Evaluation of nutritional status in head and neck radio-treated patients affected by oral mucositis: Efficacy of class IV laser therapy

M. Gobbo; G. Ottaviani; G. Perinetti; F. Ciriello; A. Beorchia; M. Giacca; R. Di Lenarda; K. Rupel; G. Tirelli; S. Zacchigna; M. Biasotto

doi:10.1007/s00520-014-2155-x

Evaluation of nutritional status in head and neck radio-treated patients affected by oral mucositis: Efficacy of class IV laser therapy

M. Gobbo, G. Ottaviani, G. Perinetti, F. Ciriello, A. Beorchia, M. Giacca, R. Di Lenarda, K. Rupel, G. Tirelli, S. Zacchigna, M. Biasotto^*

^*Corresponding author for this work

Cardiovascular Medicine & Sciences

Research output: Contribution to journal › Article › peer-review

24 Citations (Scopus)

Abstract

Purpose: To retrospectively evaluate the role of class IV laser therapy in the amelioration of nutritional status of patients affected by oral mucositis due to radiotherapy of the head and neck region during oncological treatment. Methods: Sixty-three oncological patients were included in this study. All patients were affected by tumors in the head and neck region and had developed oral mucositis during radiotherapy. Forty-two patients had been treated by high-power laser therapy whereas 21 patients had been managed with traditional medications. Data collection included weight measurement (kilogram) and body mass index (BMI) calculation (mass (kilogram)/(height) (square meter)) on the first and last day of radiotherapy. In addition, gender, age, pathology, and the kind of oncological treatment have been considered. Results: Laser-treated patients decreased less in BMI during radiotherapy (p=0.000). Patients treated by combined oncological treatments (radiotherapy and/or chemotherapy and/or surgery) had a higher weight loss during radiotherapy (p=0.015). According to a multivariate regression analysis, the only variable which significantly influenced the reduction of BMI was laser treatment (p=0.000). Conclusions: Laser therapy is actually considered one of the recommended remedies for the healing of oral mucositis due to cancer treatments. Healing of mucositis can deeply influence the feeding capacity of patients, through reduction of pain and improvement of chewing and swallowing capacities. It also allows lowering the costs for hospitalization and supportive care. Laser therapy should become part of nutritional interventions in oncological patients affected by oral mucositis.

Original language	English
Pages (from-to)	1851-1856
Number of pages	6
Journal	Supportive Care in Cancer
Volume	22
Issue number	7
DOIs	https://doi.org/10.1007/s00520-014-2155-x
Publication status	Published - 1 Jan 2014

Keywords

Head and neck cancer
High-power laser therapy
Nutritional status
Oral mucositis
Radiotherapy
Weight loss

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s00520-014-2155-x

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Gobbo, M., Ottaviani, G., Perinetti, G., Ciriello, F., Beorchia, A., Giacca, M., Di Lenarda, R., Rupel, K., Tirelli, G., Zacchigna, S., & Biasotto, M. (2014). Evaluation of nutritional status in head and neck radio-treated patients affected by oral mucositis: Efficacy of class IV laser therapy. Supportive Care in Cancer, 22(7), 1851-1856. https://doi.org/10.1007/s00520-014-2155-x

@article{aa97d2c38d6344af949e32b7a66a5afb,

title = "Evaluation of nutritional status in head and neck radio-treated patients affected by oral mucositis: Efficacy of class IV laser therapy",

abstract = "Purpose: To retrospectively evaluate the role of class IV laser therapy in the amelioration of nutritional status of patients affected by oral mucositis due to radiotherapy of the head and neck region during oncological treatment. Methods: Sixty-three oncological patients were included in this study. All patients were affected by tumors in the head and neck region and had developed oral mucositis during radiotherapy. Forty-two patients had been treated by high-power laser therapy whereas 21 patients had been managed with traditional medications. Data collection included weight measurement (kilogram) and body mass index (BMI) calculation (mass (kilogram)/(height) (square meter)) on the first and last day of radiotherapy. In addition, gender, age, pathology, and the kind of oncological treatment have been considered. Results: Laser-treated patients decreased less in BMI during radiotherapy (p=0.000). Patients treated by combined oncological treatments (radiotherapy and/or chemotherapy and/or surgery) had a higher weight loss during radiotherapy (p=0.015). According to a multivariate regression analysis, the only variable which significantly influenced the reduction of BMI was laser treatment (p=0.000). Conclusions: Laser therapy is actually considered one of the recommended remedies for the healing of oral mucositis due to cancer treatments. Healing of mucositis can deeply influence the feeding capacity of patients, through reduction of pain and improvement of chewing and swallowing capacities. It also allows lowering the costs for hospitalization and supportive care. Laser therapy should become part of nutritional interventions in oncological patients affected by oral mucositis.",

keywords = "Head and neck cancer, High-power laser therapy, Nutritional status, Oral mucositis, Radiotherapy, Weight loss",

author = "M. Gobbo and G. Ottaviani and G. Perinetti and F. Ciriello and A. Beorchia and M. Giacca and {Di Lenarda}, R. and K. Rupel and G. Tirelli and S. Zacchigna and M. Biasotto",

