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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Nutritional surveillance from surgery to post-radiotherapy in oral cavity cancer: a prospective longitudinal study.

Esther Sathiaraj, Kamar Afshan, Shivani Sharma, Sruthi R, Prasanna Suresh Hegde, Shalini Thakur, Anand Subhash, Vishal Rao, Radheshyam Naik

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

9 authors.

Esther SathiarajDepartment of Clinical Nutrition and Dietetics, HCG Cancer Hospitals, Bengaluru, India. esther.sathiaraj@gmail.com.ORCID http://orcid.org/0000-0002-0772-2896
Kamar AfshanDepartment of Clinical Nutrition and Dietetics, HCG Cancer Hospitals, Bengaluru, India.
Shivani SharmaDepartment of Clinical Nutrition and Dietetics, HCG Cancer Hospitals, Bengaluru, India.
Sruthi RDepartment of Clinical Nutrition and Dietetics, HCG Cancer Hospitals, Bengaluru, India.
Prasanna Suresh HegdeDepartment of Deglutology and Speech-Language Pathology, HCG Cancer Hospitals, Bengaluru, India.
Shalini ThakurDepartment of Head and Neck Surgical Oncology, HCG Cancer Hospitals, Bengaluru, India.
Anand SubhashDepartment of Head and Neck Surgical Oncology, HCG Cancer Hospitals, Bengaluru, India.
Vishal RaoDepartment of Head and Neck Surgical Oncology, HCG Cancer Hospitals, Bengaluru, India.
Radheshyam NaikDepartment of Medical Oncology, HCG Cancer Hospitals, Bengaluru, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis prospective longitudinal study evaluated nutritional changes in patients with oral cavity cancer undergoing multimodal treatment and examined the impact of nutritional status on clinically meaningful outcomes, including mortality and 30-day readmissions.

methodsOne hundred patients undergoing surgery followed by radiotherapy were assessed at five time points (V0-V4). Nutritional evaluations included body weight, body mass index (BMI), bioelectrical impedance analysis (BIA), handgrip strength (HGS), serum albumin, and dietary intake. Primary outcomes were mortality 30-day readmissions and mucositis severity. Secondary outcomes included length of hospital stay (LOHS), and radiotherapy compliance. Statistical analyses included repeated-measures ANOVA, chi-square tests, logistic regression, Kaplan-Meier survival curves, and Cox proportional hazards modeling.

resultsSignificant declines in weight, BMI, fat mass, muscle mass, and HGS occurred throughout treatment (p < 0.01), with the greatest deterioration during radiotherapy. Weight loss > 5% was associated with severe mucositis (p < 0.05), and low muscle mass was associated with longer LOHS (p < 0.05). Hypoalbuminemia (< 3.5 g/dL) predicted higher mortality (41.7% vs. 12.5%) and 30-day readmissions (50.0% vs. 13.6%). Lower albumin and reduced muscle mass showed trends toward poorer survival on Kaplan-Meier analysis; however, these differences did not reach statistical significance.

conclusionNutritional deterioration is progressive and clinically significant in oral cavity cancer and directly influences mortality and readmissions. Early identification of at-risk patients and structured, multimodal nutritional surveillance are essential. Standardized primary outcomes and robust statistical modeling strengthen clinical relevance and provide a methodological framework for designing future nutritional intervention trials.

Indexed as

Mouth NeoplasmsNutritional StatusAdultAgedAged, 80 and overBody Mass IndexCombined Modality TherapyFemaleHand StrengthHumansKaplan-Meier EstimateLength of StayLongitudinal StudiesMaleMiddle AgedNutrition AssessmentSerum AlbuminAlbuminHandgrip strengthNutritional statusOral cavity cancerRadiotherapySarcopenia

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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.