Revalidation of Proactive Gastrostomy Tube Placement Guidelines for Head and Neck Cancer Patients Receiving Helical Intensity-Modulated Radiotherapy

The Royal Brisbane and Women's Hospital (RBWH) Swallowing and Nutrition Management Guidelines for Patients with Head and Neck Cancer were developed to enable evidence-based decision-making by the Head and Neck Multidisciplinary Team (H&N MDT) regarding enteral nutrition support options. The...

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Published inCurrent oncology (Toronto) Vol. 31; no. 11; pp. 6938 - 6955
Main Authors Brown, Teresa E, Byrnes, Angela, Chan, Aaron C, Dwyer, Kathleen, Edwards, Anna, Blake, Claire L, Banks, Merrilyn D, Hughes, Brett G M, Lin, Charles Y, Kenny, Lizbeth M, Spurgin, Ann-Louise, Bauer, Judith D
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Abstract The Royal Brisbane and Women's Hospital (RBWH) Swallowing and Nutrition Management Guidelines for Patients with Head and Neck Cancer were developed to enable evidence-based decision-making by the Head and Neck Multidisciplinary Team (H&N MDT) regarding enteral nutrition support options. The purpose of this study was to revalidate these guidelines in a cohort of patients receiving helical intensity-modulated radiotherapy (H-IMRT) compared to a historical cohort who received primarily 3D-conformal radiotherapy. Eligible patients attending the RBWH H&N MDT between 2013 and 2014 (n = 315) were assessed by the guidelines, with high-risk patients being recommended proactive gastrostomy tube placement. Data were collected on guideline adherence, gastrostomy tube insertions, the duration of enteral tube use and weight change. Sensitivity, specificity and positive predictive and negative predictive values were calculated and compared with the historical cohort. Overall guideline adherence was 84%, with 60% and 96% adherence to the high-risk and low-risk pathways, respectively. Seventy patients underwent proactive gastrostomy tube placement (n = 62 high-risk; n = 8 low-risk). Validation outcomes were sensitivity 73% (compared to 72%) and specificity 86% (compared to 96%). The guidelines yielded a high sensitivity and specificity, remaining valid in a cohort of patients treated with H-IMRT. Further studies are recommended to improve the sensitivity and understand the decrease in specificity in order to make ongoing guideline improvements.
AbstractList The Royal Brisbane and Women’s Hospital (RBWH) Swallowing and Nutrition Management Guidelines for Patients with Head and Neck Cancer were developed to enable evidence-based decision-making by the Head and Neck Multidisciplinary Team (H&N MDT) regarding enteral nutrition support options. The purpose of this study was to revalidate these guidelines in a cohort of patients receiving helical intensity-modulated radiotherapy (H-IMRT) compared to a historical cohort who received primarily 3D-conformal radiotherapy. Eligible patients attending the RBWH H&N MDT between 2013 and 2014 (n = 315) were assessed by the guidelines, with high-risk patients being recommended proactive gastrostomy tube placement. Data were collected on guideline adherence, gastrostomy tube insertions, the duration of enteral tube use and weight change. Sensitivity, specificity and positive predictive and negative predictive values were calculated and compared with the historical cohort. Overall guideline adherence was 84%, with 60% and 96% adherence to the high-risk and low-risk pathways, respectively. Seventy patients underwent proactive gastrostomy tube placement (n = 62 high-risk; n = 8 low-risk). Validation outcomes were sensitivity 73% (compared to 72%) and specificity 86% (compared to 96%). The guidelines yielded a high sensitivity and specificity, remaining valid in a cohort of patients treated with H-IMRT. Further studies are recommended to improve the sensitivity and understand the decrease in specificity in order to make ongoing guideline improvements.
The Royal Brisbane and Women's Hospital (RBWH) Swallowing and Nutrition Management Guidelines for Patients with Head and Neck Cancer were developed to enable evidence-based decision-making by the Head and Neck Multidisciplinary Team (H&N MDT) regarding enteral nutrition support options. The purpose of this study was to revalidate these guidelines in a cohort of patients receiving helical intensity-modulated radiotherapy (H-IMRT) compared to a historical cohort who received primarily 3D-conformal radiotherapy. Eligible patients attending the RBWH H&N MDT between 2013 and 2014 (n = 315) were assessed by the guidelines, with high-risk patients being recommended proactive gastrostomy tube placement. Data were collected on guideline adherence, gastrostomy tube insertions, the duration of enteral tube use and weight change. Sensitivity, specificity and positive predictive and negative predictive values were calculated and compared with the historical cohort. Overall guideline adherence was 84%, with 60% and 96% adherence to the high-risk and low-risk pathways, respectively. Seventy patients underwent proactive gastrostomy tube placement (n = 62 high-risk; n = 8 low-risk). Validation outcomes were sensitivity 73% (compared to 72%) and specificity 86% (compared to 96%). The guidelines yielded a high sensitivity and specificity, remaining valid in a cohort of patients treated with H-IMRT. Further studies are recommended to improve the sensitivity and understand the decrease in specificity in order to make ongoing guideline improvements.The Royal Brisbane and Women's Hospital (RBWH) Swallowing and Nutrition Management Guidelines for Patients with Head and Neck Cancer were developed to enable evidence-based decision-making by the Head and Neck Multidisciplinary Team (H&N MDT) regarding enteral nutrition support options. The purpose of this study was to revalidate these guidelines in a cohort of patients receiving helical intensity-modulated radiotherapy (H-IMRT) compared to a historical cohort who received primarily 3D-conformal radiotherapy. Eligible patients attending the RBWH H&N MDT between 2013 and 2014 (n = 315) were assessed by the guidelines, with high-risk patients being recommended proactive gastrostomy tube placement. Data were collected on guideline adherence, gastrostomy tube insertions, the duration of enteral tube use and weight change. Sensitivity, specificity and positive predictive and negative predictive values were calculated and compared with the historical cohort. Overall guideline adherence was 84%, with 60% and 96% adherence to the high-risk and low-risk pathways, respectively. Seventy patients underwent proactive gastrostomy tube placement (n = 62 high-risk; n = 8 low-risk). Validation outcomes were sensitivity 73% (compared to 72%) and specificity 86% (compared to 96%). The guidelines yielded a high sensitivity and specificity, remaining valid in a cohort of patients treated with H-IMRT. Further studies are recommended to improve the sensitivity and understand the decrease in specificity in order to make ongoing guideline improvements.
