Predicting the need for prophylactic gastrostomy in major head and neck cancer surgery: The PEG score

被引：1

作者：

Sampieri, Claudio ^{[1
,2
,3
]}

Costantino, Andrea ^{[4
,5
,8
]}

Giordano, Giorgio Gregory ^{[6
,7
]}

Dale, Michael ^{[6
,7
]}

Marchi, Filippo ^{[6
,7
]}

Iandelli, Andrea ^{[7
]}

Filauro, Marta ^{[7
]}

Parrinello, Giampiero ^{[7
]}

Pace, Gian Marco ^{[4
,5
]}

Festa, Bianca Maria ^{[4
,5
]}

Spriano, Giuseppe ^{[4
,5
]}

De Virgilio, Armando ^{[4
,5
]}

Peretti, Giorgio ^{[6
,7
]}

机构：

[1] Univ Genoa, Dept Med Sci DIMES, Genoa, Italy

[2] Hosp Clin Barcelona, Otorhinolaryngol Dept, Barcelona, Spain

[3] Hosp Clin Barcelona, Funct Unit Head & Neck Tumors, Barcelona, Spain

[4] Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, MI, Italy

[5] IRCCS Humanitas Res Hosp, Otorhinolaryngol Unit, Rozzano, MI, Italy

[6] Univ Genoa, Dept Surg Sci & Integrated Diagnost DISC, Genoa, Italy

[7] IRCCS Osped Policlin San Martino, Unit Otorhinolaryngol Head & Neck Surg, Genoa, Italy

[8] Humanitas Univ, Dept Biomed Sci, Via Rita Levi Montalcini 4, I-20090 Pieve Emanuele, MI, Italy

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2023年 / 45卷 / 12期

关键词：

enteral nutrition; head and neck; machine learning; nomogram; nutritional status; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; ENTERAL NUTRITION; TUBE; MODEL; CHEMORADIOTHERAPY; DYSPHAGIA; IMPACT; TOOL;

D O I：

10.1002/hed.27532

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: To elaborate a preoperative score to predict the necessity of enteral nutrition at 28 days postoperatively in patients undergoing head and neck surgery.Methods: A total of 424 patients with oral cavity, oropharyngeal, laryngeal, and hypopharyngeal carcinoma were retrospectively enrolled and analyzed to identify preoperative predictors of prolonged postsurgical enteral feeding which were used to create a prediction model with an easy-to-use nomogram.Results: Five preoperative variables (body mass index, previous radiotherapy, preoperative dysphagia, type of surgery, flap reconstruction) were found to be independent predictive factors and were used to create a prediction model named PEG score together with the related nomogram. Accuracy, F1, and the area under the curve (AUC) were 0.74, 0.83, and 0.74. Different decision thresholds can be used to vary the sensitivity and specificity.Conclusions: The PEG score showed high prediction performances for modeling the need for enteral nutrition at 28 days postoperatively. Prospective studies are needed to define a personalized nutrition protocol.

引用

页码：3042 / 3052

页数：11

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