Cancer treatment and nutritional status of head and neck cancer

Authors

  • José Alejandro Carías Díaz
  • Michael J. Gonzalez Universidad de Puerto Rico

DOI:

https://doi.org/10.12873/412carias

Keywords:

Nutritional status, nutritional assessment, head and neck cancer, head and neck neoplasia.

Abstract

 

Introduction: malnutrition is a negative factor in the management of patients with cancer. Objective: to evaluate the influence of cancer treatment on the evolution of the nutritional status of the patient diagnosed with head and neck cancer. Methods: descriptive, longitudinal, prospective and correlational study. Sample of 36 patients, using a convenience non-probabilistic technique. An instrument with demographic, clinical, anthropometric variables, presence of complications and feeding route was used; Descriptive statistics were applied with mean, standard deviation, frequencies and percentage. Fisher's technique was used as inferential statistics, with significance of p <0,05. Results: There were 36 patients. Of which 19 (52,7%) were male. There is no significant correlation between BMI and cancer treatment, p = 0,074; nor between BMI and food route, p = 0,796. There is no significant correlation between serum albumin and complications during cancer treatment, p = 0,278; and complications after cancer treatment, p = 0,877. Discussion: In the data of Varila et al., the oral route is obtained as the predominant route of feeding, to a lesser extent the tube. According to Huata Vilca, there is some degree of correlation between serum albumin and the appearance of some postoperative complication; these results are in sigmoid volvulus. Conclusions: There is no significant correlation between BMI and cancer treatment, nor between BMI and diet. There is no significant correlation between serum albumin with complications during and after cancer treatment.

 

Author Biography

Michael J. Gonzalez, Universidad de Puerto Rico

Programa de Nutrición, Departamento de Desarrollo Humano, Escuela Graduada de Salud Pública, Recinto de Ciencias Médicas, Universidad de Puerto Rico

References

BIBLIOGRAFÍA

Evans WJ, Morley JE, Argilés J, Bales C, Baracos V, Guttridge D. Cachexia: A new definition. Clinical Nutrition. 2008; 27:793-799.

Matsuzuka T, Kiyota N, Mizusawa J, Akimoto T, Fujii M, Hasegawa Y. Clinical impact of cachexia in unresectable locally advanced head and neck cancer: supplementary analysis of a phase II trial. JJCO. 2019; 49:37-41.

Müller-Richter U, Betz C, Hartmann S, Marcas RC. Nutrition management for head and neck cancer patients improves clinical outcome and survival. Nutrition Researh. 2017; 48:1-8.

Pan American Health Organization. PAHO mortality data. [tabla en internet]. Washintong: Organizazción Panamerica de la Salud; 2015 [actualizada 20 feb. 2018; citado 8 oct. 2018]. Disponible en: https://hiss.paho.org/pahosys/cro.php

Prevost V, Joubert C, Heutte N, Babin E. Assessment of nutritional status and quality of life in ENT oncology. Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale. 2014; 131:99–106.

Gama RR, Song Y, Zhang Q, Brown MC, Wang J, Habbous S, et al. Body mass index and prognosis in patients with head and neck cancer. Head Neck. 2017; 39:1226–33.

Hopkinson J. Psychosocial Support in Cancer Cachexia Syndrome: The Evidence for Supported Self-Management of Eating Problems during Radiotherapy or Chemotherapy Treatment. Asia Pac J Oncol Nurs. 2018; 5:358–68.

Khan S, Alibay TA, Merad M, DiPalma M, Raynard B, Antoun S. Detection and evaluation of malnutrition in oncology: what are the tools, for what type of cancer and for what purposes? Bull Cancer. 2016; 103:776–85.

Aldama LO, Ortíz LP, Joy L, Morínigo M. Malnutrition based on the subjective global assessment generated by the patient (VGS-GP) in patients with head and neck cancer. Proceedings of the Institute for Research in Health Sciences. 2016; 14.

Gómez-Pérez AM, García-Almeida JM, Vilchez FJ, Oliveira G, Muñoz A, Alambra Expósito RM, et al. Recommendations of the GARIN group for the nutritional management of patients with head and neck cancer. Nutrición clínica en Medicina. 2018; 12:1–13.

Fu Y, Chen S-W, Chen S-Q, Ou-Yang D, Liu W-W, Song M, et al. A Preoperative Nutritional Index for Predicting Cancer-Specific and Overall Survival in Chinese Patients with Laryngeal Cancer: A Retrospective Study. Medicine (Baltimore). 2016; 95:e2962.

Crippen MM, Brady JS, Mozeika AM, Eloy JA, Baredes S, Park RCW. Impact of Body Mass Index on Operative Outcomes in Head and Neck Free Flap Surgery. Otolaryngol Head Neck Surg. 2018; 159:817–23.

Büntzel J, Micke O, Kisters K, Büntzel J, Mücke R. Malnutrition and Survival - Bioimpedance Data in Head Neck Cancer Patients. In Vivo. 2019; 33:979–82.

Aapro M, Arends J, Bozzetti F, Fearon K, Grunberg SM, Herrstedt J, et al. Early recognition of malnutrition and cachexia in the cancer patient: a position paper of a European School of Oncology Task Force. Ann Oncol. 2014; 25:1492–9.

