Weight loss in patients with head and neck cancer during and after conventional and accelerated radiotherapy

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Ottosson, Sandra,1981-Umeå universitet,Öron- näs- och halssjukdomar (author)

Weight loss in patients with head and neck cancer during and after conventional and accelerated radiotherapy

Article/chapterEnglish2013

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London :Informa Healthcare,2013
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LIBRIS-ID:oai:DiVA.org:umu-63737
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-63737URI
https://doi.org/10.3109/0284186X.2012.731524DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-216221URI
https://lup.lub.lu.se/record/3738906URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Background. Weight loss is common among patients with squamous cell carcinoma of the head and neck (SCCHN) and is mainly due to tumor and treatment related factors. The aim of the present study was to evaluate weight loss in patients with SCCHN undergoing two different radiotherapy (RT) schedules.Material and methods. Nutritional data were analyzed from the ARTSCAN study, a controlled randomized prospective Swedish multicenter study conducted with the aim of comparing conventional fractionation (2.0 Gy per day, total 68 Gy during 7 weeks) and accelerated fractionation (1.1 + 2.0 Gy per day, total 68 Gy during 4.5 weeks). Seven hundred and fifty patients were randomized and 712 patients were followed from the start of RT in the present nutritional study.Results. The patients had a weight loss of 11.3% (± 8.6%) during the acute phase (start of RT up to five months after the termination of RT). No difference in weight loss was seen between the two RT fractionation schedules (p = 0.839). Three factors were significantly predictive for weight loss during the acute phase, i.e. tumor site, overweight/obesity or lack of tube feeding at the start of RT. Moreover, the nadir point of weight loss occurred at five months after the termination of RT.Conclusion. The results of the present study showed no difference in weight loss between the two RT fractionation schedules and also highlight that weight loss in SCCHN is a multifactorial problem. Moreover, the nadir of weight loss occurred at five months after the termination of treatment which calls for more intense nutritional interventions during the period after treatment.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Oto-rhino-laryngologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Otorhinolaryngology hsv//eng
Nutrition
head and neck cancer
oto-rhino-laryngologi
Oto-Rhino-Laryngology

Added entries (persons, corporate bodies, meetings, titles ...)

Zackrisson, BjörnUmeå universitet,Onkologi(Swepub:umu)bjza0002 (author)
Kjellén, ElisabethLund University,Lunds universitet,Bröstcancer-genetik,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Breastcancer-genetics,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)onk-ekj (author)
Nilsson, PerLund University,Lunds universitet,Medicinsk strålningsfysik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medical Radiation Physics, Lund,Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)rafy-per (author)
Laurell, GöranUmeå universitet,Öron- näs- och halssjukdomar,Department of Clinical Sciences, Otorhinolaryngology, Umeå University, Umeå , Sweden(Swepub:uu)gorla772 (author)
Umeå universitetÖron- näs- och halssjukdomar (creator_code:org_t)

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In:Acta OncologicaLondon : Informa Healthcare52:4, s. 711-7180284-186X1651-226X

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