Prognostic value of nutritional impairment on treatment‐related toxicity and survival in patients with nasopharyngeal carcinoma taking normal nutrition before radiotherapy

Su, Li; Lin, Qiaojing; Li, Rong; Hua, Yangjingling; Zhang, Hairong; Song, Xiurong; Ye, Jinru; Zhang, Weijian

doi:10.1002/hed.26426

Cited by 15 publications

(16 citation statements)

References 33 publications

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“…The evaluation of the quality of life involves multiple dimensional factors, such as physical, psychological, and social factors, which have become important content for efficacy evaluation [ 9 ]. Adverse reactions are mostly concentrated in the oral cavity and pharynx, therefore, Wang Tian et al [ 10 ] propose that nasopharyngeal carcinoma patients should receive nursing intervention featured with self-care mouth-opening exercise.…”

Section: Introductionmentioning

confidence: 99%

Effects of Self-Care plus Forecasting Nursing on the Treatment Outcomes and Emotions in Patients with Nasopharyngeal Carcinoma after Radiotherapy

Chen

Yao

Ding

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the effects of self-care plus forecasting nursing on the treatment outcomes and emotions in nasopharyngeal carcinoma patients undergoing radiotherapy. Methods. Eighty nasopharyngeal carcinoma patients after radiotherapy admitted to our hospital from February 2020 to August 2021 were selected. The patients were allocated into an observation group (n = 40) and an experimental group (n = 40) according to different nursing protocols. The observation group received traditional nursing intervention, whereas the experimental group received self-care plus forecasting nursing intervention. The levels of the indexes (quality of life, score on the Zung Self-Rating Anxiety Scale (SAS), score on the Zung Self-Rating Depression Scale (SDS), and adverse reaction) were compared between the two groups. Results. The score of the experimental group for the quality of life was significantly higher than that of the observation group ( P < 0.05 ); the SAS and SDS scores of the experimental group after nursing intervention were significantly lower than those of the observation group ( P < 0.05 ); the incidence of adverse reactions in the experimental group during radiotherapy was significantly lower than that of the observation group ( P < 0.05 ). Conclusion. The self-care plus forecasting nursing intervention is effective in postradiotherapy patients with nasopharyngeal carcinoma. The technique is proved effective to improve the quality of life, reduce anxiety and depression, and decrease the incidence of adverse reactions in patients during treatment. These features make the technique worthy of a wider clinical application.

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Section: Introductionmentioning

confidence: 99%

Effects of Self-Care plus Forecasting Nursing on the Treatment Outcomes and Emotions in Patients with Nasopharyngeal Carcinoma after Radiotherapy

Chen

Yao

Ding

2022

Evidence-Based Complementary and Alternative Medicine

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“…interruption or postponement of therapy, and affects patients' post-treatment recovery and overall survival; it also causes serious adverse effects and heavy economic burden to families and society (Su et al, 2020) .…”

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confidence: 99%

WITHDRAWN: Effect of modified Baduanjin exercise on nutritional status in patients with nasopharyngeal carcinoma: A randomized controlled trial