Audience Academic
Author Brown, Teresa E
Kenny, Lizbeth M
Chan, Aaron C
Bauer, Judith D
Spurgin, Ann-Louise
Edwards, Anna
Blake, Claire L
Lin, Charles Y
Hughes, Brett G M
Byrnes, Angela
Dwyer, Kathleen
Banks, Merrilyn D
AuthorAffiliation 6 School of Medicine, University of Queensland, Brisbane, QLD 4072, Australia
1 Dietetics & Food Services, Royal Brisbane & Women’s Hospital, Brisbane, QLD 4029, Australia
8 Department of Nutrition, Dietetics & Food, Monash University, Melbourne, VIC 3800, Australia
7 Department of Speech Pathology, Royal Brisbane & Women’s Hospital, Brisbane, QLD 4029, Australia
4 Nutrition & Dietetics, Toowoomba Hospital, Darling Downs Health, Toowoomba, QLD 4350, Australia
5 Cancer Care Services, Royal Brisbane & Women’s Hospital, Brisbane, QLD 4029, Australia
2 School of Human Movement & Nutrition Sciences, University of Queensland, Brisbane, QLD 4072, Australia
3 Nutrition & Food Services, Ipswich Hospital, Ipswich, QLD 4305, Australia
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Cites_doi 10.1016/j.oraloncology.2021.105435
10.1002/hed.23146
10.1080/01635581.2017.1367943
10.1002/lio2.666
10.1007/s10147-021-01889-w
10.1016/j.anorl.2011.04.001
10.1016/j.oraloncology.2016.11.009
10.1111/j.1749-4486.2009.01889.x
10.1097/MLG.0b013e31815fdf0e
10.1002/1097-0142(20010501)91:9<1785::AID-CNCR1197>3.0.CO;2-1
10.1111/ajco.12323
10.1002/hed.23245
10.21037/jtd.2019.09.33
10.1002/hed.24220
10.1016/j.clnu.2021.11.019
10.1002/hed.21044
10.1038/bjc.2013.458
10.1017/S0022215116000402
10.1016/j.tipsro.2020.01.003
10.1002/hed.26638
10.1016/j.oraloncology.2022.105903
10.1038/ejcn.2015.141
10.1186/s12885-021-08348-9
10.1002/jmrs.699
10.1016/j.clnesp.2021.09.724
10.1038/ejcn.2015.230
10.1016/j.oraloncology.2018.11.031
10.1002/ueg2.12467
10.1016/j.ijrobp.2006.06.040
10.1016/S0360-3016(01)01512-7
10.1177/0148607108327525
10.1016/j.anorl.2019.01.001
10.1016/j.radonc.2016.05.017
10.1016/j.oraloncology.2015.03.006
10.1002/hed.22992
10.1016/j.clnu.2016.07.015
10.1002/hed.25316
10.1177/0003489419839091
10.1111/1747-0080.12714
10.1111/j.1440-1673.2008.02003.x
10.3390/jcm12093169
10.1002/hed.24255
10.1016/j.oraloncology.2017.07.017
10.1016/j.oraloncology.2016.09.004
10.1016/j.radonc.2017.08.022
10.1016/j.oraloncology.2020.105177
10.1097/CCO.0000000000001031
10.3109/0284186X.2012.731524
10.1007/s00066-024-02206-w
10.1016/j.oraloncology.2022.106216
10.1038/s41415-022-5107-8
10.1002/jpen.2360
10.1111/ecc.13518
10.1016/j.amjoto.2022.103512
10.1002/jmrs.360
10.1002/cncr.30350
10.1200/JCO.21.01752
10.1007/978-3-319-65421-8_11
10.1177/0884533616682684
10.1007/s00405-017-4681-x
10.1016/j.coms.2018.06.001
10.1038/bjc.2017.138
10.1007/s00455-015-9679-1
10.3390/nu7010265
10.1016/j.oraloncology.2018.10.028
10.1177/0194599813517081
10.1016/j.amjoto.2021.103356
10.1016/j.oraloncology.2017.06.025
10.1007/s00405-020-06545-z
10.1016/j.oraloncology.2018.02.012
10.1097/MOO.0000000000000135
10.1002/hed.24630
10.1038/s41430-022-01154-x
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Issue 11
Keywords radiotherapy
enteral feeding
nutrition
gastrostomy
head and neck cancer
Language English
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This article is a revised and expanded version of a paper entitled [Validation of a protocol to predict proactive gastrostomy tube placement in patients with head and neck cancer receiving Helical Intensity-Modulated Radiotherapy], which was presented as a poster with preliminary results and data at the 18th Australia and New Zealand Head and Neck Cancer Society ASM and the International Federation of Head and Neck Oncological Societies World Tour, Auckland, New Zealand, 25–27 October 2016.
