Title
Prophylactic percutaneous endoscopic gastrostomy tube placement in treatment of head and neck cancer: a comprehensive review and call for evidence-based medicine
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
2011-05-01
Document Type
Article
Subjects
Head and Neck Neoplasms; Gastrostomy; Endoscopy
Disciplines
Biostatistics | Epidemiology | Health Services Research | Oncology
Abstract
Background: Patients with head and neck cancers (HNCs) are at increased risk of experiencing malnutrition, which is associated with poor outcomes. Advances in the treatment of HNCs have resulted in improved outcomes that are associated with severe toxic oral side effects, placing patients at an even greater risk of malnutrition. Prophylactic placement of percutaneous endoscopic gastrostomy (PEG) tubes before treatment may be beneficial in patients with HNC, especially those undergoing more intense treatment regimens. PEG tube placement, however, is not without risks.
Methods: A comprehensive review of the literature was conducted.
Results: Systematic evidence assessing both the benefits and harm associated with prophylactic PEG tube placement in patients undergoing treatment for HNC is weak, and benefits and harm have not been established.
Conclusions: More research is necessary to inform physician behavior on whether prophylactic PEG tube placement is warranted in the treatment of HNC.
DOI of Published Version
10.1177/0148607110377097
Source
JPEN J Parenter Enteral Nutr. 2011 May-Jun;35(3):365-74. Link to article on publisher's site
Journal/Book/Conference Title
JPEN. Journal of parenteral and enteral nutrition
PubMed ID
21527598
Related Resources
Repository Citation
Locher JL, Bonner JA, Carroll WR, Caudell JJ, Keith JN, Kilgore ML, Ritchie CS, Roth DL, Tajeu GS, Allison JJ. (2011). Prophylactic percutaneous endoscopic gastrostomy tube placement in treatment of head and neck cancer: a comprehensive review and call for evidence-based medicine. Population and Quantitative Health Sciences Publications. https://doi.org/10.1177/0148607110377097. Retrieved from https://escholarship.umassmed.edu/qhs_pp/975