Zhou

Zhang

Yang

et al. 2023

Preprint

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Background As a traditional Chinese fitness technique, Baduanjin is a low to medium intensity aerobic exercise that has a common regulatory effect on both body and mind, and is also an important means of disease prevention and treatment. However, the role of Baduanjin in improving patients' nutritional status and promoting tumor recovery remains to be confirmed. Objective This study aims to investigate the effectiveness of modified Baduanjin exercise on the nutritional status of patients with nasopharyngeal carcinoma. Design: A randomized controlled trial. Setting(s): The participants were recruited from inpatients in the Radiotherapy Department of the First Affiliated Hospital of Guangxi Medical University in China. Participants: A total of 121 nasopharyngeal carcinoma patients were randomly divided into the control group and the Baduanjin group. Finally, 106 patients completed the study (53 cases each in the control group and the Baduanjin group) with the intervention time from the beginning to the end of tradiotherapy. Methods The control group received conventional care guidance, and the Baduanjin exercise group had regular improved Baduanjin exercise on conventional care basis, with the intervention time from the beginning of radiotherapy to the end of the treatment. PG-SGA was evaluated before, during (15 times), and at the end of radiotherapy as the main evaluation index to compare nutritional status between the two groups. Results From August 2022 to December 2022, 121 patients with nasopharyngeal cancer were randomly divided into control group and Baduanjin exercise group. During the intervention, 15 patients withdrew from the study, leading to 53 of 59 patients in the control group and 53 of 62 patients in the Baduanjin group. After the intervention, the PG-SGA score, radioactive oral mucosal response, oropharyngeal pain score, and anorexia scores were lower (P < 0.05), whereas the levels of hemoglobin, albumin, prealbumin, and total protein were higher than those in the control group (P < 0.05). Conclusions Modified Baduanjin exercise can improve the nutritional status of patients with NPC and deserves further clinical application. Trial registration: This study was registered in the Chinese Clinical Trial Registry under the registration number ChiCTR2200064519,Registered on August 27, 2022. The public research topic is the construction and intervention research based on Internet + nasopharyngeal cancer.

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“…These results raise the issue of providing effective strategies for the prevention of weight loss and malnutrition in SSc [8,86,87]. Through intricate mechanisms, chronic systemic diseases are often associated with nutritional status alterations [88][89][90][91]. We found that most patients demonstrated a lower body mass on evaluation for the present study compared to the one recorded at diagnosis.…”

Section: Discussionmentioning

confidence: 60%

Diet in Scleroderma: Is There a Need for Intervention?

et al. 2021

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Systemic sclerosis (SSc) patients exhibit a plethora of risk factors for nutritional decline, including the presence of chronic inflammation and the progressive nature of disease-related multisystem involvement. The prevalence and consequences of nutritional decline in scleroderma are frequently underestimated, its management currently remaining a subject of debate. The main objective of the present study was to perform a detailed assessment of scleroderma patients’ diet as well as their eating habits and to describe the relationships with weight loss and malnutrition risk in the absence of professional nutritional counseling. Methods: We used a translated and validated version of the EPIC-Norfolk FFQ (European Prospective Investigation into Cancer and Nutrition Norfolk Food Frequency Questionnaire) to evaluate the patients’ diet and MUST (Malnutrition Universal Screening Tool) to investigate the risk of malnutrition. Disease activity was estimated using the EUSTAR-AI (European Scleroderma Trials and Research group Activity Index). Results: We included 69 patients with SSc, of which 42 underwent a detailed dietary assessment. Dietary factors were connected to body composition and digestive symptoms. We found high sodium intake and frequent suboptimal energy consumption in our study group, including patients with cardiopulmonary involvement. Liver transaminases were inversely correlated with the consumption of nuts and seeds. Malnutrition and weight loss were significantly associated with pulmonary hypertension, heart failure, albumin levels, and the extent of skin fibrosis, but not advanced age. Although the patients with EUSTAR-AI ≥ 2.5 were more frequently included in the moderate and high malnutrition risk categories, these results did not reach statistical significance. Conclusions: Currently, there is an unmet need for longitudinal and interventional research focusing on the long-term significance, ramifications, and management of nutritional impairment in SSc patients with various clinical manifestations. Our results indicate that scleroderma patients could benefit from personalized nutritional counseling in an interdisciplinary setting.

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Prognostic value of nutritional impairment on treatment‐related toxicity and survival in patients with nasopharyngeal carcinoma taking normal nutrition before radiotherapy

Cited by 15 publications

References 33 publications

Effects of Self-Care plus Forecasting Nursing on the Treatment Outcomes and Emotions in Patients with Nasopharyngeal Carcinoma after Radiotherapy

Effects of Self-Care plus Forecasting Nursing on the Treatment Outcomes and Emotions in Patients with Nasopharyngeal Carcinoma after Radiotherapy

WITHDRAWN: Effect of modified Baduanjin exercise on nutritional status in patients with nasopharyngeal carcinoma: A randomized controlled trial

Diet in Scleroderma: Is There a Need for Intervention?

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