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References Raykher (ref_22) 2009; 33
Talwar (ref_6) 2016; 130
Hughes (ref_16) 2013; 35
Xu (ref_18) 2022; 76
Dechaphunkul (ref_44) 2022; 43
Jackson (ref_54) 2020; 14
Mekhail (ref_67) 2001; 91
Willemsen (ref_65) 2022; 41
Wopken (ref_43) 2018; 126
Brown (ref_41) 2015; 69
Xu (ref_48) 2021; 121
Arends (ref_28) 2017; 36
Fong (ref_56) 2023; 70
Mellors (ref_19) 2021; 46
Karsten (ref_23) 2019; 88
Ghosh (ref_30) 2016; 10
Brown (ref_27) 2013; 35
Anderson (ref_53) 2018; 40
Lee (ref_37) 2006; 66
Crombie (ref_25) 2015; 51
Ackerman (ref_3) 2018; 174
Roe (ref_31) 2016; 38
Lohia (ref_39) 2014; 140
Vangelov (ref_63) 2018; 79
Brown (ref_66) 2019; 66
Brown (ref_24) 2017; 72
Brown (ref_34) 2016; 70
Forner (ref_73) 2022; 130
Eisbruch (ref_38) 2001; 50
Kucha (ref_72) 2023; 11
Menezes (ref_2) 2021; 115
Dechaphunkul (ref_47) 2022; 43
Kok (ref_10) 2022; 31
Bossola (ref_4) 2015; 7
Ilmarinen (ref_11) 2021; 278
Cook (ref_5) 2022; 233
Senesse (ref_49) 2024; 36
Corry (ref_20) 2008; 52
ref_35
Kano (ref_46) 2021; 26
Lango (ref_64) 2016; 38
ref_77
Brown (ref_76) 2017; 39
McClelland (ref_15) 2018; 87
Vangelov (ref_61) 2017; 274
Kao (ref_50) 2022; 135
Neves (ref_45) 2023; 15
Ferris (ref_74) 2022; 40
Ottosson (ref_68) 2013; 52
Vangelov (ref_62) 2017; 69
Cohen (ref_1) 2018; 30
Matuschek (ref_55) 2016; 120
Harms (ref_58) 2019; 128
Fabian (ref_12) 2024; 200
Bossola (ref_7) 2022; 46
Brown (ref_14) 2017; 117
Blake (ref_13) 2022; 79
Kramer (ref_26) 2013; 150
Moroney (ref_32) 2017; 64
Yanni (ref_17) 2019; 136
Yang (ref_59) 2016; 31
Brown (ref_51) 2017; 72
Beadle (ref_40) 2017; 123
Wang (ref_42) 2019; 11
Bradley (ref_8) 2015; 23
Tao (ref_29) 2011; 128
Corry (ref_21) 2009; 31
May (ref_33) 2013; 35
Chang (ref_69) 2015; 11
Oh (ref_71) 2021; 6
ref_9
Rusthoven (ref_36) 2008; 118
Kok (ref_60) 2017; 32
Grant (ref_70) 2009; 34
Langius (ref_52) 2013; 109
Greco (ref_57) 2021; 43
Haughey (ref_75) 2016; 62
References_xml – volume: 121
  start-page: 105435
  year: 2021
  ident: ref_48
  article-title: Percutaneous endoscopic gastrostomy can improve survival outcomes in patients with N3 nasopharyngeal carcinoma undergoing concurrent chemoradiotherapy
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2021.105435
  contributor:
    fullname: Xu
– volume: 35
  start-page: 1385
  year: 2013
  ident: ref_27
  article-title: Validated swallowing and nutrition guidelines for patients with head and neck cancer: Identification of high-risk patients for proactive gastrostomy
  publication-title: Head Neck
  doi: 10.1002/hed.23146
  contributor:
    fullname: Brown
– volume: 69
  start-page: 1211
  year: 2017
  ident: ref_62
  article-title: Critical Weight Loss in Patients With Oropharynx Cancer During Radiotherapy (± Chemotherapy)
  publication-title: Nutr. Cancer
  doi: 10.1080/01635581.2017.1367943
  contributor:
    fullname: Vangelov
– volume: 6
  start-page: 1325
  year: 2021
  ident: ref_71
  article-title: Clinical characteristics and pathogens in percutaneous endoscopic gastrostomy site infection in patients with head and neck cancer: A 16-year retrospective study
  publication-title: Laryngoscope Investig. Otolaryngol.