Faria A, Coriat J, Rueda-Rodriguez MC, Castañeda-Cardona C, Roseelli D. Nutritional supplements as morbidity and mortality modifiers in cancer patients. Latin American Archives of Nutrition. 2017; 67:169–77.

Britton B, Baker AL, Wolfenden L, Wratten C, Bauer J, Beck AK, et al. Eating as Treatment (EAT): A Stepped-Wedge, Randomized Controlled Trial of a Health Behavior Change Intervention Provided by Dietitians to Improve Nutrition in Patients With Head and Neck Cancer Undergoing Radiation Therapy (TROG 12.03). Int J Radiat Oncol Biol Phys. 2019; 103:353–62.

Luis DA de, La Fuente B de, Izaola O, Martin T, Cuellar L, Terroba MC. Clinical effects of a hypercaloric and hyperproteic oral suplemment enhanced with W3 fatty acids and dietary fiber in postsurgical ambulatory head and neck cancer patients. Nutr Hosp. 2014; 31:759–63.

Brown TE, Banks MD, Hughes BGM, Lin CY, Kenny LM, Bauer JD. Comparison of Nutritional and Clinical Outcomes in Patients with Head and Neck Cancer Undergoing Chemoradiotherapy Utilizing Prophylactic versus Reactive Nutrition Support Approaches. J Acad Nutr Diet. 2018; 118:627–36.

Martin L, van der Schueren MAE de, Blauwhoff-Buskermolen S, Baracos V, Gramlich L. Identifying the Barriers and Enablers to Nutrition Care in Head and Neck and Esophageal Cancers: An International Qualitative Study. JPEN J Parenter Enteral Nutr. 2016; 40:355–66.

Fundació Alícia; Institut Català d’Oncologia (2017): Dietetic-culinary recommendations during the treatment of head and neck cancer. In collaboration with Fundació Catalunya-La Pedrera (Eating during cancer treatment). Disponible en: http://ico.gencat.cat/web/.content/minisite/ico/ciutadans/documents/arxius/Guia_CapColl_ESP.pdf, Última comprobación el 23/07/2020.

Cáceres Lavernia H, Neninger Vinageras E, Menéndez Alfonso Y, Barreto Penié J. Nutritional intervention in cancer patients. Cuban Journal of Medicine. 2016; 55:59–73.

Selvi Sabatera P, Titos Arcos JC, Alonso Domínguez T, Pascual Barriga M, Sánchez Catalicio MM, Ventura Lopéz M. Risk of malnutrition in cancer patients. Therapeía. 2019; 59–70.

Carrillo Torres MF. Determination of the correlation between nutritional status, serum albumin, and days of hospital stay in adults with acute lymphoblastic leukemia at the "Eduardo Liceaga" General Hospital of Mexico: Universidad Iberoamericana Puebla; 2019.

OncoLink Team. Nutrition During Head and Neck Cancer Treatment [Internet]; 2020 [actualizado 4 ago. 2020; citado 4 ago. 2020]. Disponible en: https://es.oncolink.org/apoyar/node_187/nutricion-durante-el-tratamiento/nutricion-durante-el-tratamiento-del-cancer-de-cabeza-y-cuello.

Varila MA, Restrepo MA, Pinzón Espitia OL, Valoyes Bejarano E. Nutritional status of patients with gastrointestinal tract neoplasms. Nutr clín diet hosp. 2017; 37:139–46.

Fuchs V, Barbosa V, Mendoza J, Vargas A, Amancio O, Hernández-Cuéllar A, et al. Evaluation of the impact of intensive nutritional treatment on the nutritional status of patients with stage III and IV head and neck cancer. Nutr Hosp. 2008; 23:134–40.

Alhambra Expósito MR, Herrera-Martínez AD, Manzano-García G, Espinosa-Calvo M, Bueno-Serrano CM, Gálvez-Moreno MÁ. Early nutritional support in patients with head and neck cancer. Nutr Hosp. 2018; 35:505–10.

Huata Vilca DA. Nutritional assessment and its mediate post-operative impact in patients undergoing surgery for sigmoid volvulus, HRMNB August - December 2017. Puno, Peru: Universidad Nacional Del Altiplano; 2019.

León X, Pardo L, Sansa A, Puig R, Serrano C, López M, et al. Prognostic significance of pretreatment albumin levels in patients with head and neck squamous cell carcinoma. Acta Otorrinolaringol Esp. 2019; 71:204-211.

Ricardo Ramírez JM, Santillán Pilca G, Martínez Martínez R, Romero García L, Morales Solís, JM. Nutritional assessment of patients discharged from a general surgery service. MEDISAN. 2016; 20:2077.

Published

2021-05-27 — Updated on 2021-06-11

How to Cite

Carías Díaz, J. A., & Gonzalez, M. J. (2021). Cancer treatment and nutritional status of head and neck cancer. Nutrición Clínica Y Dietética Hospitalaria, 41(2). https://doi.org/10.12873/412carias

Issue

Section

Research articles

Categories