Prestwich, RJD, Teo, MTW, Gilbert, A et al. (3 more authors) (2014) Long-term swallow function after chemoradiotherapy for oropharyngeal cancer: The influence of a prophylactic gastrostomy or reactive nasogastric tube. Clinical Oncology, 26 (2). 103 - 109. ISSN 0936-6555
Abstract
Aims: Two contrasting approaches of a prophylactic gastrostomy or a nasogastric tube as needed are widely used to support patients receiving chemoradiotherapy for head and neck cancer. The influence of the type and timing of enteral feeding tube support upon long-term swallowing is uncertain. This study analysed the patients' perspective on long-term swallowing, comparing two groups of patients who received chemoradiotherapy for oropharyngeal cancer managed with the two approaches. Materials and methods: The MD Anderson Dysphagia Inventory (MDADI) was posted to 63 consecutive patients with oropharyngeal squamous cell cancer treated with concurrent chemoradiotherapy between January 2007 and June 2009, who had not required therapeutic enteral feeding before treatment and who were disease free on follow-up at least 2 years after treatment. Results: In total, 56/63 patients completed questionnaires; 43 had been managed with a prophylactic gastrostomy and 13 with a policy of nasogastric tube as needed. There were no significant differences in all global, emotional, physical or functional domains of the MDADI according to enteral feeding strategy. Diet at 6 months after treatment was significantly correlated with better MDADI scores. Conclusions: In this study, the choice of a prophylactic gastrostomy or nasogastric tube as needed did not seem to influence long-term swallowing function.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | (c) 2013 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved. This is an author produced version of a paper published in Clinical Oncology. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Chemoradiotherapy; Gastrostomy; Nasogastric tube; Oropharynx cancer; Swallow; Toxicity |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) |
Funding Information: | Funder Grant number National Inst for Health Research (NIHR) Not Known |
Depositing User: | Symplectic Publications |
Date Deposited: | 29 Oct 2015 09:39 |
Last Modified: | 03 Sep 2017 17:17 |
Published Version: | http://dx.doi.org/10.1016/j.clon.2013.10.005 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.clon.2013.10.005 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:88846 |