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Lookup NU author(s): Dr Joanne Patterson,
Professor Vinidh Paleri
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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.
Author(s): Oozeer NB, Corsar K, Glore RJ, Penney S, Patterson J, Paleri V
Publication type: Article
Publication status: Published
Journal: Oral Oncology
Print publication date: 18/08/2011
ISSN (print): 1368-8375
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