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doi = "10.1007/s00520-014-2155-x",

language = "English",

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Gobbo, M, Ottaviani, G, Perinetti, G, Ciriello, F, Beorchia, A, Giacca, M, Di Lenarda, R, Rupel, K, Tirelli, G, Zacchigna, S & Biasotto, M 2014, 'Evaluation of nutritional status in head and neck radio-treated patients affected by oral mucositis: Efficacy of class IV laser therapy', Supportive Care in Cancer, vol. 22, no. 7, pp. 1851-1856. https://doi.org/10.1007/s00520-014-2155-x

TY - JOUR

T1 - Evaluation of nutritional status in head and neck radio-treated patients affected by oral mucositis

T2 - Efficacy of class IV laser therapy

AU - Gobbo, M.

AU - Ottaviani, G.

AU - Perinetti, G.

AU - Ciriello, F.

AU - Beorchia, A.

AU - Giacca, M.

AU - Di Lenarda, R.

AU - Rupel, K.

AU - Tirelli, G.

AU - Zacchigna, S.

AU - Biasotto, M.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Purpose: To retrospectively evaluate the role of class IV laser therapy in the amelioration of nutritional status of patients affected by oral mucositis due to radiotherapy of the head and neck region during oncological treatment. Methods: Sixty-three oncological patients were included in this study. All patients were affected by tumors in the head and neck region and had developed oral mucositis during radiotherapy. Forty-two patients had been treated by high-power laser therapy whereas 21 patients had been managed with traditional medications. Data collection included weight measurement (kilogram) and body mass index (BMI) calculation (mass (kilogram)/(height) (square meter)) on the first and last day of radiotherapy. In addition, gender, age, pathology, and the kind of oncological treatment have been considered. Results: Laser-treated patients decreased less in BMI during radiotherapy (p=0.000). Patients treated by combined oncological treatments (radiotherapy and/or chemotherapy and/or surgery) had a higher weight loss during radiotherapy (p=0.015). According to a multivariate regression analysis, the only variable which significantly influenced the reduction of BMI was laser treatment (p=0.000). Conclusions: Laser therapy is actually considered one of the recommended remedies for the healing of oral mucositis due to cancer treatments. Healing of mucositis can deeply influence the feeding capacity of patients, through reduction of pain and improvement of chewing and swallowing capacities. It also allows lowering the costs for hospitalization and supportive care. Laser therapy should become part of nutritional interventions in oncological patients affected by oral mucositis.

AB - Purpose: To retrospectively evaluate the role of class IV laser therapy in the amelioration of nutritional status of patients affected by oral mucositis due to radiotherapy of the head and neck region during oncological treatment. Methods: Sixty-three oncological patients were included in this study. All patients were affected by tumors in the head and neck region and had developed oral mucositis during radiotherapy. Forty-two patients had been treated by high-power laser therapy whereas 21 patients had been managed with traditional medications. Data collection included weight measurement (kilogram) and body mass index (BMI) calculation (mass (kilogram)/(height) (square meter)) on the first and last day of radiotherapy. In addition, gender, age, pathology, and the kind of oncological treatment have been considered. Results: Laser-treated patients decreased less in BMI during radiotherapy (p=0.000). Patients treated by combined oncological treatments (radiotherapy and/or chemotherapy and/or surgery) had a higher weight loss during radiotherapy (p=0.015). According to a multivariate regression analysis, the only variable which significantly influenced the reduction of BMI was laser treatment (p=0.000). Conclusions: Laser therapy is actually considered one of the recommended remedies for the healing of oral mucositis due to cancer treatments. Healing of mucositis can deeply influence the feeding capacity of patients, through reduction of pain and improvement of chewing and swallowing capacities. It also allows lowering the costs for hospitalization and supportive care. Laser therapy should become part of nutritional interventions in oncological patients affected by oral mucositis.

KW - Head and neck cancer

KW - High-power laser therapy

KW - Nutritional status

KW - Oral mucositis

KW - Radiotherapy

KW - Weight loss

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U2 - 10.1007/s00520-014-2155-x

DO - 10.1007/s00520-014-2155-x

M3 - Article

C2 - 24554204

AN - SCOPUS:84902371114

SN - 0941-4355

VL - 22

SP - 1851

EP - 1856

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

IS - 7

ER -

Evaluation of nutritional status in head and neck radio-treated patients affected by oral mucositis: Efficacy of class IV laser therapy

Abstract

Keywords

UN SDGs

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