دورية أكاديمية
Risk factors for gastrostomy tube dependence in transoral robotic surgery patients.
| العنوان: | Risk factors for gastrostomy tube dependence in transoral robotic surgery patients. |
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| المؤلفون: | Philips R; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107, USA. Electronic address: ramez.philips@jefferson.edu., Topf MC; Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, 1215 21st Ave. S. Suite 7209, Nashville, TN 37232, USA., Vimawala S; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107, USA., Luginbuhl A; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107, USA., Curry JM; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107, USA., Cognetti DM; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107, USA. |
| المصدر: | American journal of otolaryngology [Am J Otolaryngol] 2022 Jan-Feb; Vol. 43 (1), pp. 103175. Date of Electronic Publication: 2021 Aug 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 8000029 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-818X (Electronic) Linking ISSN: 01960709 NLM ISO Abbreviation: Am J Otolaryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Cherry Hill, N. J., Saunders. |
| مواضيع طبية MeSH: | Dependency, Psychological*, Gastrostomy/*methods , Gastrostomy/*psychology , Intubation, Gastrointestinal/*methods , Intubation, Gastrointestinal/*psychology , Oral Surgical Procedures/*methods , Oropharyngeal Neoplasms/*psychology , Oropharyngeal Neoplasms/*surgery , Robotic Surgical Procedures/*methods , Squamous Cell Carcinoma of Head and Neck/*psychology , Squamous Cell Carcinoma of Head and Neck/*surgery, Adult ; Aged ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Oropharyngeal Neoplasms/pathology ; Postoperative Period ; Risk Factors ; Squamous Cell Carcinoma of Head and Neck/pathology ; Time Factors ; Treatment Outcome |
| مستخلص: | Objectives: To determine the rate of gastrostomy tube dependence after transoral robotic surgery (TORS), and to determine which patient or surgical factors increase the likelihood of gastrostomy tube dependence. Methods: Retrospective chart review of all patients who underwent TORS for oropharyngeal squamous cell carcinoma (OPSCC) at a single institution from January 2011 through July 2016. Patients who underwent TORS for recurrent OPSCC were excluded. Primary outcome was gastrostomy tube (g-tube) dependence. Univariable and multivariable logistic regression were performed to identify risk factors for g-tube dependence at 3-months and 1-year. Results: A total of 231 patients underwent TORS during the study period. At 3-month follow-up, 58/226 patients (25.7%) required g-tube. At 1-year and 2-year follow-up, 8/203 (3.9%) and 5/176 (2.8%), remained dependent on g-tube, respectively. Advanced T stage (T3) (OR = 6.07; 95% CI, 1.28-28.9) and discharge from the hospital with enteral access (OR = 7.50; 95% CI, 1.37-41.1) were independently associated with increased risk of postoperative gastrostomy tube dependence at 1 year on multivariable analysis. Conclusions: Long-term gastrostomy tube dependence following TORS is rare, particularly in patients that receive surgery alone. Patients with advanced T stage tumors have poorer functional outcomes. Early functional outcomes, as early as discharge from the hospital, are a strong predictor for long-term functional outcomes. (Copyright © 2021 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Functional outcomes; Gastrostomy tube; Nasogastric tube; Oropharyngeal cancer; Transoral robotic surgery |
| تواريخ الأحداث: | Date Created: 20210821 Date Completed: 20220211 Latest Revision: 20220211 |
| رمز التحديث: | 20240513 |
| DOI: | 10.1016/j.amjoto.2021.103175 |
| PMID: | 34418824 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-818X |
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| DOI: | 10.1016/j.amjoto.2021.103175 |