Outcomes after the use of gastrostomy tubes in patients whose head and neck cancer was managed with radiation therapy

Julie A Ames; Lucy Hynds Karnell; Anjali K Gupta; Todd C Coleman; Michael P Karnell; Douglas J Van Daele; Gerry F Funk

doi:10.1002/hed.21506

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Outcomes after the use of gastrostomy tubes in patients whose head and neck cancer was managed with radiation therapy

Journal article

Peer reviewed

Outcomes after the use of gastrostomy tubes in patients whose head and neck cancer was managed with radiation therapy

Julie A Ames, Lucy Hynds Karnell, Anjali K Gupta, Todd C Coleman, Michael P Karnell, Douglas J Van Daele and Gerry F Funk

Head & neck, Vol.33(5), pp.638-644

05/2011

DOI: 10.1002/hed.21506

PMID: 21077186

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Abstract

The purpose of this study was to examine the effect of continued oral intake and duration of gastrostomy tube placement on posttreatment nutritional outcomes in patients being irradiated for head and neck cancer. Factors associated with continued oral intake and its association with posttreatment outcomes were analyzed. Patients with no oral intake (39.6% of 91) were more likely to have laryngeal tumors, advanced disease, and pretreatment gastrostomy tube placement. Of the 55 patients whose gastrostomy tubes had been removed, those with continued oral intake and shorter gastrostomy tube placement were more likely to maintain their weight and report eating scores in the higher-functioning category, but have more restricted diets. Observed survival was significantly better for the continued-oral-intake group (p = .001). The beneficial effects of continued oral intake and shorter gastrostomy tube placement on posttreatment outcomes shown in this study suggest that clinicians involved in these patients' care should emphasize oral intake during treatment.

Gastrostomy

Eating

Follow-Up Studies

Humans

Middle Aged

Male

Enteral Nutrition

Head and Neck Neoplasms - pathology

Head and Neck Neoplasms - radiotherapy

Time Factors

Weight Loss

Survival Analysis

Deglutition Disorders - etiology

Female

Mucositis - complications

Aged

Head and Neck Neoplasms - mortality

Details

Title: Subtitle: Outcomes after the use of gastrostomy tubes in patients whose head and neck cancer was managed with radiation therapy
Creators: Julie A Ames - University of Iowa College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
Lucy Hynds Karnell
Anjali K Gupta
Todd C Coleman
Michael P Karnell
Douglas J Van Daele
Gerry F Funk
Resource Type: Journal article
Publication Details: Head & neck, Vol.33(5), pp.638-644
DOI: 10.1002/hed.21506
PMID: 21077186
NLM abbreviation: Head Neck
ISSN: 1043-3074
eISSN: 1097-0347
Publisher: United States
Grant note: R01 CA106908 / NCI NIH HHS
Language: English
Date published: 05/2011
Academic Unit: Communication Sciences and Disorders; Radiation Oncology; Craniofacial Anomalies Research Center; Medicine Administration; Otolaryngology
Record Identifier: 9984006402002771

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