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Current Oncology
Volume 18
Issue 4
10.3747/co.v18i4.749
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Review

Prophylactic Feeding Tubes for Patients with Locally Advanced Head-and-Neck Cancer Undergoing Combined Chemotherapy and Radiotherapy—Systematic Review and Recommendations for Clinical Practice

by
C. Orphanidou
1,*,
K. Biggs
2,
M.E. Johnston
3,
J.R. Wright
2,
A. Bowman
4,
S.J. Hotte
2,
A. Esau
5,
C. Myers
6,
V. Blunt
7,
M. Lafleur
2,
B. Sheehan
4 and
M.A. Griffin
8
1
Oncology Nutrition, BC Cancer Agency, Centre for the Southern Interior, Kelowna, BC, Canada
2
Supportive Care Program (Biggs), Radiation Oncology (Wright), Medical Oncology (Hotte), and Nursing (Lafleur), Juravinski Cancer Centre, Hamilton, ON, Canada
3
Technical and Methodological Consultant, Dundas, ON, Canada
4
Oncology Nutrition (Bowman) and Radiation Oncology (Sheehan), BC Cancer Agency, Vancouver Centre, Vancouver, BC, Canada
5
Clinical Nutrition, Tom Baker Cancer Centre, Calgary, AB, Canada
6
Patient and Family Support Services, Cancer Care Manitoba, Winnipeg, MB, Canada
7
Clinical Nutrition, University Health Network (Toronto General Hospital), Toronto, ON, Canada
8
Nutrition Services, Dr. H. Bliss Murphy Cancer Centre, St. John’s, NL, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2011, 18(4), 191-201; https://doi.org/10.3747/co.v18i4.749
Submission received: 4 May 2011 / Revised: 3 June 2011 / Accepted: 2 July 2011 / Published: 1 August 2011

Abstract

Goals: This work aimed to determine the benefits and risks of prophylactic feeding tubes for adult patients with squamous cell carcinoma of the head and neck who receive combined chemotherapy and radiotherapy with curative intent and to make recommendations on the use of prophylactic feeding tubes and the provision of adequate nutrition to this patient population. Methods: A national multidisciplinary panel conducted a systematic review of the evidence and formulated recommendations to guide clinical decision-making. The draft evidence summary and recommendations were distributed to clinicians across Canada for their input. Main Results: No randomized controlled trials have directly addressed this question. Evidence from studies in the target population was limited to seven descriptive studies: two with control groups (one prospective, one retrospective) and five without control groups. Results from ten controlled studies in patients treated with radiotherapy alone were also reviewed. Conclusions: The available evidence was insufficient to draw definitive conclusions about the effectiveness of prophylactic feeding tubes in the target patient population or to support an evidence-based practice guideline. After review of the evidence, of guidelines from other groups, and of current clinical practice in Canada, the multidisciplinary panel made consensus-based recommendations regarding comprehensive interdisciplinary clinical care before, during, and after cancer treatment. The recommendations are based on the expert opinion of the panel members and on their understanding of best clinical practice.
Keywords: practice guideline; systematic review; tube feeding; chemoradiation; head-and-neck cancer practice guideline; systematic review; tube feeding; chemoradiation; head-and-neck cancer

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MDPI and ACS Style

Orphanidou, C.; Biggs, K.; Johnston, M.E.; Wright, J.R.; Bowman, A.; Hotte, S.J.; Esau, A.; Myers, C.; Blunt, V.; Lafleur, M.; et al. Prophylactic Feeding Tubes for Patients with Locally Advanced Head-and-Neck Cancer Undergoing Combined Chemotherapy and Radiotherapy—Systematic Review and Recommendations for Clinical Practice. Curr. Oncol. 2011, 18, 191-201. https://doi.org/10.3747/co.v18i4.749

AMA Style

Orphanidou C, Biggs K, Johnston ME, Wright JR, Bowman A, Hotte SJ, Esau A, Myers C, Blunt V, Lafleur M, et al. Prophylactic Feeding Tubes for Patients with Locally Advanced Head-and-Neck Cancer Undergoing Combined Chemotherapy and Radiotherapy—Systematic Review and Recommendations for Clinical Practice. Current Oncology. 2011; 18(4):191-201. https://doi.org/10.3747/co.v18i4.749

Chicago/Turabian Style

Orphanidou, C., K. Biggs, M.E. Johnston, J.R. Wright, A. Bowman, S.J. Hotte, A. Esau, C. Myers, V. Blunt, M. Lafleur, and et al. 2011. "Prophylactic Feeding Tubes for Patients with Locally Advanced Head-and-Neck Cancer Undergoing Combined Chemotherapy and Radiotherapy—Systematic Review and Recommendations for Clinical Practice" Current Oncology 18, no. 4: 191-201. https://doi.org/10.3747/co.v18i4.749

APA Style

Orphanidou, C., Biggs, K., Johnston, M. E., Wright, J. R., Bowman, A., Hotte, S. J., Esau, A., Myers, C., Blunt, V., Lafleur, M., Sheehan, B., & Griffin, M. A. (2011). Prophylactic Feeding Tubes for Patients with Locally Advanced Head-and-Neck Cancer Undergoing Combined Chemotherapy and Radiotherapy—Systematic Review and Recommendations for Clinical Practice. Current Oncology, 18(4), 191-201. https://doi.org/10.3747/co.v18i4.749

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