Journal
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
Volume 30, Issue 4, Pages 503-508Publisher
JOHN WILEY & SONS INC
DOI: 10.1002/hed.20737
Keywords
head and neck cancer; outcomes; morbidity; mortality; hospital readmission
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Background. The purpose of this study was to determine the influence of weight loss on outcome in patients with head and neck cancer undergoing concomitant chemora-diotherapy (CCRT): treatment interruption, infections, mortality, and hospital readmission rate. Methods. Forty patients with head and neck cancer were enrolled. All patients were counseled to follow a nutritional program during CCRT. Body weight was evaluated at baseline, at the end, and 30 days after radiochemotherapy. Results. Ninety percent of compliant patients with nutritional program maintained body weight (mean, 1 +/- 2.4 kg) and 100 % of noncompliant patients continued to lose weight (mean, -9 +/- 4 kg; p <.001). A reduction greater than 20% of prediagnosis weight significantly correlated with treatment interruption (p =.003), infections (p =.002), early mortality (p =.011), hospital readmission rate (p =.001), and survival (log-rank test: z = -2.722, p =.006). Conclusion. In patients with head and neck cancer undergoing CCRT, the early nutritional management reduces weight loss and improve outcome. (C) 2007 Wiley Periodicals, Inc.
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