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Prophylactic RIG versus reactive RIG in head and neck cancer
Germain, Susan Parmar, Krishna Kholia Yam, Michelle
Germain, Susan
Parmar, Krishna Kholia
Yam, Michelle
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Affiliation
University Hospitals Birmingham NHS Foundation Trust
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Publication date
2024-09-09
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Abstract
Introduction
Radical radiotherapy and chemoradiotherapy (CRT) are key treatments in head and neck cancer (HNC) but can result in swallowing difficulties and increased risk of malnutrition which affect the patient’s ability to eat normally.
Reduced nutritional status during CRT has both short and long-term implications on swallow function and post treatment quality of life.
RIG feeding tubes are commonly used to maintain and improve nutritional status 3. However, there is no national consensus, or local standard operating procedure for optimal timing of RIG placement.
We aim to investigate the risk factors for swallowing, nutritional and quality of life issues post treatment by analysing the impact of RIG usage on the outcomes of HNC patients who had a prophylactic versus reactive RIG. We hope to use this data to inform a clinical decision-making tool.
Method:
We will complete a retrospective review of UHB HNC patients treated with CRT who received a prophylactic or reactive RIG between 2018-2020. We intend to compare outcomes including weight loss, swallow function and tube complications alongside demographic and treatment information (age, gender, tumour stage and
CRT dose) with the aim of developing a risk index.
Results:
Data will be analysed using parametric t-tests and non-parametric descriptive statistics.
Discussion:
The data analysis will inform a larger-scale project to establish the risk factors for nutritional compromise and dysphagia and improve management decisions in this population.
Citation
Germain, S., Parmar, K.K. and Yam, M. (2024) 'Prophylactic RIG versus reactive RIG in head and neck cancer'. School of Nursing, AHP and Midwifery Conference. Birmingham: 9-10 September.
Type
Conference Output