Unplanned hospitalizations in patients with locoregionally advanced head and neck cancer treated with (chemo)radiotherapy with and without prophylactic percutaneous endoscopic gastrostomy

Current studies about percutaneous endoscopic gastrostomy (PEG) tube placement report equivalent patient outcomes with prophylactic PEG tubes (pPEGs) versus common nutritional support. Unreported was if omitting a pPEG is associated with an increased risk of complications leading to a treatment-rela...

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Published in:Radiation oncology (London, England) England), 2020-12, Vol.15 (1), p.281-11, Article 281
Main Authors: Bojaxhiu, Beat, Shrestha, Binaya K, Luterbacher, Pascal, Elicin, Olgun, Shelan, Mohamed, Macpherson, Andrew J S, Heimgartner, Benjamin, Giger, Roland, Aebersold, Daniel M, Zaugg, Kathrin
Format: Article
Language:English
Subjects:
Cancer
Cancer therapies
Care and treatment
Chemotherapy
Comorbidity
Complications
Dehydration
Dermatitis
Development and progression
Dysphagia
Endoscopy
Enteral nutrition
Head & neck cancer
Head and neck cancer
Hospitalization
Malnutrition
Methods
Morbidity
Mucositis
Nutrition
Ostomy
Parenteral nutrition
Patient outcomes
Patients
PEG
Percutaneous endoscopic gastrostomy
Radiation therapy
Radiotherapy
Risk analysis
Risk factors
Squamous cell carcinoma
Tobacco
Tubes
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creator Bojaxhiu, Beat
Shrestha, Binaya K
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Giger, Roland
Aebersold, Daniel M
Zaugg, Kathrin
description Current studies about percutaneous endoscopic gastrostomy (PEG) tube placement report equivalent patient outcomes with prophylactic PEG tubes (pPEGs) versus common nutritional support. Unreported was if omitting a pPEG is associated with an increased risk of complications leading to a treatment-related unplanned hospitalization (TRUH). TRUHs were retrospectively analyzed in patients with advanced head and neck squamous cell carcinoma (n = 310) undergoing (chemo)radiotherapy with (pPEG) or without PEG (nPEG). In 88 patients (28%), TRUH was reported. One of the leading causes of TRUH in nPEG patients was inadequate oral intake (n = 16, 13%), and in pPEG patients, complications after PEG tube insertion (n = 12, 10%). Risk factors for TRUH were poor performance status, tobacco use, and surgical procedures. Omitting pPEG tube placement without increasing the risk of an unplanned hospitalization due to dysphagia, dehydration or malnutrition, is an option in patients being carefully monitored. Patients aged > 60 years with hypopharyngeal carcinoma, tobacco consumption, and poor performance status appear at risk of PEG tube-related complications leading to an unplanned hospitalization.
doi_str_mv 10.1186/s13014-020-01727-9
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subjects Cancer
Cancer therapies
Care and treatment
Chemotherapy
Comorbidity
Complications
Dehydration
Dermatitis
Development and progression
Dysphagia
Endoscopy
Enteral nutrition
Head & neck cancer
Head and neck cancer
Hospitalization
Malnutrition
Methods
Morbidity
Mucositis
Nutrition
Ostomy
Parenteral nutrition
Patient outcomes
Patients
PEG
Percutaneous endoscopic gastrostomy
Radiation therapy
Radiotherapy
Risk analysis
Risk factors
Squamous cell carcinoma
Tobacco
Tubes
title Unplanned hospitalizations in patients with locoregionally advanced head and neck cancer treated with (chemo)radiotherapy with and without prophylactic percutaneous endoscopic gastrostomy
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