Impact of nutritional status at the outset of assessment on postoperative complications in head and neck cancer.
Eur Ann Otorhinolaryngol Head Neck Dis
; 137(5): 393-398, 2020 Nov.
Article
en En
| MEDLINE
| ID: mdl-31870765
ABSTRACT
OBJECTIVES:
Half of the patients presenting with head and neck tumor are malnourished at the outset of treatment. Muscle mass loss (sarcopenia) seems to be critical. The aim of the present study was to assess the impact of nutritional status and sarcopenia on postoperative complications in head and neck cancer. MATERIALS ANDMETHODS:
A retrospective study for the period November 2014 to May 2016 included 92 patients operated on for head and neck squamous cell carcinoma. Complications at 30 days were graded on the 5-level Clavien-Dindo classification. Nutritional status was assessed anthropometrically (weight), biologically (albuminemia and Nutrition Risk Index (NRI)), on CT (muscle mass index at 3rd lumbar vertebra) and functionally (Short Physical Performance Battery). Assessment was made at the outset of management, and nutritional treatment was initiated as appropriate. Potential risk factors for postoperative complications were assessed performance status, prior radiation therapy, smoking and alcohol abuse.RESULTS:
54% of patients were malnourished on the NRI. 41% had grade≥2 complications. The most frequent complications were infection and healing disorder. The risk of complications was higher in case of malnutrition (62% vs. 17%; P<0.001) and sarcopenia (56% vs. 22%; P<0.01), with 50% longer hospital stay (P=0.04).CONCLUSION:
Malnutrition and sarcopenia are independent risk factors for postoperative complications.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Sarcopenia
/
Neoplasias de Cabeza y Cuello
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Eur Ann Otorhinolaryngol Head Neck Dis
Año:
2020
Tipo del documento:
Article
País de afiliación:
Francia