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- Title
Percutaneous endoscopic gastrostomy tube dependence following chemoradiation in head and neck cancer patients.
- Authors
Pohar, Surjeet; Demarcantonio, Michael; Whiting, Phillip; Crandley, Edwin; Wadsworth, John; Karakla, Daniel
- Abstract
Objectives/Hypothesis Compare long-term percutaneous endoscopic gastrostomy (PEG) tube dependence, stricture rate, and weight loss in patients receiving a prophylactic gastrostomy tube with those who initially rely on oral intake during chemoradiation for head and neck cancer. Also, to determine what other patient and treatment characteristics influence development of long-term severe dysphagia. Study Design Retrospective review. Methods Seventy-nine patients received a PEG tube and 25 did not. The prophylactic and initial oral intake groups were then analyzed to assess the primary outcomes of PEG dependence at last follow-up >1 year. Results On univariate and multivariate analysis, Zubrod score >1, prophylactic PEG placement, and higher T classification were predicted for PEG tube dependence at last follow-up at least 1 year after treatment. Conclusions Prophylactic PEG tube, high Zubrod score, and high T stage were independent predictors for PEG tube dependence at least 1 year after treatment in patients with head and neck cancer receiving definitive chemoradiation. Level of Evidence 4 Laryngoscope, 125:1366-1371, 2015
- Subjects
PERCUTANEOUS endoscopic gastrostomy; HEAD &; neck cancer patients; WEIGHT loss; MULTIVARIATE analysis; HEAD &; neck cancer treatment
- Publication
Laryngoscope, 2015, Vol 125, Issue 6, p1366
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.25117