The impact of enteral feeding route on patient-reported long term swallowing outcome after chemoradiation for head and neck cancer

Oozeer, Nashreen; Corsar, Kenneth; Glore, Raad John; Penney, Susannah; Patterson, Joanne; Paleri, Vinidh

doi:10.1016/j.oraloncology.2011.07.011

Cited by 55 publications

(55 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two of the 20 studies were randomized controlled trials (RCTs) [71,72] (see Table 1), one followed a case-control design [83], and the remaining 17 involved observational cohorts (three prospective [84][85][86], nine retrospective [22,44,67,[87][88][89][90][91][92], three mixed (with some outcomes being retrieved retrospectively and others being collected prospectively) [46,93,94], and two unclear [50,95]). …”

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

The Effect of Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement on Swallowing and Swallow-Related Outcomes in Patients Undergoing Radiotherapy for Head and Neck Cancer: A Systematic Review

et al. 2015

View full text Add to dashboard Cite

Patients undergoing radiotherapy for head and neck cancer (HNC) often experience malnutrition and dehydration during treatment. As a result, some centres place PEG tubes prophylactically (pPEG) to prevent these negative consequences. However, recent research has suggested that pPEG use may negatively affect swallowing physiology, function and/or quality of life, especially in the long term. The purpose of this study was to systematically review the literature on pPEG use in HNC patients undergoing radiotherapy and to determine its impact on swallowing-related outcomes. The following electronic databases were searched for all relevant primary research published through February 24, 2014: AMED, CINAHL, the Cochrane Library, Embase, Healthstar, Medline, and PsycINFO. Main search terms included HNC, radiotherapy, deglutition disorders, feeding tube(s), and prophylactic or elective. References for all accepted papers were hand searched to identify additional relevant research. Methodological quality was assessed using Cochrane's Risk of Bias. At all levels, two blinded raters provided judgments. Discrepancies were resolved by consensus. The search retrieved 181 unique citations. Twenty studies met our inclusion criteria. Quality assessment revealed that all studies were at risk for bias due to non-randomized sampling and unreported or inadequate blinding. Ten studies demonstrated selection bias with significant baseline differences between pPEG patients and controls. Results regarding the frequency and severity of dysphagia and swallowing-related outcomes were varied and inconclusive. The impact of pPEG use on swallowing and swallowing-related outcomes remains unclear. Well-controlled, randomized trials are needed to determine if pPEG places patients at greater risk for developing long-term dysphagia.

show abstract

Section: Study Characteristicsmentioning

confidence: 99%

“…Four studies used IMRT [50,[85][86][87], two used 3DCRT [88,92], one used conventional radiotherapy [46], four used various forms of radiotherapy [22,67,90,91], and nine were unclear regarding the type of radiotherapy used [44,71,72,83,84,89,[93][94][95] (see Table 1). …”

Section: Study Characteristicsmentioning

confidence: 99%

The Effect of Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement on Swallowing and Swallow-Related Outcomes in Patients Undergoing Radiotherapy for Head and Neck Cancer: A Systematic Review

et al. 2015

View full text Add to dashboard Cite

show abstract

“…However, dysphagia was measured in these studies at a relatively early timepoint for the assessment of a late toxicity. Oozeer et al 24 Many factors are likely to influence long term swallowing function following chemoradiotherapy 6,7,25 . These include patient and tumour factors, smoking status, radiation technique, maintenance of oral intake during treatment, adherence to swallowing exercise regimens, and swallowing rehabilitation support provided.…”

mentioning

confidence: 99%

Long-term Swallow Function after Chemoradiotherapy for Oropharyngeal Cancer: The Influence of a Prophylactic Gastrostomy or Reactive Nasogastric Tube

et al. 2014

View full text Add to dashboard Cite

show abstract

“…[38][39][40] Prophylactic feeding tubes may encourage cessation of oral intake earlier than would otherwise be the case, increasing tube dependency. 41 In Ottosson et al 28 patients without prophylactic enteral feeding exhibited increased weight loss, whereas the study by Ehrsson et al 21 showed patients receiving enteral nutrition were associated with increased weight loss. In the latter three (2%) patients received prophylactic enteral nutrition while 89 (56%) started during or after completion of radiotherapy.…”

Section: Enteral Feedingmentioning

confidence: 97%

Exploration of risk factors for weight loss in head and neck cancer patients

2015

View full text Add to dashboard Cite

show abstract

The impact of enteral feeding route on patient-reported long term swallowing outcome after chemoradiation for head and neck cancer

Cited by 55 publications

References 14 publications

The Effect of Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement on Swallowing and Swallow-Related Outcomes in Patients Undergoing Radiotherapy for Head and Neck Cancer: A Systematic Review

The Effect of Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement on Swallowing and Swallow-Related Outcomes in Patients Undergoing Radiotherapy for Head and Neck Cancer: A Systematic Review

Long-term Swallow Function after Chemoradiotherapy for Oropharyngeal Cancer: The Influence of a Prophylactic Gastrostomy or Reactive Nasogastric Tube

Exploration of risk factors for weight loss in head and neck cancer patients

Contact Info

Product

Resources

About