  doi: 10.1002/lio2.666
  contributor:
    fullname: Oh
– volume: 26
  start-page: 1179
  year: 2021
  ident: ref_46
  article-title: Predictors of the need for prophylactic percutaneous endoscopic gastrostomy in head and neck cancer patients treated with concurrent chemoradiotherapy
  publication-title: Int. J. Clin. Oncol.
  doi: 10.1007/s10147-021-01889-w
  contributor:
    fullname: Kano
– volume: 128
  start-page: 241
  year: 2011
  ident: ref_29
  article-title: Intensity-modulated radiation therapy (IMRT): Toward a new standard for radiation therapy of head and neck cancer?
  publication-title: Eur. Ann. Otorhinolaryngol. Head Neck Dis.
  doi: 10.1016/j.anorl.2011.04.001
  contributor:
    fullname: Tao
– volume: 64
  start-page: 1
  year: 2017
  ident: ref_32
  article-title: Patterns of dysphagia and acute toxicities in patients with head and neck cancer undergoing helical IMRT ± concurrent chemotherapy
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2016.11.009
  contributor:
    fullname: Moroney
– volume: 34
  start-page: 103
  year: 2009
  ident: ref_70
  article-title: Complications following gastrostomy tube insertion in patients with head and neck cancer: A prospective multi-institution study, systematic review and meta-analysis
  publication-title: Clin. Otolaryngol.
  doi: 10.1111/j.1749-4486.2009.01889.x
  contributor:
    fullname: Grant
– volume: 118
  start-page: 635
  year: 2008
  ident: ref_36
  article-title: Effect of radiation techniques in treatment of oropharynx cancer
  publication-title: Laryngoscope
  doi: 10.1097/MLG.0b013e31815fdf0e
  contributor:
    fullname: Rusthoven
– volume: 91
  start-page: 1785
  year: 2001
  ident: ref_67
  article-title: Enteral nutrition during the treatment of head and neck carcinoma: Is a percutaneous endoscopic gastrostomy tube preferable to a nasogastric tube?
  publication-title: Cancer
  doi: 10.1002/1097-0142(20010501)91:9<1785::AID-CNCR1197>3.0.CO;2-1
  contributor:
    fullname: Mekhail
– volume: 15
  start-page: e44637
  year: 2023
  ident: ref_45
  article-title: Utility of Prophylactic Percutaneous Gastrostomy in Patients With Head and Neck Cancer Receiving Concur-rent Chemoradiotherapy: A Multicenter Analysis
  publication-title: Cureus
  contributor:
    fullname: Neves
– volume: 11
  start-page: 228
  year: 2015
  ident: ref_69
  article-title: Chemoradiotherapy in elderly patients with advanced head and neck cancer under intensive nutritional support
  publication-title: Asia-Pac. J. Clin. Oncol.
  doi: 10.1111/ajco.12323
  contributor:
    fullname: Chang
– volume: 35
  start-page: 1796
  year: 2013
  ident: ref_33
  article-title: Intensity-modulated radiation therapy as primary treatment for oropharyngeal squamous cell carcinoma
  publication-title: Head Neck
  doi: 10.1002/hed.23245
  contributor:
    fullname: May
– volume: 11
  start-page: 3721
  year: 2019
  ident: ref_42
  article-title: Intensity-modulated radiotherapy does not decrease the risk of malnutrition in esophageal cancer patients during radiotherapy compared to three-dimensional conformal radiation therapy
  publication-title: J. Thorac. Dis.
  doi: 10.21037/jtd.2019.09.33
  contributor:
    fullname: Wang
– volume: 38
  start-page: E1318
  year: 2016
  ident: ref_64
  article-title: Impact of baseline patient-reported dysphagia on acute gastrostomy placement in patients with head and neck squamous cell carcinoma undergoing definitive radiation
  publication-title: Head Neck
  doi: 10.1002/hed.24220
  contributor:
    fullname: Lango
– volume: 41
  start-page: 177
  year: 2022
  ident: ref_65
  article-title: Development and external validation of a prediction model for tube feeding dependency for at least four weeks during chemoradiotherapy for head and neck cancer
  publication-title: Clin. Nutr.
  doi: 10.1016/j.clnu.2021.11.019
  contributor:
    fullname: Willemsen
– volume: 31
  start-page: 867
  year: 2009
  ident: ref_21
  article-title: Prospective study of percutaneous endoscopic gastrostomy tubes versus nasogastric tubes for enteral feeding in patients with head and neck cancer undergoing (chemo)radiation
  publication-title: Head Neck
  doi: 10.1002/hed.21044
  contributor:
    fullname: Corry
– volume: 109
  start-page: 1093
  year: 2013
  ident: ref_52
  article-title: Critical weight loss is a major prognostic indicator for disease-specific survival in patients with head and neck cancer receiving radiotherapy
  publication-title: Br. J. Cancer
  doi: 10.1038/bjc.2013.458
  contributor:
    fullname: Langius
– ident: ref_35
– volume: 130
  start-page: S32
  year: 2016
  ident: ref_6
  article-title: Nutritional management in head and neck cancer: United Kingdom National Multidisciplinary Guidelines
  publication-title: J. Laryngol. Otol.
