PTU-099 A Large Prospective Audit of Morbidity and Mortality in Patients with Feeding Gastrostomies Placed for Head and Neck Cancer: Abstract PTU-099 Table 1

AbstractBackground:Major vascular complications in patients with head and neck cancer have previously been thought of as terminal events. However, it is now possible to intervene in many situations, with benefits for quality of life as well as survival. Endovascular techniques have reduced morbidity and mortality in many situations, both emergency and elective.Method:We describe the techniques that can be employed in such situations, and present illustrative case reports. Life-threatening haemorrhage, carotid compression and radiation-induced carotid stenosis are all discussed.Conclusion:It is possible to predict where complications may arise, and to take prophylactic steps to allow treatment to continue. Early intervention can reduce both morbidity and mortality in this high-risk patient group.

Download Full-text

A Strategy to Overcome the Radiology Lottery in the Staging of Head and Neck Cancer: An Aid to Attaining the 30-Day Rule

Annals of The Royal College of Surgeons of England ◽

10.1308/003588409x359042 ◽

2009 ◽

Vol 91 (1) ◽

pp. 74-76 ◽

Cited By ~ 2

Author(s):

Marianne Elloy ◽

Sara Jarvis ◽

Anne Davis

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Multidisciplinary Team ◽

Definitive Treatment ◽

Prospective Audit ◽

Scan Time ◽

Speed Up ◽

Median Interval

INTRODUCTION Rapid access to radiological services is essential, if the British Association of Otolaryngologists – Head and Neck Surgeons Minimum Temporal Standards are to be met in the management of head and neck cancer patients. This study assesses a new initiative whereby the multidisciplinary team prioritises allocated imaging appointments rather than using the traditional radiological triage system. PATIENTS AND METHODS This study was a prospective audit of all patients referred over a 3-month period with suspected head and neck cancer. The main outcome measures were: (i) median interval in days from general practitioner (GP) referral to staging scan; and (ii) median interval in days from first clinic appointment to staging scan. RESULTS The new multidisciplinary team booking system led to a statistically significant reduction in the ‘request-to-scan time’ (from 12 days to 5 days). The time from ‘GP to scan’ also improved. CONCLUSIONS This new multidisciplinary team-led booking system, could, in the future, speed up access to radiology services lead and neck cancer patients, allowing earlier definitive treatment.

Download Full-text

Hand-grip strength does not correlate with treatment-related weight loss in patients with head and neck cancer

The Journal of Laryngology & Otology ◽

10.1017/s0022215115001486 ◽

2015 ◽

Vol 129 (7) ◽

pp. 706-709 ◽

Cited By ~ 2

Author(s):

B Cosway ◽

M Easby ◽

S Covington ◽

I Bowe ◽

V Paleri

Keyword(s):

Head And Neck Cancer ◽

Nutritional Status ◽

Head And Neck ◽

Grip Strength ◽

Neck Cancer ◽

Nutritional Assessment ◽

Hand Grip Strength ◽

Prospective Audit ◽

Hand Grip ◽

Routine Assessment

AbstractBackground:Hand-grip strength has been shown to be a reliable predictor of health outcomes. However, evidence supporting its use as an indicator of nutritional status is inconsistent. This study investigated its use in monitoring nutritional status in patients with head and neck cancer.Methods:A prospective audit of patients treated for head and neck cancer was undertaken at four centres over a three-month period in 2009. Nutritional outcomes were collected at 3, 6 and 12 months, and the data were statistically analysed.Results:Data from 114 patients showed that mean weight, but not hand-grip strength, fell significantly at 3, 6 and 12 months post-treatment (p < 0.003 vs p < 0.126).Conclusion:A fall in weight does not coincide with a drop in hand-grip strength in patients receiving treatment for head and neck cancer. Hand-grip strength may therefore not be of benefit in the nutritional assessment of these patients and should not be part of routine assessment.

Download Full-text

Nutritional Assessment of the Head and Neck Cancer Patient

Otolaryngology ◽

10.1177/019459988008800613 ◽

1980 ◽

Vol 88 (6) ◽

pp. 695-699 ◽

Cited By ~ 4

Author(s):

Matthew J. Lambert

Keyword(s):

Radiation Therapy ◽

Head And Neck Cancer ◽

Cancer Patient ◽

Head And Neck ◽

Neck Cancer ◽

Nutritional Support ◽

Nutritional Assessment ◽

Nutritional Deficiency ◽

Neck Cancer Patient ◽

Morbidity And Mortality

Malnutrition is a common problem in patients with head and neck cancer. Its presence may lead to an increase in morbidity and mortality following an operation, chemotherapy, and radiation therapy. A standard nutritional assessment will define the nature and degree of the nutritional deficiency while periodic reassessment will document the effects of nutritional support.

