Hogeschool van Amsterdam

Urban Vitality

Sarcopenia, a strong determinant for prolonged feeding tube dependency after chemoradiotherapy for head and neck cancer

Article

<p><b>BACKGROUND:</b> Sarcopenia might be a relevant lead for optimization of the condition of patients with head and neck cancer (HNC) before chemoradiotherapy (CRT) to prevent long-term functional swallowing impairment, such as feeding tube dependency.</p><p><b>METHODS:</b> Regression analyses were performed to assess the association between skeletal muscle mass index (SMI), as a measure of sarcopenia, and prolonged (>90 days) feeding tube dependency in 128 patients with HNC treated with primary CRT.</p><p><b>RESULTS:</b> Sixty-one patients (48%) became prolonged feeding tube-dependent. Lower SMI increased the risk of prolonged feeding tube dependency in multivariable analysis (risk ratio 1.08; 95% confidence interval 1.02-1.14, P = .01) adjusted for body mass index, abnormal diet, and socioeconomic status.</p><p><b>CONCLUSIONS:</b> Sarcopenia contributes to the risk of prolonged feeding tube dependency of patients with HNC treated with primary CRT. As sarcopenia might be a modifiable factor prior to treatment, it should be explored as a target for pretreatment patients' condition.</p>

Reference Karsten, R. T., Al-Mamgani, A., Bril, S. I., Tjon-A-Joe, S., van der Molen, L., de Boer, J. P., Hilgers, F. J. M., Smeele, L. E., van den Brekel, M. W. M., & Stuiver, M. M. (2019). Sarcopenia, a strong determinant for prolonged feeding tube dependency after chemoradiotherapy for head and neck cancer. Head & neck, 41(11), 4000-4008. https://doi.org/10.1002/hed.25938
Published by  Urban Vitality 1 January 2019

Publication date

Jan 2019

Author(s)

Rebecca T. Karsten
Abrahim Al-Mamgani
Sandra I. Bril
Sheena Tjon-A-Joe
Lisette van der Molen
Jan P. de Boer
Frans J. M. Hilgers
Ludi E. Smeele
Michiel W. M. van den Brekel

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