  doi: 10.1017/S0022215116000402
  contributor:
    fullname: Talwar
– volume: 14
  start-page: 1
  year: 2020
  ident: ref_54
  article-title: Clinical and dosimetric risk stratification for patients at high-risk of feeding tube use during definitive IMRT for head and neck cancer
  publication-title: Tech. Innov. Patient Support Radiat. Oncol.
  doi: 10.1016/j.tipsro.2020.01.003
  contributor:
    fullname: Jackson
– volume: 43
  start-page: 1610
  year: 2021
  ident: ref_57
  article-title: Presence and duration of feeding tube in a 5-year cohort of patients with head and neck cancer treated with curative intensity-modulated radiation therapy
  publication-title: Head Neck
  doi: 10.1002/hed.26638
  contributor:
    fullname: Greco
– volume: 130
  start-page: 105903
  year: 2022
  ident: ref_73
  article-title: Placement technique impacts gastrostomy tube-related complications amongst head and neck cancer patients
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2022.105903
  contributor:
    fullname: Forner
– volume: 69
  start-page: 1119
  year: 2015
  ident: ref_41
  article-title: New radiotherapy techniques do not reduce the need for nutrition intervention in patients with head and neck cancer
  publication-title: Eur. J. Clin. Nutr.
  doi: 10.1038/ejcn.2015.141
  contributor:
    fullname: Brown
– ident: ref_9
  doi: 10.1186/s12885-021-08348-9
– volume: 70
  start-page: 292
  year: 2023
  ident: ref_56
  article-title: Routine Prophylactic Percutaneous Endoscopic Gastrostomy in Head and Neck Cancers with Bilateral Neck Irradiation: A Regional Cancer Experience in New Zealand
  publication-title: J. Med. Radiat. Sci.
  doi: 10.1002/jmrs.699
  contributor:
    fullname: Fong
– volume: 46
  start-page: 87
  year: 2021
  ident: ref_19
  article-title: Comparison of prophylactic percutaneous endoscopic gastrostomy with reactive enteral nutrition in patients with head and neck cancer undergoing radiotherapy or chemoradiotherapy: A systematic review
  publication-title: Clin. Nutr. ESPEN
  doi: 10.1016/j.clnesp.2021.09.724
  contributor:
    fullname: Mellors
– volume: 70
  start-page: 574
  year: 2016
  ident: ref_34
  article-title: Validation of an updated evidence-based protocol for proactive gastrostomy tube insertion in patients with head and neck cancer
  publication-title: Eur. J. Clin. Nutr.
  doi: 10.1038/ejcn.2015.230
  contributor:
    fullname: Brown
– volume: 88
  start-page: 172
  year: 2019
  ident: ref_23
  article-title: From reactive to proactive tube feeding during chemoradiotherapy for head and neck cancer: A clinical prediction model-based approach
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2018.11.031
  contributor:
    fullname: Karsten
– volume: 11
  start-page: 951
  year: 2023
  ident: ref_72
  article-title: To push or to pull? A clinical audit on the efficacy and safety of the pull and push percutaneous endoscopic gastrostomy techniques in oncological patients
  publication-title: United Eur. Gastroenterol. J.
  doi: 10.1002/ueg2.12467
  contributor:
    fullname: Kucha
– volume: 66
  start-page: 966
  year: 2006
  ident: ref_37
  article-title: A comparison of intensity-modulated radiation therapy and concomitant boost radiotherapy in the setting of concurrent chemotherapy for locally advanced oropharyngeal carcinoma
  publication-title: Int. J. Radiat. Oncol. Biol. Phys.
  doi: 10.1016/j.ijrobp.2006.06.040
  contributor:
    fullname: Lee
– volume: 50
  start-page: 695
  year: 2001
  ident: ref_38
  article-title: Xerostomia and its predictors following parotid-sparing irradiation of head-and-neck cancer
  publication-title: Int. J. Radiat. Oncol. Biol. Phys.
  doi: 10.1016/S0360-3016(01)01512-7
  contributor:
    fullname: Eisbruch
– volume: 33
  start-page: 404
  year: 2009
  ident: ref_22
  article-title: The role of pretreatment percutaneous endoscopic gastrostomy in facilitating therapy of head and neck cancer and optimizing the body mass index of the obese patient
  publication-title: J. Parenter. Enter. Nutr.
  doi: 10.1177/0148607108327525
  contributor:
    fullname: Raykher
– volume: 136
  start-page: S27
  year: 2019
  ident: ref_17
  article-title: Malnutrition in head and neck cancer patients: Impacts and indications of a prophylactic percutaneous endoscopic gastrostomy
  publication-title: Eur. Ann. Otorhinolaryngol. Head Neck Dis.
