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Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer

PURPOSE: Malnutrition is an important prognostic indicator of post-operative outcomes in patients undergoing surgery for head and neck cancer, however, limited studies utilize validated nutrition assessment tools to accurately assess risk. The aim of this study was to determine the relationship betw...

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Autores principales: Brown, Teresa, Edwards, Anna, Pashley, Alice, Lehn, Belinda, Vasani, Sarju, Hodge, Robert, Bauer, Judith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620302/
https://www.ncbi.nlm.nih.gov/pubmed/37535080
http://dx.doi.org/10.1007/s00405-023-08139-x
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author Brown, Teresa
Edwards, Anna
Pashley, Alice
Lehn, Belinda
Vasani, Sarju
Hodge, Robert
Bauer, Judith
author_facet Brown, Teresa
Edwards, Anna
Pashley, Alice
Lehn, Belinda
Vasani, Sarju
Hodge, Robert
Bauer, Judith
author_sort Brown, Teresa
collection PubMed
description PURPOSE: Malnutrition is an important prognostic indicator of post-operative outcomes in patients undergoing surgery for head and neck cancer, however, limited studies utilize validated nutrition assessment tools to accurately assess risk. The aim of this study was to determine the relationship between nutritional status on post-operative complications and length of stay for patients undergoing either a laryngectomy, pharyngectomy or pharyngolaryngectomy for head and neck cancer. METHODS: Patients with head and neck cancer undergoing a laryngectomy, pharyngectomy or pharyngolaryngectomy at a tertiary hospital in Australia were eligible for this retrospective cohort study (n = 40). Nutritional status was assessed by the dietitian on admission using the validated Subjective Global Assessment tool. Clinical outcomes were collected via retrospective chart review and included length of stay and post-operative complications. RESULTS: Pre-operative malnutrition incidence was 40%. Malnourished patients had higher incidences of any type of complication (57% vs 44%, p = 0.013) and pressure injury (86% vs 14%, p = 0.011) compared to well-nourished patients. Well-nourished patients had a clinically important shorter median length of stay compared to malnourished patients (17.5 vs 20 days). CONCLUSION: Early identification and management of malnutrition is essential to minimize risk of post-operative complications and reduce length of stay and should be considered a key component of prehabilitation programs.
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spelling pubmed-106203022023-11-03 Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer Brown, Teresa Edwards, Anna Pashley, Alice Lehn, Belinda Vasani, Sarju Hodge, Robert Bauer, Judith Eur Arch Otorhinolaryngol Head and Neck PURPOSE: Malnutrition is an important prognostic indicator of post-operative outcomes in patients undergoing surgery for head and neck cancer, however, limited studies utilize validated nutrition assessment tools to accurately assess risk. The aim of this study was to determine the relationship between nutritional status on post-operative complications and length of stay for patients undergoing either a laryngectomy, pharyngectomy or pharyngolaryngectomy for head and neck cancer. METHODS: Patients with head and neck cancer undergoing a laryngectomy, pharyngectomy or pharyngolaryngectomy at a tertiary hospital in Australia were eligible for this retrospective cohort study (n = 40). Nutritional status was assessed by the dietitian on admission using the validated Subjective Global Assessment tool. Clinical outcomes were collected via retrospective chart review and included length of stay and post-operative complications. RESULTS: Pre-operative malnutrition incidence was 40%. Malnourished patients had higher incidences of any type of complication (57% vs 44%, p = 0.013) and pressure injury (86% vs 14%, p = 0.011) compared to well-nourished patients. Well-nourished patients had a clinically important shorter median length of stay compared to malnourished patients (17.5 vs 20 days). CONCLUSION: Early identification and management of malnutrition is essential to minimize risk of post-operative complications and reduce length of stay and should be considered a key component of prehabilitation programs. Springer Berlin Heidelberg 2023-08-03 2023 /pmc/articles/PMC10620302/ /pubmed/37535080 http://dx.doi.org/10.1007/s00405-023-08139-x Text en © Crown 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Head and Neck
Brown, Teresa
Edwards, Anna
Pashley, Alice
Lehn, Belinda
Vasani, Sarju
Hodge, Robert
Bauer, Judith
Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer
title Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer
title_full Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer
title_fullStr Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer
title_full_unstemmed Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer
title_short Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer
title_sort nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer
topic Head and Neck
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620302/
https://www.ncbi.nlm.nih.gov/pubmed/37535080
http://dx.doi.org/10.1007/s00405-023-08139-x
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