Evidence map›Paper›PMID 26862007›Full record

ArticleEuropean journal of clinical nutrition2016

Validation of an updated evidence-based protocol for proactive gastrostomy tube insertion in patients with head and neck cancer.

T E Brown, V Getliffe, M D Banks, B G M Hughes, C Y Lin, L M Kenny, J D Bauer

Open access · bronzeAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in European journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. The changing face of head and neck cancer: are patients with human papillomavirus-positive disease at greater nutritional risk? A systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. European white paper: oropharyngeal dysphagia in head and neck cancer.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

T E BrownDepartment of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
V GetliffeCentre for Dietetics Research (C-DIET-R), School of Human Movement Studies, University of Queensland, Brisbane, QLD, Australia.
M D BanksDepartment of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
B G M HughesCancer Care Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
C Y LinCancer Care Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
L M KennyCancer Care Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
J D BauerCentre for Dietetics Research (C-DIET-R), School of Human Movement Studies, University of Queensland, Brisbane, QLD, Australia.
University of Queensland · AURoyal Brisbane and Women's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesEvidence-based practice guidelines are available to assist in the decision making for nutrition interventions in patients with head and neck cancer. Re-assessment of guideline recommendations is important with changing demographics, new treatment regimens, advancing radiotherapy techniques, such as helical intensity-modulated radiotherapy, and the emergence of new literature. The aim of this study was to validate the updated high-risk category definition in our local hospital protocol for the swallowing and nutrition management of patients with head and neck cancer to determine the ongoing predictive ability for identifying proactive gastrostomy requirement in a new cohort. SUBJECTS/

methodsPatients attending a major tertiary hospital for head and neck cancer treatment from 2010 to 2011 were included (n=270). Data were collected on patient demographics (age and gender), clinical factors (tumour site, staging and treatment), nutrition outcome measures (weight, enteral feeding) and protocol adherence. Sensitivity and specificity were calculated and compared with the original validation study.

resultsProactive gastrostomy tubes were inserted in 86 patients. Overall protocol adherence was 93%. Sensitivity improved to 72% (increase of 18%) and specificity improved to 96% (increase of 3%) compared with the original validation study where patients received three-dimensional (3-D) conformal radiotherapy.

conclusionsThe results of this study confirm that the updated high-risk category in the protocol for the swallowing and nutrition management of patients with head and neck cancer remains valid to predict proactive gastrostomy in a mixed population receiving helical intensity-modulated radiotherapy and 3-D conformal radiotherapy. The protocol has an improved sensitivity and specificity and hence remains just as relevant for advanced techniques of radiation treatment delivery.

Indexed as

Clinical ProtocolsAdolescentAdultAgedAged, 80 and overDeglutition DisordersEnteral NutritionEvidence-Based PracticeFemaleGastrostomyGuideline AdherenceHead and Neck NeoplasmsHumansMaleMiddle AgedPractice Guidelines as Topic

Identifiers

PMID26862007
OpenAlexW2342982428

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.