Calf circumference is an independent predictor of postoperative complications in the surgical treatment of head and neck cancer
ABCS health sci
; 47: e022232, 06 abr. 2022. tab
Article
em En
| LILACS
| ID: biblio-1402555
Biblioteca responsável:
BR1342.1
Localização: BR1342.1
ABSTRACT
INTRODUCTION:
The prevalence of malnutrition is high among head and neck cancer (HNC) patients and negatively impacts their quality of life, treatment, and survival rates.OBJECTIVE:
To identify preoperative nutritional variables capable of predicting postoperative complications in surgically treated HNC patients.METHODS:
This was a prospective cohort study of HNC patients referred for surgery as initial treatment.RESULTS:
Sixty patients were included in the study; they had a median age of 65.5 years, were mostly me n (85%), and most had low education levels (90%) and low household income (78.3%). The incidence rate of severe postoperative complications (grades II, III, IV, and V according to the Clavien-Dindo grading system) was found to be 50%. The nutritional variables under investigation, namely calf circumference (CC), triceps skinfold, body mass index, and adductor pollicis muscle thickness were shown to predict postoperative complications in HNC patients, especially CC, which was found to be an independent predictor of complications (OR=0.8; 95%CI 0.650.96). Each 1-cm increase in calf circumference was associated with a 20% decrease in the risk of postoperative complications.CONCLUSION:
Our findings show the nutritional variables studied are useful in the prognostic assessment of HNC surgery.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Antropometria
/
Estado Nutricional
/
Neoplasias de Cabeça e Pescoço
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
ABCS Health Sciences (Online)
/
ABCS health sci
/
ABCS health sciences (Impresso)
/
Arquivos brasileiros de ciências da saúde health sciences
Ano de publicação:
2022
Tipo de documento:
Article