Calf circumference is an independent predictor of postoperative complications in the surgical treatment of head and neck cance

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Neyara dos Santos Oliveira
Tercio Guimarães Reis
Adriele Luana Carneiro
Suzane Pereira Souza
Maurício Gomes da Silva Serra
José de Bessa Júnior
Márcio Campos Oliveira

Resumo

Introduction: The prevalence of malnutrition is high among head and neck cancer (HNC) patients and negatively impacts their quality of life, treatment, and survival rates. Objective: To identify preoperative nutritional variables capable of predicting postoperative complications in surgically treated HNC patients. Methods: This was a prospective cohort study of HNC patients referred for surgery as initial treatment. Results: Sixty patients were included in the study; they had a median age of 65.5 years, were mostly men (85%), and most had low education levels (90%) and low household income (78.3%). The incidence rate of severe postoperative complications (grades II, III, IV, and V according to the Clavien-Dindo grading system) was found to be 50%. The nutritional variables under investigation, namely calf circumference (CC), triceps skinfold, body mass index, and adductor pollicis muscle thickness were shown to predict postoperative complications in HNC patients, especially CC, which was found to be an independent predictor of complications (OR=0.8; 95%CI: 0.65–0.96). Each 1-cm increase in calf circumference was associated with a 20% decrease in the risk of postoperative complications. Conclusion: Our findings show the nutritional variables studied are useful in the prognostic assessment of HNC surgery.

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Oliveira, N. dos S., Reis, T. G., Carneiro, A. L., Souza, S. P., Serra, M. G. da S., Bessa Júnior, J. de, & Oliveira, M. C. (2022). Calf circumference is an independent predictor of postoperative complications in the surgical treatment of head and neck cance. ABCS Health Sciences, 47, e022232. https://doi.org/10.7322/abcshs.2020237.1666
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Biografia do Autor

Neyara dos Santos Oliveira, Departamento de Saúde Pública e Epidemiologia, Universidade Estadual de Feira de Santana (UEFS) – Feira de Santana (BA), Brasil /Núcleo de Pesquisa em Câncer de Cabeça e Pescoço (NUPESCAP) – Feira de Santana (BA), Brasil

Head and Neck Cancer Research Group - NUPESCAP

Tercio Guimarães Reis, Núcleo de Pesquisa em Câncer de Cabeça e Pescoço (NUPESCAP) – Feira de Santana (BA), Brasil /Santa Casa de Misericórdia de Feira de Santana (SCMFS) – Feira de Santana (BA), Brasil

Santa Casa de Misricórdia de Feira de Santana

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