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Measuring Nutritional & Functional Measuring Nutritional & Functional Outcomes in Head & Neck Cancer Outcomes in Head & Neck Cancer Patients Receiving Curative Patients Receiving Curative TreatmentTreatment
Ryna Levy-Milne, RD, PhD, BC Cancer AgencyFebruary 26, 2014
BC Cancer Agency BC Cancer Agency ExperienceExperienceNutrition Assessment Modulehead & neck patients receiving
chemoradiation treatmentJanuary 2012-presentThree time points
◦First nutrition consultation◦Treatment summary◦Post treatment consultation
During treatment at point of feeding tube insertion at point of feeding tube removal
Nutrition Assessment Data Nutrition Assessment Data Collection ToolCollection Tool
Centre Start Date # of 1st Consults Entered
# Nasopharynx(%)
Abbotsford September, 2013
6 0
Centre for the North
April, 2013 11 0
Fraser Valley April, 2013 37 10 (27%)
Southern Interior
April, 2013 40 10 (25%)
Vancouver January, 2012 167 46 (28%)
Vancouver Island
April, 2013 13 0
Number of First Nutrition Consultations entered & % Nasopharynx at BCCA
Percent Weight Loss Over Percent Weight Loss Over Time Time
Proportion of Patients with Symptoms of Proportion of Patients with Symptoms of Dysphagia and Odynophagia at 3 Time Dysphagia and Odynophagia at 3 Time PointsPoints
Pro
port
ion
of p
atie
nts
%
Proportion of NPC Patients and “Other” Proportion of NPC Patients and “Other” HN Patients with Dysphagia at 3 Time HN Patients with Dysphagia at 3 Time PointsPoints
27
58
41
26
66
56
0
20
40
60
80
100
1st Consultation
Treatment Summary
Post Treatment
NPCOther HN
Pro
port
ion
of p
atie
nts
Proportion of NPC Patients and “Other” Proportion of NPC Patients and “Other” HN Patients with Odynophagia at 3 Time HN Patients with Odynophagia at 3 Time PointsPoints
3
64
30
12.4
65
39
0
20
40
60
80
100
1st Consultation
Treatment Summary
Post Treatment
NPC
Other HN
Pro
port
ion
of p
atie
nts
Thank you!
Planning Committee:
Tricia Hutchison, Alberta Health ServicesBrittany Oster, Alberta Health ServicesLorena Gerl, Cancer Care ManitobaMegan McLeod, CancerCare Manitoba Ryna Levy-Milne, B.C. Cancer AgencyElaine Shearer, B.C. Cancer AgencyCourtney McKay, Saskatchewan Cancer AgencyRhonda Brockman, Saskatchewan Cancer Agency
Telehealth Support:
Saskatoon RUH Admin telehealth Suite Michelle Zahayko, Allan Blair Cancer Centre, Sask Jennifer Cassidy, Provincial Health Services Authority, B.C.Jennifer Hesse, Alberta Health ServicesCorey Bateman, Alberta Health ServicesLaurie Stringer, Alberta Health ServicesPam McLeod, CancerCare ManitobaJohnny Colatruglio and Tamara Finley, Manitoba e-Health
