Avaliação nutricional de pacientes ambulatoriais em quimiorradioterapia acometidos com câncer de cabeça e pescoço / Nutritional assessment of chemoradiotherapy outpatients with head and neck câncer
DOI:
https://doi.org/10.34119/bjhrv4n5-313Keywords:
Quimioterapia, Radioterapia, Estado Nutricional, Terapia Nutricional, Câncer de Cabeça e Pescoço.Abstract
Diversos fatores podem contribuir para o déficit nutricional dos pacientes acometidos com Câncer de Cabeça e Pescoço (CCP), incluindo distúrbios mecânicos, funcionais ou metabólicos relacionados à localização da neoplasia, efeitos colaterais dos tratamentos, além de questões relacionadas ao paciente, como aspectos psicológicos. O objetivo do presente trabalho foi avaliar o estado nutricional de pacientes com CCP em atendimento ambulatorial. Trata-se de uma pesquisa exploratória, a qual foram avaliados pacientes atendidos em uma instituição oncológica terciária. Utilizou-se um banco de dados de triagem nutricional (Avaliação Subjetiva Global Produzida pelo Paciente – ASG-PPP), somado aos dados do Prontuário Eletrônico do Paciente (PEP). A amostra foi composta por 219 pacientes. Referente à avaliação nutricional, o IMC médio indicava eutrofia, apesar de haver um grande percentual de perda ponderal nas 2 semanas anteriores à avaliação e 65,8% dos participantes encontravam-se moderadamente ou gravemente desnutridos de acordo com a ASG-PPP.
References
Arends J, Bachmann P, Baracos V, Strasser F, Schueren M, et al: ESPEN guidelines on nutrition in cancer patients. Clin Nut 36, 11-48, 2017.
Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC, et al: ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nut 36, 1187-1196, 2017.
Arribas L, Hurtós L, Milà R, Fort E, Peiró I: Predict factors associated with malnutrition from patient generated subjective global assessment (PG-SGA) in head and neck cancer patients. Nutr Hosp 28, 155–163, 2013.
Arribas L, Hurtós L, Taberna M, Peiró I, Vilajosana E, et al: Nutritional changes in patients with locally advanced head and neck cancer during treatment. Oral Oncol 71, 67–74, 2017.
Britton B, McCarter K, Baker A, WolfendenL, Wratten C, et al: Eating As Treatment (EAT) study protocol: a stepped-wedge, randomised controlled trial of a health behaviour change intervention provided by dietitians to improve nutrition in patients with head and neck cancer undergoing radiotherapy. BMJ Open 5, 1-11, 2015.
Cacicedo J, Casquero F, Martinez-Indart L, del Hoyo O, Gomez de Iturriaga A, et al: A prospective analysis of factors that influence weight loss in patients undergoing radiotherapy. Chin J Cancer 33, 204–10, 2014.
Cacicedo J, Dal Pra A, Alongi F and Navarro A: Impact of weight loss in patients with head and neck carcinoma undergoing radiotherapy: is it an underestimated phenomenon? A radiation oncologist’s perspective. Eur J Clin Nutr 69, 757–60, 2015.
Cruz EP, Toporcov TN, Rotundo LDB, Biazevic MGH, Brasileiro RS, et al: Food restrictions of patients who are undergoing treatment for oral and oropharyngeal cancer. Eur J Oncol Nurs 16, 253-257, 2012.
Gomes NS, Maio R. Avaliação subjetiva global produzida pelo próprio paciente e indicadores de risco nutricional no paciente oncológico em quimioterapia. Rev Bras Cancerologia 61, 235-242, 2015.
Gourin CG, Couch ME and Johnson JT: Effect of weight loss on short-term outcomes and costs of care after head and neck cancer surgery. Ann Otol Rhinol Laryngol 123, 101–110, 2014.
Hutcheson KA, Lewin JS, Barringer DA, Lisec A, Gunn GB, et al: Late dysphagia after radiotherapy-based treatment of head and neck cancer. Cancer 118, 5793-5799, 2012.
Instituto Nacional de Câncer José Alencar Gomes da Silva. Coordenação de Prevenção e Vigilância. Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2020.
Krebber AH, Uden-Kraan CF, Melissant HC, Cuijpers P, Straten A, et al: A guided self-help intervention targeting psychological distress among head and neck cancer and lung cancer patients: motivation to start, experiences and perceived outcomes. Support Care Cancer 25, 127-135, 2016.
Majid A, Sayeed BZ, Khan M, Lakhani M, Saleem MM, et al: Assessment and Improvement of Quality of Life in Patients Undergoing Treatment for Head and Neck Cancer. Cureus 9, 2-9, 2017.
Mali SB: Adaptive Radiotherapy for Head Neck Cancer. J Maxillofac Oral Surg 15, 549-54, 2016.
Mallick I, Gupta SK, Ray R, Sinha T, Sinha S, et al: Predictors of Weight Loss during Conformal Radiotherapy for Head and Neck Cancers – How Important are Planning Target Volumes?. Clin Oncol 25, 557-563, 2013.
Mulasi U, Vock DM, Kuchnia AJ, Jha G, Fujioka N, et al: Malnutrition Identified by the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition Consensus Criteria and Other Bedside Tools Is Highly Prevalent in a Sample of Individuals Undergoing Treatment for Head and Neck Cancer. JPEN 42, 139-147, 2018.
O'Connor P: The impact of missed fractions in head and neck radiotherapy and how they can be minimised. Radiography 19, 343–346, 2013.
Ohri N, Rapkin BD, Guha C, Kalnicki S, Garg M: Radiation Therapy Noncompliance and Clinical Outcomes in an Urban Academic Cancer Center. Int J Radiat Oncol Biol Phys 95, 563-70, 2016.
Oliveira, et al: Câncer de cabeça e pescoço: avaliação da assistência da enfermagem para o direcionamento dos cuidados. Brazilian J Development 7(8), 77181-93, 2021.
Patterson JM, McColl E, Wilson J, Carding P, Rapley T: Head and neck cancer patients perceptions of swallowing following chemoradiotherapy. Support Care Cancer 23, 3531–3538, 2015.
Pinto GP, Mont’Alverne DGB: Neoplasias de cabeça e pescoço: impactos funcionais e na qualidade de vida. Rev Bras Cir Cabeça Pescoço 44, 152-156, 2015.
Planas M, Álvarez-Hernández J, León-Sanz M, Celaya-Pérez S, Araujo K et al: Prevalence of hospital malnutrition in cancer patients: a sub-analysis of the PREDyCES® study. Support Care Cancer 24, 429–435, 2016.
Takenaka Y, Takemoto N, Nakahara S, Yamamoto Y, Yasui T, et al: Prognostic significance of body mass index before treatment for head and neck cancer. Head Neck 37, 1518–1523, 2015.
Talwar B, Donnelly R, Skelly R, Donaldson M: Nutritional management in head and neck cancer: United Kingdom National Multidisciplinary Guidelines. J Laryngol Otol 130, S32-S40, 2016.
Wei J, Wu J, Meng L, Wang H, Xin Y, et al: Effects of early nutritional intervention on oral mucositis in patients with radiotherapy for head and neck cancer. Qjm: An International Journal of Medicine 113, 37-42, 2020.
