The role of dietary counseling and nutrition support in head and neck cancer patients

Platek, Mary E.

doi:10.1097/spc.0b013e32835999d5

Cited by 19 publications

(10 citation statements)

References 39 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, we could not analyze the relationship between weight loss and response rate. Finally, our findings should be considered hypothesis generating and encourage new prospective clinical research to evaluate and clearly define the role of oral nutritional supplementation and dietetic counseling in patients undergoing radiotherapy[28].…”

Section: Discussionmentioning

confidence: 88%

A prospective analysis of factors that influence weight loss in patients undergoing radiotherapy

Cacicedo¹,

Casquero²,

Martínez-Indart³

et al. 2013

Chin J Cancer

View full text Add to dashboard Cite

Malnutrition occurs frequently in patients with cancer. Indeed, a variety of nutritional and tumor-related factors must be taken into account in these patients. Recognizing this relationship, we aimed to prospectively evaluate the risk factors that influence weight loss in patients undergoing radiotherapy with oral nutritional supplementation and dietetic counseling. Weight loss of 74 patients during radiotherapy and 1 month after treatment was analyzed. Parameters such as age, gender, tumor location, tumor stage, Eastern Cooperative Oncology Group performance status (ECOG PS) score, and the use of chemotherapy were analyzed to evaluate their influence on weight loss. All patients underwent oral nutritional supplementation and dietetic counseling. Forty-six (65.7%) patients lost weight, with a mean weight loss of (4.73 ± 3.91) kg, during radiotherapy. At 1 month after treatment, 45 (66.2%) patients lost weight, presenting a mean weight loss of (4.96 ± 4.04) kg, corresponding to a (6.84 ± 5.24)% net reduction from their baseline weight. Head and neck cancer patients had a mean weight loss of (3.25 ± 5.30) kg, whereas the remaining patients had a mean weight loss of (0.64 ± 2.39) kg (P = 0.028) during radiotherapy. In the multivariate analysis, the head and neck tumor location (P = 0.005), use of chemotherapy (P = 0.011), and ECOG PS score of 2-3 (P = 0.026) were considered independent risk factors. Nutritional status and parameters, such as tumor location (especially the head and neck), the use of chemotherapy, and the ECOG PS score, should be evaluated before radiotherapy because these factors can influence weight loss during radiotherapy and 1 month after treatment.

show abstract

Section: Discussionmentioning

confidence: 88%

A prospective analysis of factors that influence weight loss in patients undergoing radiotherapy

Cacicedo¹,

Casquero²,

Martínez-Indart³

et al. 2013

Chin J Cancer

View full text Add to dashboard Cite

show abstract

“…Nevertheless, nutritional problems such as weight loss and reduced protein-calorie intake remain quite common during RT, which have been found to be associated with lower survival rate and worse quality of life (QoL) 5–9. Systematic nutritional monitoring and intervention for patients with head and neck cancer could improve treatment outcomes 10–12. So far, however, there is little research focusing on nutrition management for LA-NPC patients, which differ greatly from non-NPC head and neck cancer patients in terms of epidemiology, etiology, pathology, clinical presentation, treatment method, and response to treatment.…”

Section: Introductionmentioning

confidence: 99%

<p>Systematic nutrition management for locally advanced nasopharyngeal carcinoma patients undergoing radiotherapy</p>

Huang¹,

Sun²,

Jiang³

et al. 2019

OTT

View full text Add to dashboard Cite

ObjectiveTo evaluate the impact of systematic nutrition management (SNM) on nutritional status, treatment-related toxicity, quality of life (QoL), response rates, and survival in patients with locally advanced nasopharyngeal carcinoma (LA-NPC) treated by radiotherapy (RT).MethodsIn this retrospective study, 56 patients with LA-NPC were selected as nutrition management group (NG) for SNM during RT till 1 month later. Another 56 patients with LA-NPC receiving RT without SNM as control group (CG) were identified from the hospital database and matched pairs with NG patients according to age, gender, stage, and body mass index (BMI) prior to RT.ResultsAt 1 month after RT, the percentage of malnourished patients with BMI <18.5 kg/m2 was statistically significant reduced in NG as compared to the CG group (35.7% vs 58.9%, P=0.014). Nutritional indexes of body weight, hemoglobin, prealbumin, and lymphocyte in the NG were statistically significant higher than those in the CG group (P<0.05). NG patients had statistically significant less grade 3–4 oral mucositis during RT compared with the CG group (32.1% vs 51.8%, P=0.035). Furthermore, at 1 month after RT, an improved QoL was observed in NG patients with respect to physical, role and social functions, symptom scales of fatigue and pain, and the global health status as compared to the CG group (P<0.05). With a median follow-up of 24.8 months, there were no statistical differences between NG and CG (P>0.05) for the 2-year progression-free survival and overall survival (84.2% versus 79.5% and 94.7% versus 92.3%, respectively.).ConclusionSNM for LA-NPC patients treated by RT resulted in better nutritional status, reduced treatment-related toxicity and improved QoL.

show abstract

“…In HNE cancers, there is strong recognition that nutrition plays an important role in improving clinical outcomes, quality of life, and functional status and minimizing treatment‐related complications 4 . ‐ 6 A main issue in HNE cancer is the uptake and implementation of knowledge related to nutrition care, which is influenced by the knowledge to be adopted (ie, the evidence base), the potential adopters (ie, knowledge, attitudes, and beliefs of care providers), and the context or setting in which the knowledge is to be used (ie, care pathways) 7 . Research studies 8 , 9 and evidenced‐based clinical practice guidelines 10 demonstrating the benefits of nutrition care are scarce, leading to difficulties aggregating and translating knowledge into practice 11 …”

Section: Introductionmentioning

confidence: 99%

Identifying the Barriers and Enablers to Nutrition Care in Head and Neck and Esophageal Cancers

Martin

Schueren

Blauwhoff‐Buskermolen

et al. 2014

J Parenter Enteral Nutr

View full text Add to dashboard Cite

Themes related to nutrition care in HNE cancers were similar between sites, but barriers and enablers differed. Interview and focus group participants agreed the following actions will result in improvements in nutrition care: (1) enhance the evidence base to test the benefit of nutrition interventions, with a focus on resolving specific controversies regarding nutrition therapy, and (2) establish a minimum data set with a goal to create standardized nutrition care pathways where roles and responsibilities for care are clearly defined.

show abstract

The role of dietary counseling and nutrition support in head and neck cancer patients

Cited by 19 publications

References 39 publications

A prospective analysis of factors that influence weight loss in patients undergoing radiotherapy

A prospective analysis of factors that influence weight loss in patients undergoing radiotherapy

<p>Systematic nutrition management for locally advanced nasopharyngeal carcinoma patients undergoing radiotherapy</p>

Identifying the Barriers and Enablers to Nutrition Care in Head and Neck and Esophageal Cancers

Contact Info

Product

Resources

About