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The impact of enteral feeding route on patient-reported long term swallowing outcome after chemoradiation for head and neck cancer

Lookup NU author(s): Dr Joanne Patterson, Professor Vinidh Paleri

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Abstract

Prospective evidence suggests that the selection of feeding tube during chemoradiation (CRT) indirectly affects swallowing outcome. This study explores the patients' perspective on long-term swallowing ability comparing these two feeding routes. Two groups, receiving nutritional supplementation via a prophylactic gastrostomy tube (group G) and by the oral route or via a nasogastric tube (group NG) during CRT, disease-free at >= 24 months following treatment were matched for age, site and stage of tumour. Patient-reported swallowing outcomes for both groups were assessed using the MD Anderson Dysphagia Inventory (MDADI). Group G consisted of 16 patients and group NG of 15 patients. There was statistically significant difference in MDADI scores between the two groups in all domains of the questionnaire (p < 0.001), with superior outcomes in group NG. Use of gastrostomy tubes during CRT conferred a worse swallowing outcome in the long term in this tightly matched cohort of patients. (C) 2011 Elsevier Ltd. All rights reserved.

Publication metadata

Author(s): Oozeer NB, Corsar K, Glore RJ, Penney S, Patterson J, Paleri V

Publication type: Article

Publication status: Published

Journal: Oral Oncology

Year: 2011

Volume: 47

Issue: 10

Pages: 980-983

Print publication date: 18/08/2011

ISSN (print): 1368-8375

ISSN (electronic):

Publisher: Pergamon

URL: http://dx.doi.org/10.1016/j.oraloncology.2011.07.011

DOI: 10.1016/j.oraloncology.2011.07.011

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