Summary of the Clinical Practice Guideline

Article Citation

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

Orphanidou, C., Biggs, K., et al. (2011).
Current Oncology, 18(4), e191-e201.
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Article Details

Description

This guideline provides recommendations on the use of prophylactic feeding tubes and provision of adequate nutrition for adults who receive combined chemotherapy and radiotherapy with curative intent for squamous cell carcinoma of the head and neck. While several recommendations fall outside the scope of speech-language pathologists (SLPs), recommendations are available on inclusion of SLPs in the interdisciplinary care team.

Recommendations from This Guideline

What are Recommendations?

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Treatment

Post-treatment follow-up for an individual with squamous cell carcinoma of the head and neck, who has received combined chemotherapy and radiotherapy, "should recognize the importance of proper rehabilitation with regard to resumption of oral intake in an effort to prevent feeding tube dependence" (p. e199). 

Keywords: Timing, Tube Feeding, Adults, Timing (e.g. Pre-/Post-Cancer Treatment), Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), Post-Cancer Treatment, Radiotherapy, Head and Neck Cancer

Service Delivery

Post-treatment follow-up for an individual with squamous cell carcinoma of the head and neck, who has received combined chemotherapy and radiotherapy, "should recognize the importance of proper rehabilitation with regard to resumption of oral intake in an effort to prevent feeding tube dependence" (p. e199). 

Keywords: Timing, Tube Feeding, Adults, Timing (e.g. Pre-/Post-Cancer Treatment), Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), Post-Cancer Treatment, Radiotherapy, Head and Neck Cancer

The interdisciplinary care team of an individual with squamous cell carcinoma of the head and neck who receives combined chemotherapy and radiotherapy with curative intent should follow the individual weekly during active treatment. The team should "ensure adequate provision of nutritional requirements, effective symptom management, and preservation of the swallowing mechanism." (p. e199). After completion of treatment, the team "should provide patient follow-up and monitoring at frequent regular intervals" (p. e199).

Keywords: Dosage (Frequency/Intensity/Duration), Timing, Dosage (e.g. Frequency/Intensity/Duration), Timing (e.g. Pre-/Post-Cancer Treatment), Dysphagia, Head and Neck Cancer, Timing, Adults, Adults, Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), During Cancer Treatment, Post-Cancer Treatment, Head and Neck Cancer, Radiotherapy

"The interdisciplinary care team should have representation from radiation, medical, and surgical oncology; oncology nutrition; oncology nursing; speech language pathology; psychosocial oncology; radiation therapy; dentistry; and occupational therapy" (p. e199).

Keywords: Provider (SLP/Caregiver), Tube Feeding, Provider (e.g. SLP/Audiologist/Caregiver), Dysphagia, Head and Neck Cancer, Adults, Adults, Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), Radiotherapy

Go to Map

Treatment

Post-treatment follow-up for an individual with squamous cell carcinoma of the head and neck, who has received combined chemotherapy and radiotherapy, "should recognize the importance of proper rehabilitation with regard to resumption of oral intake in an effort to prevent feeding tube dependence" (p. e199). 

Keywords: Timing, Tube Feeding, Adults, Timing (e.g. Pre-/Post-Cancer Treatment), Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), Post-Cancer Treatment, Radiotherapy, Head and Neck Cancer

"The interdisciplinary care team should have representation from radiation, medical, and surgical oncology; oncology nutrition; oncology nursing; speech language pathology; psychosocial oncology; radiation therapy; dentistry; and occupational therapy" (p. e199).

Keywords: Provider (SLP/Caregiver), Tube Feeding, Provider (e.g. SLP/Audiologist/Caregiver), Dysphagia, Head and Neck Cancer, Adults, Adults, Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), Radiotherapy

Service Delivery

Post-treatment follow-up for an individual with squamous cell carcinoma of the head and neck, who has received combined chemotherapy and radiotherapy, "should recognize the importance of proper rehabilitation with regard to resumption of oral intake in an effort to prevent feeding tube dependence" (p. e199). 

Keywords: Timing, Tube Feeding, Adults, Timing (e.g. Pre-/Post-Cancer Treatment), Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), Post-Cancer Treatment, Radiotherapy, Head and Neck Cancer

The interdisciplinary care team of an individual with squamous cell carcinoma of the head and neck who receives combined chemotherapy and radiotherapy with curative intent should follow the individual weekly during active treatment. The team should "ensure adequate provision of nutritional requirements, effective symptom management, and preservation of the swallowing mechanism." (p. e199). After completion of treatment, the team "should provide patient follow-up and monitoring at frequent regular intervals" (p. e199).

Keywords: Dosage (Frequency/Intensity/Duration), Timing, Dosage (e.g. Frequency/Intensity/Duration), Timing (e.g. Pre-/Post-Cancer Treatment), Dysphagia, Head and Neck Cancer, Timing, Adults, Adults, Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), During Cancer Treatment, Post-Cancer Treatment, Head and Neck Cancer, Radiotherapy

"The interdisciplinary care team should have representation from radiation, medical, and surgical oncology; oncology nutrition; oncology nursing; speech language pathology; psychosocial oncology; radiation therapy; dentistry; and occupational therapy" (p. e199).

Keywords: Provider (SLP/Caregiver), Tube Feeding, Provider (e.g. SLP/Audiologist/Caregiver), Dysphagia, Head and Neck Cancer, Adults, Adults, Chemotherapy, Age, Cancer Treatment Received (Laryngectomy/Chemotherapy), Radiotherapy

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