Title |
Protocol for a randomized controlled trial of early prophylactic feeding via gastrostomy versus standard care in high risk patients with head and neck cancer
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Published in |
BMC Nursing, July 2014
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DOI | 10.1186/1472-6955-13-17 |
Pubmed ID | |
Authors |
Teresa Brown, Merrilyn Banks, Brett Hughes, Lizbeth Kenny, Charles Lin, Judith Bauer |
Abstract |
Patients with head and neck cancer are at high risk of malnutrition and dysphagia. Enteral tube feeding via a gastrostomy or nasogastric tube is often required in response to dysphagia, odynophagia or side effects of treatment that lead to dehydration and/or weight-loss. A recent systematic review concluded that the optimal method of tube feeding remains unclear; however prophylactic gastrostomy, placed in anticipation of its use during and after treatment, is common practice, following a number of demonstrated benefits. However the majority of these studies have been undertaken in patients receiving radiotherapy alone. More recent studies in patient populations receiving concurrent chemoradiotherapy are showing that despite prophylactic gastrostomy placement significant weight loss still occurs, placing the patient at risk of the consequences of malnutrition. Therefore we set out to investigate innovative prophylactic nutrition support via the gastrostomy to optimise the nutritional outcomes of patients with head and neck cancer. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Spain | 2 | 2% |
United Kingdom | 1 | 1% |
Unknown | 85 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 14 | 16% |
Student > Bachelor | 12 | 14% |
Other | 10 | 11% |
Student > Ph. D. Student | 8 | 9% |
Researcher | 6 | 7% |
Other | 20 | 23% |
Unknown | 18 | 20% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 32 | 36% |
Nursing and Health Professions | 18 | 20% |
Psychology | 6 | 7% |
Social Sciences | 2 | 2% |
Business, Management and Accounting | 1 | 1% |
Other | 5 | 6% |
Unknown | 24 | 27% |