Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer

European Archives of Oto-Rhino-Laryngology · 7 authors, 6 centres

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TL;DR

This retrospective cohort study assessed the nutritional status of 40 patients undergoing surgery for head and neck cancer and found that pre-operative malnutrition was associated with a higher risk of post-operative complications and a longer hospital stay.

Full summary

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This retrospective cohort study analyzed 40 patients undergoing major surgery for advanced pharyngeal or laryngeal cancer at a tertiary hospital in Australia. 4%, p = 0.011) compared to well-nourished patients. Malnourished patients also had a clinically important longer median length of stay (20 vs. Limitations include the small sample size, single-center design, and retrospective nature, which limit generalizability and the ability to perform multivariable analysis.

STUDY TYPE

cohort

SPECIALTY

oncology

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100% · A

ORIGINAL PAPER

PMC10620302

Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer

European Archives of Oto-Rhino-Laryngology

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ABSTRACT

Purpose Malnutrition is an important prognostic indicator of post-operative outcomes in patients undergoing surgery for head and neck cancer, however, limited studies utilize validated nutrition assessment tools to accurately assess risk. The aim of this study was to determine the relationship between nutritional status on post-operative complications and length of stay for patients undergoing either a laryngectomy, pharyngectomy or pharyngolaryngectomy for head and neck cancer. Methods Patients with head and neck cancer undergoing a laryngectomy, pharyngectomy or pharyngolaryngectomy at a tertiary hospital in Australia were eligible for this retrospective cohort study ( n = 40). Nutritional status was assessed by the dietitian on admission using the validated Subjective Global Assessment tool. Clinical outcomes were collected via retrospective chart review and included length of stay and post-operative complications. Results Pre-operative malnutrition incidence was 40%. Malnourished patients had higher incidences of any type of complication (57% vs 44%, p = 0.013) and pressure injury (86% vs 14%, p = 0.011) compared to well-nourished patients. Well-nourished patients had a clinically important shorter median length of stay compared to malnourished patients (17.5 vs 20 days). Conclusion Early identification and management of malnutrition is essential to minimize risk of post-operative complications and reduce length of stay and should be considered a key component of prehabilitation programs.

CITATION EXPORT

Teresa Brown, Anna Edwards, Alice Pashley et al.. Nutritional status and post-operative complications in patients undergoing surgery for advanced pharyngeal or laryngeal cancer. European Archives of Oto-Rhino-Laryngology. (2023). https://doi.org/10.1007/s00405-023-08139-x

AUTHORS

7 · 6 CENTRES

Teresa Brown, Anna Edwards, Alice Pashley, Belinda Lehn, Sarju Vasani, Robert Hodge, Judith Bauer

1https://ror.org/00rqy9422grid.1003.20000 0000 9320 7537School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD Australia
2https://ror.org/05p52kj31grid.416100.20000 0001 0688 4634Department of Dietetics and Food Services, Royal Brisbane and Women’s Hospital, Brisbane, QLD Australia
3https://ror.org/048xxxv92grid.460037.60000 0004 0614 0581Department of Nutrition and Dietetics, Toowoomba Hospital, Darling Downs Health, Toowoomba, QLD Australia
4https://ror.org/05p52kj31grid.416100.20000 0001 0688 4634Department of Speech Pathology, Royal Brisbane and Women’s Hospital, Brisbane, QLD Australia
5https://ror.org/05p52kj31grid.416100.20000 0001 0688 4634Department of Ear Nose Throat, Royal Brisbane and Women’s Hospital, Brisbane, QLD Australia
6https://ror.org/02bfwt286grid.1002.30000 0004 1936 7857Department of Nutrition, Dietetics and Food, Monash University, Melbourne, VIC Australia