  doi: 10.1016/j.anorl.2019.01.001
  contributor:
    fullname: Yanni
– volume: 120
  start-page: 28
  year: 2016
  ident: ref_55
  article-title: Influence of dosimetric and clinical criteria on the requirement of artificial nutrition during radiotherapy of head and neck cancer patients
  publication-title: Radiother. Oncol.
  doi: 10.1016/j.radonc.2016.05.017
  contributor:
    fullname: Matuschek
– volume: 51
  start-page: 622
  year: 2015
  ident: ref_25
  article-title: Swallowing outcomes and PEG dependence in head and neck cancer patients receiving definitive or adjuvant radiotherapy +/− chemotherapy with a proactive PEG: A prospective study with long term follow up
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2015.03.006
  contributor:
    fullname: Crombie
– volume: 35
  start-page: 436
  year: 2013
  ident: ref_16
  article-title: Decreased hospital stay and significant cost savings after routine use of prophylactic gastrostomy for high-risk patients with head and neck cancer receiving chemoradiotherapy at a tertiary cancer institution
  publication-title: Head Neck
  doi: 10.1002/hed.22992
  contributor:
    fullname: Hughes
– volume: 36
  start-page: 11
  year: 2017
  ident: ref_28
  article-title: ESPEN guidelines on nutrition in cancer patients
  publication-title: Clin. Nutr.
  doi: 10.1016/j.clnu.2016.07.015
  contributor:
    fullname: Arends
– volume: 40
  start-page: 2181
  year: 2018
  ident: ref_53
  article-title: Pretreatment risk stratification of feeding tube use in patients treated with intensity-modulated radio-therapy for head and neck cancer
  publication-title: Head Neck
  doi: 10.1002/hed.25316
  contributor:
    fullname: Anderson
– volume: 128
  start-page: 696
  year: 2019
  ident: ref_58
  article-title: Swallowing Function in Survivors of Oropharyngeal Cancer Is Associated With Advanced T Classification
  publication-title: Ann. Otol. Rhinol. Laryngol.
  doi: 10.1177/0003489419839091
  contributor:
    fullname: Harms
– volume: 79
  start-page: 206
  year: 2022
  ident: ref_13
  article-title: Evaluation of a novel pre-treatment model of nutrition care for patients with head and neck cancer receiving chemoradiotherapy
  publication-title: Nutr. Diet.
  doi: 10.1111/1747-0080.12714
  contributor:
    fullname: Blake
– volume: 52
  start-page: 503
  year: 2008
  ident: ref_20
  article-title: Randomized study of percutaneous endoscopic gastrostomy versus nasogastric tubes for enteral feeding in head and neck cancer patients treated with (chemo)radiation
  publication-title: J. Med. Imaging Radiat. Oncol.
  doi: 10.1111/j.1440-1673.2008.02003.x
  contributor:
    fullname: Corry
– ident: ref_77
  doi: 10.3390/jcm12093169
– volume: 38
  start-page: E1436
  year: 2016
  ident: ref_31
  article-title: Swallowing performance and tube feeding status in patients treated with parotid-sparing intensity-modulated radiotherapy for head and neck cancer
  publication-title: Head Neck
  doi: 10.1002/hed.24255
  contributor:
    fullname: Roe
– volume: 72
  start-page: 140
  year: 2017
  ident: ref_51
  article-title: Tube feeding during treatment for head and neck cancer—Adherence and patient reported barriers
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2017.07.017
  contributor:
    fullname: Brown
– volume: 62
  start-page: 11
  year: 2016
  ident: ref_75
  article-title: Pathology-based staging for HPV-positive squamous carcinoma of the oropharynx
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2016.09.004
  contributor:
    fullname: Haughey
– volume: 126
  start-page: 56
  year: 2018
  ident: ref_43
  article-title: Prognostic factors for tube feeding dependence after curative (chemo-) radiation in head and neck cancer: A systematic review of literature
  publication-title: Radiother. Oncol.
  doi: 10.1016/j.radonc.2017.08.022
  contributor:
    fullname: Wopken
– volume: 115
  start-page: 105177
  year: 2021
  ident: ref_2
  article-title: Global incidence trends in head and neck cancer for HPV-related and -unrelated subsites: A systematic review of population-based studies
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2020.105177
  contributor:
    fullname: Menezes
– volume: 36
  start-page: 128
  year: 2024
  ident: ref_49
  article-title: Head and neck cancer patients treated with concomitant chemoradiotherapy involving the oral cavity and oropharynx: Is another choice possible than prophylactic gastrostomy?
  publication-title: Curr. Opin. Oncol.
  doi: 10.1097/CCO.0000000000001031
  contributor:
    fullname: Senesse
– volume: 52
  start-page: 711
  year: 2013
  ident: ref_68
  article-title: Weight loss in patients with head and neck cancer during and after conventional and accelerated radio-therapy
  publication-title: Acta Oncol.
  doi: 10.3109/0284186X.2012.731524
  contributor:
    fullname: Ottosson
– volume: 200
  start-page: 583
  year: 2024
  ident: ref_12
  article-title: Multidisciplinary survey on use of feeding tubes in head and neck cancer patients undergoing chemoradiotherapy in Germany-the SUFEETUBE project
  publication-title: Strahlenther. Onkol.
