Malnutrition and food intake in relation to quality of life in head and neck cancer patients

Hammerlid, Eva; Wirblad, Brita; Sandin, Carina; Mercke, Claes; Edström, Staffan; Kaasa, Stein; Sullivan, Marianne; Westin, Thomas

doi:10.1002/(sici)1097-0347(199809)20:6<540::aid-hed9>3.0.co;2-j

Cited by 143 publications

(55 citation statements)

References 41 publications

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“…The results of this specific patient-rated physical domain of swallowing at 2 years post AFRT-CB is in contrast with the previously reported data for heterogenous HNC patients which have reported improving global function on the EORTC-QLQ-C30 scale by 12 months post-treatment (13)(14)(15)(16)(17). Furthermore, overall patient-rated functional outcomes (using the FACT-H&N) have also been found improve to pretreatment levels by 12 months posttreatment following a hyperfractionated , accelerated regimen (18).…”

Section: Discussioncontrasting

confidence: 99%

“…This pattern of long term adjustment has been found previously (13)(14)(15)(16)(17)(18). In the current cohort, head and neck specific concerns such as cosmesis, voice and communication, and the presence of pain significantly improved from 6 months to 2 years post-treatment.…”

Section: Discussionsupporting

confidence: 86%

“…Generally, research examining radiotherapy treatment protocols has indicated that patientreported function post-treatment is on an upward trajectory with the lowest point immediately post-treatment and improving to pretreatment levels within one year (13)(14)(15)(16)(17)(18). Whether or not this same pattern is evident following AFRT requires further investigation, as few studies to date have employed longitudinal study designs which extend to 2 years or more posttreatment.…”

Section: Introductionmentioning

confidence: 99%

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Long-term Functional Outcomes and Patient Perspective Following Altered Fractionation Radiotherapy with Concomitant Boost for Oropharyngeal Cancer

et al. 2012

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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Long-term Functional Outcomes and Patient Perspective Following Altered Fractionation Radiotherapy with Concomitant Boost for Oropharyngeal Cancer

et al. 2012

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“…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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“…It is now well established that nutrition influences outcomes; for example, in patients with irritable bowel syndrome (IBS), chronic constipation and faecal incontinence, diabetes and cancer (1)(2)(3)(4)(5) . However, HRQoL questionnaires are seldom used in the nutrition field.…”

mentioning

confidence: 99%

Perceived subject outcomes and impact on health-related quality of life associated with diet using the new Food Benefits Assessment (FBA^©) questionnaire: development and psychometric validation

Guyonnet

Chassany

Picard

et al. 2008

Public Health Nutr.

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Objective: To assess the perceived outcomes associated with diet/food intake in the general adult population. Design and subjects: The Food Benefits Assessment (FBA r ) questionnaire was developed from subjects' verbatim transcripts (n 18) and after comprehension tests (n 5). Normal-weight (n 130) and overweight (n 67) subjects then completed the final questionnaire twice, 7 d apart. Psychometric properties were assessed, including construct validity by principal components analysis (PCA), concurrent validity (Spearman coefficient) with the Short Form-36 scale (SF-36), knowngroup validity by comparing FBA dimension scores according to lifestyle and clinical variables, internal consistency reliability (Cronbach's a) and test-retest reproducibility in stable subjects over 1 week (intraclass correlation coefficient, ICC). Results: PCA and Multitrait analysis confirmed the final version of the FBA comprising forty-one items split into seven dimensions (vitality; digestive comfort; physical appearance; well-being; snacking; disease prevention; aesthetics). All dimensions displayed good item convergent validity (0?44 to 0?80), good concurrent validity (highest correlation between well-being dimension of FBA and mental health scale of SF-36, r 5 0?83) and good known-group validity and reproducibility (ICC $ 0?76); internal consistency reliability was good to excellent (Cronbach's a 5 0?79 to 0?91). Conclusion: The FBA is the first valid and reliable questionnaire that allows the assessment of diet effects and impact as perceived by subjects. It is a good candidate in the nutrition field for further use in specific population settings and with a particular food or daily diet. Linguistically validated English (UK and US) and German versions of the questionnaire are available.

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Malnutrition and food intake in relation to quality of life in head and neck cancer patients

Cited by 143 publications

References 41 publications

Long-term Functional Outcomes and Patient Perspective Following Altered Fractionation Radiotherapy with Concomitant Boost for Oropharyngeal Cancer

Long-term Functional Outcomes and Patient Perspective Following Altered Fractionation Radiotherapy with Concomitant Boost for Oropharyngeal Cancer

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

Perceived subject outcomes and impact on health-related quality of life associated with diet using the new Food Benefits Assessment (FBA^©) questionnaire: development and psychometric validation

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Malnutrition and food intake in relation to quality of life in head and neck cancer patients

Cited by 143 publications

References 41 publications

Long-term Functional Outcomes and Patient Perspective Following Altered Fractionation Radiotherapy with Concomitant Boost for Oropharyngeal Cancer

Long-term Functional Outcomes and Patient Perspective Following Altered Fractionation Radiotherapy with Concomitant Boost for Oropharyngeal Cancer

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

Perceived subject outcomes and impact on health-related quality of life associated with diet using the new Food Benefits Assessment (FBA©) questionnaire: development and psychometric validation

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Perceived subject outcomes and impact on health-related quality of life associated with diet using the new Food Benefits Assessment (FBA^©) questionnaire: development and psychometric validation