Variables Associated With Feeding Tube Placement in Head and Neck Cancer

Abstract

To identify clinical factors associated with enteral feeding tube placement in a head and neck cancer population. Design: A self-administered survey was given to patients being treated for head and neck cancer while they were waiting to be seen in 1 of 4 otolaryngology clinics. The post hoc analysis presented here combines survey and chart review data to determine clinical and demographic variables associated with feeding tube placement. Setting: Four otolaryngology clinics. Patients: Otolaryngology clinic patients being treated for head and neck cancer. Main Outcome Measure: Enteral feeding tube placement. Results: Of the 724 patients eligible for this study, 14% (n=98) required enteral feeding tube placement. Multi

Prediction model for tube feeding dependency during chemoradiotherapy for at least four weeks in head and neck cancer patients: A tool for prophylactic gastrostomy decision making

“…To our knowledge, this is the first study including RT dose on the contralateral salivary glands as a possible predictor for TF need combined with other patient and tumor characteristics. Strikingly and unlike other studies, a tumor located in the oral cavity, oropharynx or hypopharynx did not increase the risk of TF for at least 4 weeks as compared to the remaining tumor subsites in the present patient sample [35,37,41,47,48]. This result might be explained by the chosen cut off point of TF for at least four weeks.…”

Swallowing Outcomes in Elderly Patients following Microvascular Reconstruction of the Head and Neck

“…Generally, higher T category tumors are associated with resections that remove larger volumes of native tissue that is then reconstructed with an adynamic piece of tissue that is typically also insensate. Our findings reinforce previous literature demonstrating an association between higher AJCC T category and the need for enteral nutrition in patients with head and neck cancer following surgery 22‐24 . Our data also demonstrated that elderly patients undergoing glossectomy are at higher risk of swallowing dysfunction, which is also in line with prior studies that have also shown that resection of the oral tongue and tongue base is associated with increased swallow dysfunction and postoperative aspiration 25,26 .…”

A Predictive Model for Reactive Tube Feeding in Head and Neck Cancer Patients Undergoing Definitive (Chemo) Radiotherapy

“…The clinical predictors of reactive nasogastric dependency in our cohort are consistent with those reported elsewhere [12,21]: tumour stage, site of disease and administration of systemic therapy. Consistent with other work, our model suggests radiotherapy dose to the contralateral parotid gland further improves the predictive model for the need for acute enteral feeding [23]. However, unlike other studies [23], baseline BMI was not associated on multivariate analysis with the need for emergency enteral feeding.…”

“…Consistent with other work, our model suggests radiotherapy dose to the contralateral parotid gland further improves the predictive model for the need for acute enteral feeding [23]. However, unlike other studies [23], baseline BMI was not associated on multivariate analysis with the need for emergency enteral feeding.…”