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dc.contributor.authorBrown, Teresa E
dc.contributor.authorSpurgin, Ann-Louise
dc.contributor.authorRoss, Lynda
dc.contributor.authorTripcony, Lee
dc.contributor.authorKeller, Jacqui
dc.contributor.authorHughes, Brett GM
dc.contributor.authorHodge, Rob
dc.contributor.authorWalker, Quenten
dc.contributor.authorBanks, Merrilyn
dc.contributor.authorKenny, Lizbeth Moira
dc.contributor.authorCrombie, Jane
dc.date.accessioned2017-05-03T16:18:25Z
dc.date.available2017-05-03T16:18:25Z
dc.date.issued2013
dc.identifier.issn1043-3074
dc.identifier.doi10.1002/hed.23146
dc.identifier.urihttp://hdl.handle.net/10072/67762
dc.description.abstractABSTRACT: Background. The "Swallowing and Nutrition Guidelines for Patients with Head and Neck Cancer" were developed to guide early identification and management of dysphagia and nutritional risk before, during, and after cancer treatment. The purpose of this study was to validate these guidelines. Methods. Patients attending a Combined Head and Neck Clinic at a major tertiary hospital in 2007 to 2008 were assessed using the guidelines, with high-risk category patients recommended for proactive gastrostomy. Data were collected on guideline adherence, gastrostomy tube insertion, and weight. Sensitivity, specificity, and positive predictive value were calculated for validation. Results. Proactive gastrostomy tubes were inserted in 173 of 501 patients (25%). Overall guideline adherence was 87%. High-risk category adherence was 75%. Validation outcomes were sensitivity 54%, specificity 93%, and positive predictive value 82%. Conclusion. The risk categories in the guidelines are valid to assist early identification of swallowing and nutritional risk and guide decision-making on proactive gastrostomy tube insertion.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherJohn Wiley & Sons
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1385
dc.relation.ispartofpageto1391
dc.relation.ispartofissue10
dc.relation.ispartofjournalHead and Neck
dc.relation.ispartofvolume35
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchDentistry
dc.subject.fieldofresearchNutrition and dietetics not elsewhere classified
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3203
dc.subject.fieldofresearchcode321099
dc.titleValidated swallowing and nutrition guidelines for patients with head and neck cancer: Identification of high-risk patients for proactive gastrostomy
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorRoss, Lynda J.


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