Mapping the impact of malnutrition as defined by the Global Leadership Initiative on Malnutrition and nutrition impact symptoms on the possibility of returning to work after treatment for head and neck cancer

Purpose This study aimed to investigate whether malnutrition or nutrition impact symptoms (NIS) affect the possibility of returning to work after treatment for head and neck cancer. Methods Patients of working age with head and neck cancer were followed up from treatment initiation to 3 months ( n  ...

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Bibliographic Details
Published in:Supportive care in cancer 2024-01, Vol.32 (1), p.55-55, Article 55
Main Authors: Einarsson, Sandra, Bokström, Anna, Laurell, Göran, Tiblom Ehrsson, Ylva
Format: Article
Language:English
Subjects:
Body composition
Clinical outcomes
Food
GLIM
Head & neck cancer
Malnutrition
Medicine
Medicine & Public Health
Nursing
Nursing Research
Nutrition
Nutrition impact symptoms
Nutritional status
Observational studies
Oncology
Otolaryngology
Pain Medicine
Patients
Radiation therapy
Rehabilitation Medicine
Return to work
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Summary:Purpose This study aimed to investigate whether malnutrition or nutrition impact symptoms (NIS) affect the possibility of returning to work after treatment for head and neck cancer. Methods Patients of working age with head and neck cancer were followed up from treatment initiation to 3 months ( n  = 238), 1 year ( n  = 182), and 2 years ( n  = 130) after treatment completion. The observed decrease in the number of patients over time was due to retirement, lack of follow-up, or death. Returning to work was dichotomised as yes or no. Malnutrition was diagnosed 7 weeks after treatment initiation using the Global Leadership Initiative on Malnutrition (GLIM) criteria. This time-point corresponds to the end of chemoradiotherapy or radiotherapy (with or without prior surgery), except for patients who underwent exclusive surgery. NIS were scored on a Likert scale (1–5) at each follow-up using the Head and Neck Patient Symptom Checklist © (HNSC © ). Nonparametric tests were used to analyse the ability of patients with/without malnutrition and high/low NIS scores to return to work. Results At 3 months, 1 year, and 2 years after treatment completion, 135/238 (56.7%), 49/182 (26.9%), and 23/130 (17.7%) patients had not returned to work. Patients with malnutrition at 7 weeks after treatment initiation were more likely to not return to work at 3 months than those without malnutrition, 70.5% compared to 47.1% (p 
ISSN:0941-4355
1433-7339
1433-7339
DOI:10.1007/s00520-023-08252-x