Assessment of malnutrition parameters in head and neck cancer and their relation to postoperative complications

Schueren, Marian A. van Bokhorst‐de van E. der; Leeuwen, Paul A. M. van; Sauerwein, Hans P.; Kuik, Dirk J.; Snow, Gordon B.; Quak, Jasper J.

doi:10.1002/(sici)1097-0347(199708)19:5<419::aid-hed9>3.3.co;2-5

Cited by 66 publications

(112 citation statements)

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“…20,21 It frequently occurs with comorbidities and with underlying disease processes, such as cancer. 22 Inadequate nutrition, particularly for cancer patients undergoing surgery, is an independent risk factor for complications, increased hospital stay and costs.…”

Section: Preoperative Nutritionmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Melnyk

Casey

Black

et al. 2013

CUAJ

275

120

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Radical cystectomy with pelvic lymph node dissection remains the standard treatment for patients with muscle invasive bladder cancer. Despite improvements in surgical technique, anesthesia and perioperative care, radical cystectomy is still associated with greater morbidity and prolonged in-patient stay after surgery than other urological procedures. Enhanced recovery after surgery (ERAS) protocols are multimodal perioperative care pathways designed to achieve early recovery after surgical procedures by maintaining preoperative organ function and reducing the profound stress response following surgery. The key elements of ERAS protocols include preoperative counselling, optimization of nutrition, standardized analgesic and anesthetic regimens and early mobilization. Despite the significant body of evidence indicating that ERAS protocols lead to improved outcomes, they challenge traditional surgical doctrine, and as a result their implementation has been slow.The present article discusses particular aspects of ERAS protocols which represent fundamental shifts in surgical practice, including perioperative nutrition, management of postoperative ileus and the use of mechanical bowel preparation.

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Section: Preoperative Nutritionmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Melnyk

Casey

Black

et al. 2013

CUAJ

275

120

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“…Critical weight loss (CWL), defined as the involuntary weight loss of ≥5% in 1 month or ≥10% in 6 months, is a common phenomenon in head and neck cancer patients because it is present in about 30% to 55% of these patients [5,17,19,28]. CWL is clinically of utmost importance.…”

Section: Introductionmentioning

confidence: 99%

“…It is associated with increased morbidity and mortality. CWL may result in an increased complication rate, such as impaired wound healing, reduced immune function and decreased tolerance to surgery, radiotherapy and chemotherapy [2,25,28]. CWL also reduces disease-related quality of life and functional status [27].…”

Section: Introductionmentioning

confidence: 99%

Critical weight loss in head and neck cancer—prevalence and risk factors at diagnosis: an explorative study

Jager‐Wittenaar

Dijkstra

Vissink

et al. 2007

Support Care Cancer

166

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Goals of work Critical weight loss (≥5% in 1 month or ≥10% in 6 months) is a common phenomenon in head and neck cancer patients. It is unknown which complaints are most strongly related to critical weight loss in head and neck cancer patients at the time of diagnosis. The aim of this explorative study was to assess the prevalence of critical weight loss and to analyze risk factors for critical weight loss in head and neck cancer patients before treatment. Materials and methods Critical weight loss and factors reducing dietary intake were assessed in 447 patients referred to an ear, nose and throat clinic at the time of diagnosis. Main results In total, data of 407 patients were analyzed. Critical weight loss was present in 19% of the patients. Patients with cancer in the hypopharynx, oropharynx/oral cavity and supraglottic larynx had the highest risk for critical weight loss. Loss of appetite, dysphagia/passage difficulties and loss of taste/aversion were significantly (p<0.05) associated with critical weight loss. Conclusions Already before treatment, critical weight loss is a considerable problem in head and neck cancer patients. Critical weight loss is frequently observed in patients with cancer in the hypopharynx, oropharynx/oral cavity and supraglottic larynx.

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“…4 Critical weight loss in HN cancer patients is reported to vary from 19% to 57%, depending on the timing of the weight measurements and the site of the tumor. [5][6][7][8][9] Few data are available to estimate the extent of weight loss in early stage HN cancer patients.…”

mentioning

confidence: 99%

“…10,11 In addition, patients with critical weight loss reported lower quality-of-life scores and poorer treatment tolerance. 7,[12][13][14] Several studies have shown nutritional interventions in HN cancer patients to have a positive impact on their nutritional status, quality of life, and treatment compliance. [15][16][17] In HN cancer patients, several factors contribute to weight loss before, during, and after treatment.…”

mentioning

confidence: 99%

Predictors of weight loss during radiotherapy in patients with stage I or II head and neck cancer

Nourissat

Bairati

Samson

et al. 2010

Cancer

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BACKGROUND:The purpose of the study was to identify predictors of weight loss during radiotherapy (RT) in patients with stage I or II head and neck (HN) cancer. METHODS: This study was conducted as part of a phase 3 chemoprevention trial. A total of 540 patients were randomized. The patients were weighed before and after RT. Their baseline characteristics, including lifestyle habits, diet, and quality of life, were assessed as potential predictors. Predictors were identified using multiple linear regressions. The reliability of the model was assessed by bootstrap resampling. A receiver operating characteristics curve was generated to estimate the model's accuracy in predicting critical weight loss (!5%). RESULTS: The mean weight loss was 2.2 kg (standard deviation, 3.4). Five factors were associated with a greater weight loss: all HN cancer sites other than the glottic larynx (P<.001), higher pre-RT body weight (P<.001), stage II disease (P ¼ .002), dysphagia and/or odynophagia before RT (P ¼ .001), and a lower Karnofsky performance score (P ¼ .028). There was no association with pre-RT lifestyle habits, diet, or quality of life. The bootstrapping method confirmed the reliability of this predictive model. The area under the curve was 71.3% (95% confidence interval, 65.8-76.9), which represents an acceptable ability of the model to predict critical weight loss. CONCLUSIONS: These results could be useful to clinicians for screening patients with early stage HN cancer treated by RT who require special nutritional attention. Cancer 2010;116:2275-83.

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Assessment of malnutrition parameters in head and neck cancer and their relation to postoperative complications

Cited by 66 publications

References 0 publications

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Enhanced recovery after surgery (ERAS) protocols: Time to change practice?

Critical weight loss in head and neck cancer—prevalence and risk factors at diagnosis: an explorative study

Predictors of weight loss during radiotherapy in patients with stage I or II head and neck cancer

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