To eat is to practice—managing eating problems after head and neck cancer

Kristensen, Marianne Boll; Mikkelsen, Tina Broby; Beck, Anne Marie; Zwisler, Ann-Dorthe; Wessel, Irene; Dieperink, Karin Brochstedt

doi:10.1007/s11764-019-00798-2

Cited by 23 publications

(65 citation statements)

References 44 publications

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“…Many patients treated for HNC feel unprepared for the life that awaits them after cancer treatment [4][5][6][7] when eating problems and other late effects may persist for years or even become chronic [8]. These include dysphagia (swallowing difficulties), xerostomia (dry mouth), dysgeusia (taste disturbances), and trismus (reduced mouth opening) [8].…”

Section: Introductionmentioning

confidence: 99%

“…Based on existing studies [4-7, 18, 20, 21] it is suggested that appropriate rehabilitation services can strengthen the patient's ability to cope with eating problems and thereby reduce the negative consequences. Yet, unmet rehabilitation needs are widely documented in this population [4,5,7,16,22,23].…”

Section: Introductionmentioning

confidence: 99%

“…A frequent strategy for patients treated for HNC to cope with eating problems is the trial-and-error approach [4,6,16,20] with continuous experiments to find tolerated foods as this varies over time. The process may be complicated by fear of choking [4,15,19] and feelings of defeat when experiments are unsuccessful [4,16]. Residential group based rehabilitation programmes, where the daily meals are part of the intervention, may be particularly effective to support patients treated for HNC in this coping process as they can provide a safe environment to practice eating skills [4,21].…”

Section: Introductionmentioning

confidence: 99%

“…The process may be complicated by fear of choking [4,15,19] and feelings of defeat when experiments are unsuccessful [4,16]. Residential group based rehabilitation programmes, where the daily meals are part of the intervention, may be particularly effective to support patients treated for HNC in this coping process as they can provide a safe environment to practice eating skills [4,21]. High participant satisfaction and improvements in QOL scales were seen among patients treated for HNC participating in a pilot study testing a 1-week residential psychoeducational programme [21].…”

Section: Introductionmentioning

confidence: 99%

“…High participant satisfaction and improvements in QOL scales were seen among patients treated for HNC participating in a pilot study testing a 1-week residential psychoeducational programme [21]. In another pilot study, qualitative data showed that patients treated for HNC benefitted from participating in a multidisciplinary residential nutritional rehabilitation programme [4]. Unpublished quantitative data from the latter pilot study (included in Additional file 1) showed significant improvements in body weight and several QOL scales at 3-month follow-up.…”

Section: Introductionmentioning

confidence: 99%

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Rationale and design of a randomised controlled trial investigating the effect of multidisciplinary nutritional rehabilitation for patients treated for head and neck cancer (the NUTRI-HAB trial)

Kristensen

Wessel²,

Beck

et al. 2020

Nutr J

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Background: Eating problems frequently affect quality of life and physical, psychological and social function in patients treated for head and neck cancer (HNC). Residential rehabilitation programmes may ameliorate these adverse effects but are not indicated for all individuals. Systematic assessment of rehabilitation needs may optimise the use of resources while ensuring referral to rehabilitation for those in need. Yet, evidence lacks on which nutrition screening and assessment tools to use. The trial objectives are: 1) To test the effect of a multidisciplinary residential nutritional rehabilitation programme compared to standard care on the primary outcome body weight and secondary outcomes health-related quality of life, physical function and symptoms of anxiety and depression in patients curatively treated for HNC and 2) To test for correlations between participants' development in outcome scores during their participation in the programme and their baseline scores in Nutritional Risk Screening 2002 (NRS 2002), the Scored Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF), and M. D. Anderson Dysphagia Inventory (MDADI) and to assess sensitivity, specificity and predictive values of the three tools in relation to a clinically relevant improvement in outcome scores.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Rationale and design of a randomised controlled trial investigating the effect of multidisciplinary nutritional rehabilitation for patients treated for head and neck cancer (the NUTRI-HAB trial)

Kristensen

Wessel²,

Beck

et al. 2020

Nutr J

Self Cite

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Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study

Patterson

Watson

et al. 2021

Psycho-Oncology

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Objective: To investigate associations between markers of social functioning (trouble with social eating and social contact), depression and health-related quality of life (QOL) among head and neck cancer survivors.Methods: This cross-sectional analysis included individuals with oral cavity, oropharynx, larynx, salivary gland and thyroid cancers from Head and Neck 5000 alive at 12 months. Trouble with social eating and social contact were measured using items from EORTC QLQ-H&N35 and QOL using EORTC QLQ-C30; responses were converted into a score of 0-100, with a higher score equalling more trouble or better QOL. A HADS subscale score of ≥8 was considered significant depression.Associations between tertiles of trouble with social eating and social contact and depression and QoL were assessed using multivariable logistic and linear regression (with robust errors), respectively.Results: Of 2561 survivors, 23% reported significant depression. The median QOL score was 75.0 (interquartile range 58.3-83.3).

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A qualitative systematic review of the social eating and drinking experiences of patients following treatment for head and neck cancer

Dornan

Semple

Moorhead

et al. 2021

Support Care Cancer

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Purpose Patients living with and beyond head and neck cancer (HNC) often have long-term, functional challenges as a result of treatment. A key functional challenge relates to eating and drinking; often associated with physical, emotional, and social difficulties. Eating and drinking with family members and friends can become a struggle, increasing the risk of social isolation and loneliness. This systematic review aims to identify and synthesise the literature on the experiences of social eating and drinking for patients following treatment for HNC. Methods Six electronic databases (Pubmed, Web of Science, CINAHL, EMBASE, PsychINFO, and Scopus) were systematically searched using subject headings and free-text word searches in February 2020. Citation chaining and Google Scholar were used to identify grey literature. PRISMA procedures were followed. Results Of 6910 records identified, 24 studies met the inclusion criteria. Synthesis of the research findings results in two major themes: (1) the experience of loss associated with social eating and drinking, and (2) adjusting and support to promote social eating and drinking. Conclusion Losses associated with social eating affect a patient’s psychological and emotional well-being and impact on close relationships. To promote positive participation in social eating, patients were more likely to seek and receive support from someone within their close social network, rather than a healthcare professional. Family and friends are an essential source of support and are integral in facilitating engagement with social eating following treatment for HNC. Future interventions should promote family orientated resources, incorporating self-management strategies.

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To eat is to practice—managing eating problems after head and neck cancer

Cited by 23 publications

References 44 publications

Rationale and design of a randomised controlled trial investigating the effect of multidisciplinary nutritional rehabilitation for patients treated for head and neck cancer (the NUTRI-HAB trial)

Rationale and design of a randomised controlled trial investigating the effect of multidisciplinary nutritional rehabilitation for patients treated for head and neck cancer (the NUTRI-HAB trial)

Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study

A qualitative systematic review of the social eating and drinking experiences of patients following treatment for head and neck cancer

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