Decreased hospital stay and significant cost savings after routine use of prophylactic gastrostomy for high-risk patients with head and neck cancer receiving chemoradiotherapy at a tertiary cancer institution

Hughes, Brett G. M., Jain, Vikram K., Brown, Teresa, Spurgin, Ann-Louise, Hartnett, Gemma, Keller, Jacqui, Tripcony, Lee, Appleyard, Mark and Hodge, Robert (2013) Decreased hospital stay and significant cost savings after routine use of prophylactic gastrostomy for high-risk patients with head and neck cancer receiving chemoradiotherapy at a tertiary cancer institution. Head and Neck, 35 3: 436-442. doi:10.1002/hed.22992


Author Hughes, Brett G. M.
Jain, Vikram K.
Brown, Teresa
Spurgin, Ann-Louise
Hartnett, Gemma
Keller, Jacqui
Tripcony, Lee
Appleyard, Mark
Hodge, Robert
Title Decreased hospital stay and significant cost savings after routine use of prophylactic gastrostomy for high-risk patients with head and neck cancer receiving chemoradiotherapy at a tertiary cancer institution
Journal name Head and Neck   Check publisher's open access policy
ISSN 1043-3074
1097-0347
Publication date 2013-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1002/hed.22992
Open Access Status
Volume 35
Issue 3
Start page 436
End page 442
Total pages 7
Place of publication Hoboken, NJ United States
Publisher John Wiley and Sons
Language eng
Abstract Background Evidence-based nutritional and swallowing guidelines were developed to identify patients at high risk of developing malnutrition during chemoradiation for head and neck cancer. These guidelines recommended a prophylactic gastrostomy and were actively implemented at our institution in January 2007. This study assesses the effect of this policy change on patient outcomes. Methods This retrospective cohort study was carried out for the years before (2005) and after (2007) implementation of these guidelines. Results In all, 165 patients were treated with radical chemoradiation for head and neck cancer at our institution in the years 2005 and 2007. Gastrostomy tube complications were low. Patients in 2007 had significantly fewer hospital admissions, unexpected admissions, and a shorter mean duration of hospital stay in comparison with those in 2005. Conclusions Prophylactic gastrostomy tubes in patients with high-risk head and neck cancer resulted in a significant decrease in hospital admissions and length of stay, and led to increased bed availability.
Keyword Chemoradiotherapy
Head and neck cancer
Hospital admission
Nutrition support
Prophylactic gastrostomy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Human Movement and Nutrition Sciences Publications
 
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Created: Thu, 15 Oct 2015, 01:21:45 EST by Sandrine Ducrot on behalf of School of Human Movement and Nutrition Sciences