  doi: 10.1007/s00066-024-02206-w
  contributor:
    fullname: Fabian
– volume: 10
  start-page: Xc01
  year: 2016
  ident: ref_30
  article-title: Toxicity Profile of IMRT vs. 3D-CRT in Head and Neck Cancer: A Retrospective Study
  publication-title: J. Clin. Diagn. Res.
  contributor:
    fullname: Ghosh
– volume: 135
  start-page: 106216
  year: 2022
  ident: ref_50
  article-title: Prophylactic feeding tube placement for squamous cell carcinoma of the head and neck
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2022.106216
  contributor:
    fullname: Kao
– volume: 233
  start-page: 757
  year: 2022
  ident: ref_5
  article-title: Malnutrition, nutrition support and dietary intervention: The role of the dietitian supporting patients with head and neck cancer
  publication-title: Br. Dent. J.
  doi: 10.1038/s41415-022-5107-8
  contributor:
    fullname: Cook
– volume: 46
  start-page: 1258
  year: 2022
  ident: ref_7
  article-title: Tube feeding in patients with head and neck cancer undergoing chemoradiotherapy: A systematic review
  publication-title: J. Parenter. Enter. Nutr.
  doi: 10.1002/jpen.2360
  contributor:
    fullname: Bossola
– volume: 31
  start-page: e13518
  year: 2022
  ident: ref_10
  article-title: Nutritional interventions in patients with head and neck cancer undergoing chemoradiotherapy: Current practice at the Dutch Head and Neck Oncology centres
  publication-title: Eur. J. Cancer Care
  doi: 10.1111/ecc.13518
  contributor:
    fullname: Kok
– volume: 43
  start-page: 103512
  year: 2022
  ident: ref_44
  article-title: Utility of prophylactic percutaneous endoscopic gastrostomy tube in head and neck cancer patients undergoing concurrent chemoradiation: A prospective observational cohort
  publication-title: Am. J. Otolaryngol.
  doi: 10.1016/j.amjoto.2022.103512
  contributor:
    fullname: Dechaphunkul
– volume: 66
  start-page: 226
  year: 2019
  ident: ref_66
  article-title: Patients with HPV-associated oropharyngeal head and neck cancer have higher rates of weight loss and increased supportive needs
  publication-title: J. Med. Radiat. Sci.
  doi: 10.1002/jmrs.360
  contributor:
    fullname: Brown
– volume: 140
  start-page: 331
  year: 2014
  ident: ref_39
  article-title: A comparison of outcomes using intensity-modulated radiation therapy and 3-dimensional conformal radiation therapy in treatment of oropharyngeal cancer
  publication-title: Arch. Otolaryngol. Head Neck Surg.
  contributor:
    fullname: Lohia
– volume: 123
  start-page: 283
  year: 2017
  ident: ref_40
  article-title: Reduced feeding tube duration with intensity-modulated radiation therapy for head and neck cancer: A Surveillance, Epidemiology, and End Results-Medicare Analysis
  publication-title: Cancer
  doi: 10.1002/cncr.30350
  contributor:
    fullname: Beadle
– volume: 40
  start-page: 138
  year: 2022
  ident: ref_74
  article-title: Phase II Randomized Trial of Transoral Surgery and Low-Dose Intensity Modulated Radiation Therapy in Resectable p16+ Locally Advanced Oropharynx Cancer: An ECOG-ACRIN Cancer Research Group Trial (E3311)
  publication-title: J. Clin. Oncol.
  doi: 10.1200/JCO.21.01752
  contributor:
    fullname: Ferris
– volume: 174
  start-page: 187
  year: 2018
  ident: ref_3
  article-title: Nutrition Management for the Head and Neck Cancer Patient
  publication-title: Cancer Treat. Res.
  doi: 10.1007/978-3-319-65421-8_11
  contributor:
    fullname: Ackerman
– volume: 32
  start-page: 225
  year: 2017
  ident: ref_60
  article-title: Indicators for Enteral Nutrition Use and Prophylactic Percutaneous Endoscopic Gastrostomy Placement in Patients With Head and Neck Cancer Undergoing Chemoradiotherapy
  publication-title: Nutr. Clin. Pract.
  doi: 10.1177/0884533616682684
  contributor:
    fullname: Kok
– volume: 274
  start-page: 3741
  year: 2017
  ident: ref_61
  article-title: Clinical predictors for reactive tube feeding in patients with advanced oropharynx cancer receiving radiotherapy ± chemotherapy
  publication-title: Eur. Arch. Oto-Rhino-Laryngol.
  doi: 10.1007/s00405-017-4681-x
  contributor:
    fullname: Vangelov
– volume: 30
  start-page: 381
  year: 2018
  ident: ref_1
  article-title: Epidemiology and Demographics of the Head and Neck Cancer Population
  publication-title: Oral. Maxillofac. Surg. Clin.
