粘膜炎
医学
头颈部癌
减肥
放化疗
放射治疗
干预(咨询)
放化疗
重量变化
外科
内科学
护理部
肥胖
作者
Michihisa Kono,Risa Wakisaka,Takumi Kumai,Ryusuke Hayashi,Hiroki Komatsuda,Ryosuke Sato,Yasushi Abe,Hidekiyo Yamaki,Miki Takahara,Akihiro Katada,Tatsuya Hayashi,Yasuaki Harabuchi
出处
期刊:Head & neck
[Wiley]
日期:2020-10-05
卷期号:43 (2): 514-519
被引量:16
摘要
Abstract Background We analyzed the effects of early nutritional intervention by a nutritional support team (NST) in patients with head and neck squamous cell carcinoma (HNSCC) undergoing chemoradiotherapy or radiotherapy. Methods This study investigated whether early nutritional interventions by a multidisciplinary NST improve body weight loss, mucositis, serum albumin level, and hospital length of stay. Results Sixty‐one patients with HNSCC were treated during the study, and 32 patients received NST intervention since admission. The median weight loss rates were 3.3% and 7.3% and grade 3 mucositis was observed in 25.0% and 70.0% of patients in the intervention and nonintervention groups, respectively. In the intervention group, serum albumin level through treatment increased and the hospital length of stay from the end of treatment was shortened. Conclusion Early nutritional intervention by a multidisciplinary NST improved body weight loss rate, mucositis, albumin level, and hospital length of stay, which might lead to better clinical outcomes.
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