The association between gastrostomy tube placement, poor post-operative outcomes, and hospital re-admissions in head and neck cancer patients

Surgical Oncology
Ashley C MaysJoshua D Waltonen

Abstract

Investigate the relationship of G-tube placement timing on post-operative outcomes. 908 patients underwent resection of head and neck upper aerodigestive tract tumors between 2007 and 2013. Patient charts were retrospectively screened for patient demographics, pre-operative nutrition variables, co-morbid conditions, Tumor-Node-Metastasis staging, surgical treatment type, and timing of G-tube placement. Exclusionary criteria included death within the first three months of the resection and resections performed solely for nodal disease. Post-surgical outcomes, including wound and medical complications, hospital re-admissions, length of inpatient hospital stay (LOS), intensive care unit (ICU) time. 793 surgeries were included: 8% of patients had G-tubes pre-operatively and 25% had G-tubes placed post-operatively. Patients with G-tubes (pre-operative or post-operative) were more likely to have complications and prolonged hospital care as compared to those without G-tubes (p < 0.001). Patients with pre-operative G-tubes had shortened length of stay (p = 0.007), less weight loss (p = 0.03), and fewer wound care needs (p < 0.0001), when compared to those that received G-tubes post-operatively. Those with G-tubes placed post-operativel...Continue Reading

References

Nov 17, 1990·BMJ : British Medical Journal·R Milne, A Clarke
May 21, 1999·Medical Care·J S WeissmanA M Epstein
Jan 5, 2005·The Laryngoscope·Khwaja Asif AhmedFrancisco Vieira
Feb 10, 2006·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Stephen MangarAndrew Sykes
Aug 11, 2007·The Laryngoscope·Nicolas Y BuSaba, Debra A Schaumberg
Sep 22, 2007·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·R G J WiggenraadR Vriesendorp
May 14, 2008·The Laryngoscope·Theodore R McRackanM Boyd Gillespie
Dec 6, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·David R JackTaimur Shoaib
Mar 30, 2012·The New England Journal of Medicine·Karen E Joynt, Ashish K Jha
Aug 4, 2012·International Journal of Radiation Oncology, Biology, Physics·Shlomo A Koyfman, David J Adelstein
Sep 12, 2013·Annals of Surgery·Donald J LucasTimothy M Pawlik
Sep 18, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Evan M GraboyesJason A Diaz
Feb 1, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Avinoam NevlerDanny Rosin
Sep 27, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Alexander L LuryiBenjamin L Judson
Oct 17, 2014·JAMA Otolaryngology-- Head & Neck Surgery·Ashley C MaysRalph D'Agostino
Mar 11, 2015·Head & Neck·Peter T DziegielewskiEnver Ozer
Mar 11, 2015·Head & Neck·Peter T DziegielewskiTheodoros N Teknos
Jul 24, 2015·JAMA Otolaryngology-- Head & Neck Surgery·Anaeze C OffodileLifei Guo

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Citations

Aug 24, 2017·The Laryngoscope·Catherine H FrenkelGhassan J Samara
Jan 18, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sidharth V Puram, Neil Bhattacharyya
Jan 7, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Lovisa FarneboGöran Laurell
Jan 1, 2017·Current Surgery Reports·Ryan NesemeierPaul Tennant
Dec 15, 2017·Head & Neck·R Michael BaskinPeter T Dziegielewski
Nov 6, 2020·The Laryngoscope·Ari D SchumanAndrew J Rosko

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