  doi: 10.1016/j.coms.2018.06.001
  contributor:
    fullname: Cohen
– volume: 117
  start-page: 15
  year: 2017
  ident: ref_14
  article-title: Randomised controlled trial of early prophylactic feeding vs standard care in patients with head and neck cancer
  publication-title: Br. J. Cancer
  doi: 10.1038/bjc.2017.138
  contributor:
    fullname: Brown
– volume: 31
  start-page: 206
  year: 2016
  ident: ref_59
  article-title: Predictive Factors for Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement and Use in Head and Neck Patients Following Intensity-Modulated Radiation Therapy (IMRT) Treatment: Concordance, Discrepancies, and the Role of Gabapentin
  publication-title: Dysphagia
  doi: 10.1007/s00455-015-9679-1
  contributor:
    fullname: Yang
– volume: 7
  start-page: 265
  year: 2015
  ident: ref_4
  article-title: Nutritional interventions in head and neck cancer patients undergoing chemoradiotherapy: A narrative review
  publication-title: Nutrients
  doi: 10.3390/nu7010265
  contributor:
    fullname: Bossola
– volume: 87
  start-page: 77
  year: 2018
  ident: ref_15
  article-title: Prophylactic versus reactive gastrostomy tube placement in advanced head and neck cancer treated with definitive chemoradiotherapy: A systematic review
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2018.10.028
  contributor:
    fullname: McClelland
– volume: 150
  start-page: 407
  year: 2013
  ident: ref_26
  article-title: Prophylactic versus reactive PEG tube placement in head and neck cancer
  publication-title: Otolaryngol. Head Neck Surg.
  doi: 10.1177/0194599813517081
  contributor:
    fullname: Kramer
– volume: 43
  start-page: 103356
  year: 2022
  ident: ref_47
  article-title: Benefits of prophylactic percutaneous gastrostomy in patients with nasopharyngeal cancer receiving concurrent chemoradiotherapy: A multicenter analysis
  publication-title: Am. J. Otolaryngol.
  doi: 10.1016/j.amjoto.2021.103356
  contributor:
    fullname: Dechaphunkul
– volume: 72
  start-page: 17
  year: 2017
  ident: ref_24
  article-title: Impact of early prophylactic feeding on long term tube dependency outcomes in patients with head and neck cancer
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2017.06.025
  contributor:
    fullname: Brown
– volume: 278
  start-page: 3489
  year: 2021
  ident: ref_11
  article-title: Enteral tube feeding of head and neck cancer patients undergoing definitive chemoradiotherapy in the Nordic Countries: Survey of the Scandinavian Society for Head and Neck Oncology
  publication-title: Eur. Arch. Oto-Rhino-Laryngol.
  doi: 10.1007/s00405-020-06545-z
  contributor:
    fullname: Ilmarinen
– volume: 79
  start-page: 33
  year: 2018
  ident: ref_63
  article-title: The impact of HPV status on weight loss and feeding tube use in oropharyngeal carcinoma
  publication-title: Oral Oncol.
  doi: 10.1016/j.oraloncology.2018.02.012
  contributor:
    fullname: Vangelov
– volume: 23
  start-page: 162
  year: 2015
  ident: ref_8
  article-title: Gastrostomy in head and neck cancer: Current literature, controversies and research
  publication-title: Curr. Opin. Otolaryngol. Head Neck Surg.
  doi: 10.1097/MOO.0000000000000135
  contributor:
    fullname: Bradley
– volume: 39
  start-page: 868
  year: 2017
  ident: ref_76
  article-title: Investigation of p16 status, chemotherapy regimen, and other nutrition markers for predicting gastrostomy in patients with head and neck cancer
  publication-title: Head Neck
  doi: 10.1002/hed.24630
  contributor:
    fullname: Brown
– volume: 76
  start-page: 1536
  year: 2022
  ident: ref_18
  article-title: Effect of prophylactic gastrostomy on nutritional and clinical outcomes in patients with head and neck cancer
  publication-title: Eur. J. Clin. Nutr.
  doi: 10.1038/s41430-022-01154-x
  contributor:
    fullname: Xu
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Snippet The Royal Brisbane and Women's Hospital (RBWH) Swallowing and Nutrition Management Guidelines for Patients with Head and Neck Cancer were developed to enable...
The Royal Brisbane and Women’s Hospital (RBWH) Swallowing and Nutrition Management Guidelines for Patients with Head and Neck Cancer were developed to enable...
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pubmedcentral
proquest
gale
crossref
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SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
StartPage 6938
SubjectTerms Adult
Aged
Cancer patients
Care and treatment
Comparative analysis
enteral feeding
Enteral Nutrition - methods
Female
gastrostomy
Gastrostomy - methods
Guideline Adherence - statistics & numerical data
Head and neck cancer
Head and Neck Neoplasms - radiotherapy
Humans
Male
Middle Aged
nutrition
Practice Guidelines as Topic
Radiotherapy
Radiotherapy, Intensity-Modulated - methods
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Title Revalidation of Proactive Gastrostomy Tube Placement Guidelines for Head and Neck Cancer Patients Receiving Helical Intensity-Modulated Radiotherapy
URI https://www.ncbi.nlm.nih.gov/pubmed/39590143
https://www.proquest.com/docview/3133415126
https://pubmed.ncbi.nlm.nih.gov/PMC11592900
https://doaj.org/article/2c07a0563fa94faf8d20ad5d1389109c
Volume 31
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