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Literature DB >> 27568350

Intensive nutritional care for patients treated with radiotherapy in head and neck cancer: a randomized study and meta-analysis.

Lise-Marie Roussel^1,2, Emmanuel Micault³, Damien Peyronnet⁴, David Blanchard⁵, Séverine Guarnieri⁶, Olivier Choussy⁷, Bernard Géry⁸, Arnaud Béquignon⁹, Corinne Joubert¹⁰, Jean-Jacques Parienti¹¹, Emmanuel Babin^3,12.

Abstract

Nutritional care improves quality of life (QOL) in head and neck cancer patients treated with radiotherapy. The aim of our study was to determine whether intensive nutritional care (INC) would further improve QOL. In addition to a control group based on European and American guidelines, patients included in the INC group received six meetings with a dietitian. QOL was measured after radiotherapy using the EORTC QLQ-C30. We performed a meta-analysis to determine the best nutritional care. In the 87 patients, the QOL scores, weight, energy, and protein intakes were similar between the INC group (n = 43) and the control group (n = 44). The meta-analysis revealed no heterogeneity and significant differences in QOL (three studies) (p = 0.46) or weight changes after radiotherapy (four studies) (p = 0.06). The nutritional care specified in the European and American guidelines is composed of well-defined recommendations, and appears sufficient to maintain QOL without further intervention.

Entities: Disease Species

Keywords: Head and neck neoplasms; Malnutrition; Quality of life; Radiotherapy

Mesh：

Year: 2016 PMID： 27568350 DOI： 10.1007/s00405-016-4278-9

Source DB: PubMed Journal: Eur Arch Otorhinolaryngol ISSN： 0937-4477 Impact factor: 2.503

30 in total

1. Parotid and submandibular/sublingual salivary flow during high dose radiotherapy.

Authors: F R Burlage; R P Coppes; H Meertens; M A Stokman; A Vissink
Journal: Radiother Oncol Date: 2001-12 Impact factor: 6.280

2. Predictors of severe acute and late toxicities in patients with localized head-and-neck cancer treated with radiation therapy.

Authors: François Meyer; André Fortin; Chang Shu Wang; Geoffrey Liu; Isabelle Bairati
Journal: Int J Radiat Oncol Biol Phys Date: 2011-06-02 Impact factor: 7.038

3. Impact of nutrition on outcome: a prospective randomized controlled trial in patients with head and neck cancer undergoing radiotherapy.

Authors: Paula Ravasco; Isabel Monteiro-Grillo; Pedro Marques Vidal; Maria Ermelinda Camilo
Journal: Head Neck Date: 2005-08 Impact factor: 3.147

4. Prognostic factors for local control, regional control and survival in oropharyngeal squamous cell carcinoma.

Authors: C A Regueiro; G Aragón; I Millán; F J Valcárcel; A de la Torre; R Magallón
Journal: Eur J Cancer Date: 1994 Impact factor: 9.162

5. ESPEN Guidelines on Enteral Nutrition: Non-surgical oncology.

Authors: J Arends; G Bodoky; F Bozzetti; K Fearon; M Muscaritoli; G Selga; M A E van Bokhorst-de van der Schueren; M von Meyenfeldt; G Zürcher; R Fietkau; E Aulbert; B Frick; M Holm; M Kneba; H J Mestrom; A Zander
Journal: Clin Nutr Date: 2006-05-12 Impact factor: 7.324

6. Long-term oral effects in patients treated with radiochemotherapy for head and neck cancer.

Authors: Aline Lima da Silva Deboni; Adelmo José Giordani; Nilza Nelly Fontana Lopes; Rodrigo Souza Dias; Roberto Araujo Segreto; Siri Beier Jensen; Helena Regina Comodo Segreto
Journal: Support Care Cancer Date: 2012-03-13 Impact factor: 3.603

7. Malnutrition and quality of life in patients treated for oral or oropharyngeal cancer.

Authors: Harriët Jager-Wittenaar; Pieter U Dijkstra; Arjan Vissink; Bernard F A M van der Laan; Rob P van Oort; Jan L N Roodenburg
Journal: Head Neck Date: 2010-09-07 Impact factor: 3.147

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

Authors: E Hammerlid; B Wirblad; C Sandin; C Mercke; S Edström; S Kaasa; M Sullivan; T Westin
Journal: Head Neck Date: 1998-09 Impact factor: 3.147

Review 9. Functional outcomes and rehabilitation strategies in patients treated with chemoradiotherapy for advanced head and neck cancer: a systematic review.

Authors: Lisette van der Molen; Maya A van Rossum; Lori M Burkhead; Ludi E Smeele; Frans J M Hilgers
Journal: Eur Arch Otorhinolaryngol Date: 2008-09-30 Impact factor: 2.503

10. Quality of life in head and neck cancers patients: predictive factors, functional and psychosocial outcome.

Authors: E Babin; E Sigston; M Hitier; D Dehesdin; J P Marie; O Choussy
Journal: Eur Arch Otorhinolaryngol Date: 2008-01-11 Impact factor: 2.503

5 in total

1. Long-term follow-up of the potential benefits of early nutritional intervention in adults with upper gastrointestinal cancer: a pilot randomised trial.

Authors: Kate Furness; Mary Anne Silvers; June Savva; Catherine E Huggins; Helen Truby; Terry Haines
Journal: Support Care Cancer Date: 2017-06-14 Impact factor: 3.603

5. Exercise and Nutrition Interventions in Patients with Head and Neck Cancer during Curative Treatment: A Systematic Review and Meta-Analysis.

Authors: Asta Bye; Jon A Sandmael; Guro B Stene; Lene Thorsen; Trude R Balstad; Tora S Solheim; Are Hugo Pripp; Line M Oldervoll
Journal: Nutrients Date: 2020-10-22 Impact factor: 5.717