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A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer

INTRODUCTION: Nutrition plays a significant role in the life of every individual and helps in recovering from any injury including surgery. Pre-treatment malnutrition is found in 15%–40% of cases and can influence treatment outcome. The study aims to determine the impact of nutritional status on the...

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Autores principales: Kakati, Kaberi, Maibam, Puspakishore Singh, Ingtipi, Dimi, Das, Ashok Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976863/
https://www.ncbi.nlm.nih.gov/pubmed/36874778
http://dx.doi.org/10.4103/ams.ams_90_22
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author Kakati, Kaberi
Maibam, Puspakishore Singh
Ingtipi, Dimi
Das, Ashok Kumar
author_facet Kakati, Kaberi
Maibam, Puspakishore Singh
Ingtipi, Dimi
Das, Ashok Kumar
author_sort Kakati, Kaberi
collection PubMed
description INTRODUCTION: Nutrition plays a significant role in the life of every individual and helps in recovering from any injury including surgery. Pre-treatment malnutrition is found in 15%–40% of cases and can influence treatment outcome. The study aims to determine the impact of nutritional status on the post-operative outcome after head and neck cancer surgery. MATERIALS AND METHODS: This study was carried out in the Department of Head and Neck Surgery for a period of one year from May 1, 2020 to April 30, 2021. Only surgical cases were taken up for the study. The cases (Group A) had a thorough nutritional assessment and dietary intervention if necessary. The dietician did the assessment via Subjective Global Assessment (SGA) questionnaire. After the evaluation, they were again subdivided into two subgroups depending on their nutritional status – well nourished (SGA-A) and malnourished (SGA-B and C). Dietary counselling was given for minimum 15 days preoperatively. The cases were compared with a matched control group (Group B). RESULTS: Both the groups were well matched in terms of the site of primary tumour and duration of surgery. Around 70% were found to be malnourished in Group A. With dietary counselling, there has been a significant improvement in various parameters of post-operative outcome (P < 0.05). DISCUSSION: This study highlights the close association and the importance of nutritional assessment for all head and neck cancer cases planned for surgery for an uneventful post-operative outcome. Adequate nutritional assessment and dietary intervention in the pre-operative period can go a long way in reducing post-operative morbidity in surgical patients.
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spelling pubmed-99768632023-03-02 A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer Kakati, Kaberi Maibam, Puspakishore Singh Ingtipi, Dimi Das, Ashok Kumar Ann Maxillofac Surg Original Article - Prospective Study INTRODUCTION: Nutrition plays a significant role in the life of every individual and helps in recovering from any injury including surgery. Pre-treatment malnutrition is found in 15%–40% of cases and can influence treatment outcome. The study aims to determine the impact of nutritional status on the post-operative outcome after head and neck cancer surgery. MATERIALS AND METHODS: This study was carried out in the Department of Head and Neck Surgery for a period of one year from May 1, 2020 to April 30, 2021. Only surgical cases were taken up for the study. The cases (Group A) had a thorough nutritional assessment and dietary intervention if necessary. The dietician did the assessment via Subjective Global Assessment (SGA) questionnaire. After the evaluation, they were again subdivided into two subgroups depending on their nutritional status – well nourished (SGA-A) and malnourished (SGA-B and C). Dietary counselling was given for minimum 15 days preoperatively. The cases were compared with a matched control group (Group B). RESULTS: Both the groups were well matched in terms of the site of primary tumour and duration of surgery. Around 70% were found to be malnourished in Group A. With dietary counselling, there has been a significant improvement in various parameters of post-operative outcome (P < 0.05). DISCUSSION: This study highlights the close association and the importance of nutritional assessment for all head and neck cancer cases planned for surgery for an uneventful post-operative outcome. Adequate nutritional assessment and dietary intervention in the pre-operative period can go a long way in reducing post-operative morbidity in surgical patients. Wolters Kluwer - Medknow 2022 2023-01-10 /pmc/articles/PMC9976863/ /pubmed/36874778 http://dx.doi.org/10.4103/ams.ams_90_22 Text en Copyright: © 2023 Annals of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article - Prospective Study
Kakati, Kaberi
Maibam, Puspakishore Singh
Ingtipi, Dimi
Das, Ashok Kumar
A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer
title A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer
title_full A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer
title_fullStr A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer
title_full_unstemmed A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer
title_short A Non-Randomised Matched-Pair Prospective Study to Evaluate Nutritional Assessment and Its Impact on Postoperative Outcome in Head and Neck Cancer
title_sort non-randomised matched-pair prospective study to evaluate nutritional assessment and its impact on postoperative outcome in head and neck cancer
topic Original Article - Prospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976863/
https://www.ncbi.nlm.nih.gov/pubmed/36874778
http://dx.doi.org/10.4103/ams.ams_90_22
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