Download Full-text

Surgical morbidity and mortality in patients after microvascular reconstruction for head and neck cancer

Clinical Otolaryngology ◽

10.1111/coa.13006 ◽

2017 ◽

Vol 43 (2) ◽

pp. 502-508 ◽

Cited By ~ 6

Author(s):

Y-H. Joo ◽

K-J. Cho ◽

J-O. Park ◽

S-Y. Kim ◽

M-S. Kim

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Morbidity And Mortality ◽

Microvascular Reconstruction ◽

Surgical Morbidity

Download Full-text

Longitudinal Analysis of Morbidity and Mortality Conference Data for Head and Neck Cancer Patients

Otolaryngology ◽

10.1177/0194599813495815a109 ◽

2013 ◽

Vol 149 (2_suppl) ◽

pp. P69-P69

Author(s):

Stephen Y. Lai ◽

Richa Rashmi ◽

Carol M. Lewis ◽

Amy C. Hessel ◽

Paul W. Gidley ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Longitudinal Analysis ◽

Morbidity And Mortality ◽

Morbidity And Mortality Conference ◽

Mortality Conference

Download Full-text

88 REACTIVE NASOGASTRIC FEEDING TUBE IS ASSOCIATED WITH LOW MORBIDITY AND MORTALITY IN CHEMORADIATION FOR ADVANCED HEAD AND NECK CANCER

Radiotherapy and Oncology ◽

10.1016/s0167-8140(12)72475-1 ◽

2009 ◽

Vol 92 ◽

pp. S28

Author(s):

S. Clavel ◽

B. Fortin ◽

P. Després ◽

D. Donath ◽

G. Coulombe ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Neck Cancer ◽

Feeding Tube ◽

Morbidity And Mortality ◽

Advanced Head ◽

Nasogastric Feeding ◽

Nasogastric Feeding Tube

Download Full-text

Possible causes for delay in diagnosis and treatment in head and neck cancer: an institutional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182068 ◽

2018 ◽

Vol 5 (6) ◽

pp. 2291 ◽

Cited By ~ 1

Author(s):

Nikesh Agarwal ◽

Daulat Singh ◽

Manoj Verma ◽

Shantunu Sharma ◽

R. K. Spartacus ◽

...

Keyword(s):

Head And Neck Cancer ◽

Head And Neck ◽

Cancer Patients ◽

Neck Cancer ◽

Medical Consultation ◽

Morbidity And Mortality ◽

Diagnosis And Treatment ◽

Medical Attention ◽

Time Interval ◽

Delay In Diagnosis

Background: Head and neck cancer is one of the leading cancers among Indian population. Early diagnosis and treatment is cornerstone for improving survival in any malignancy, any delay leads to advanced form of disease, leading to higher morbidity and mortality. Given the location, head and neck cancers are easily visible or palpable on clinical examination. In spite of this, many patients are diagnosed at advanced stage.Methods: A cross sectional observational study was conducted at a tertiary care center of western india including 156 newly diagnosed head and neck cancer patients. Delay in seeking medical attention was defined as time interval of more than 3 months from the first symptom recognition to the first medical consultation. Subjects were then divided into delay and non-delay group and compared to identify the factors associated with delay in seeking medical attention.Results: Delay in seeking medical consultation was seen in 109 (69.9%) patients. The factors found significantly associated with delay were older age (p<0.001), rural background (p<0.001), illiteracy (p<0.001), joint family (p<0.001), poor socioeconomic status (p<0.001), longer distance from hospital (p<0.001), tobacco chewing (p=0.018), insufficient knowledge (p<0.001) and fear (p=0.031) of the disease.Conclusions: Many of the identified factors for delay in seeking medical attention in head and neck cancer patients are amenable to improvement. Improving health coverage and awareness of available health services, specially in far rural areas could prevent delay in diagnosis and treatment and thus significantly reduce morbidity and mortality as well as burden on health system.

Download Full-text