Morikatsu Wada, Vincent Khoo, James E. Jackson, Nigel J. Anderson, Michal Schneider, Michael Poulsen
Rok vydání: 2019
Předmět:
lcsh:Medical physics. Medical radiology. Nuclear medicine
Adult
Male
Risk
medicine.medical_specialty
Time Factors
medicine.medical_treatment
lcsh:R895-920
Gastroenterology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Enteral Nutrition
Head and neck radiotherapy
Weight loss
Internal medicine
Weight Loss
medicine
Humans
Radiology
Nuclear Medicine and imaging
intensity modulated radiotherapy
Feeding tube
Retrospective Studies
Radiological and Ultrasound Technology
Performance status
business.industry
Radiotherapy Planning
Computer-Assisted
Head and neck cancer
feeding tube
toxicity
Original Articles
medicine.disease
Dysphagia
Radiation therapy
Head and Neck Neoplasms
030220 oncology & carcinogenesis
Cohort
Female
Original Article
head and neck cancer
medicine.symptom
business
Zdroj: Journal of Medical Radiation Sciences
Journal of Medical Radiation Sciences, Vol 66, Iss 4, Pp 250-258 (2019)
ISSN: 2051-3909
Popis: Introduction Precision radiotherapy relies heavily on optimal weight management. Our group previously developed a risk stratification model for patients at risk of prolonged feeding tube (FT) intervention. The study objective was to assess on‐treatment weight loss according to stratified risk of prolonged FT use. Methods One hundred and one (n = 101) definitive head and neck radiotherapy patients were included in this study. Patients were stratified into high risk (HRi: T‐classification ≥ 3 with level 2 Nodal disease), high‐intermediate risk (HIRi: T‐classification ≥ 3 without level 2 Nodes) and low‐intermediate risk (LIRi: T‐classification
Weight loss in head and neck cancer (HNC) patients is critical in delivering precision radiation therapy. Feeding tubes are a commonly used intervention to manage nutrition during radiotherapy. The results of this study show that HPV‐associated HNC patients, whilst not typically at highest risk of prolonged feeding tube use during radiotherapy, present with increased weight loss throughout their radiotherapy.
Databáze: OpenAIRE
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