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Multidisciplinary Approach For Patients Treated With Head And Neck Radiotherapy, Nurse, Dentist And Nutritionist In The Same Protocol

出版	Morressier, 2017
URL	http://books.google.com.hk/books?id=7qV7zgEACAAJ&hl=&source=gbs_api

註釋Multidisciplinary approach for patients treated with head and neck radiotherapy, nurse, dentist and nutritionist in the same protocol.Soares.AL(1);Bortolotti.C(2);Braz.K(3); Boaventura.Y(4); Hanriot.R(5).1-2Dentistry -Dental Oncology- Oral medicine from HOSPITAL ALEMAO OSWALDO CRUZ, ONCOLOGIA, SAO PAULO, Brazil3 Dietitian researcher from Hospital Alemao Oswaldo Cruz, Radioterapia, Sao Paulo, Brazil.4 Nurse Senior from Hospital Alemao Oswaldo Cruz Radioterapia, Sao Paulo, Brazil.5 Radiotherapy Director Hospital Oswaldo Cruz, Sao Paulo,Brazil.tIntroduction:Radiotherapy on Head &Neck (HN) fields often leads to oral mucositis(OM), acute skin reactions, difficult feeding and important weight loss. These complications may further interrupted the proposed treatment. ObjectivesThe purpose of this study was to assess the effects of an multidisciplinary protocol (MP) which involves oral care, nutritionist and nurse at all stages during the oncological treatment.MethodsBetween July 2016 to December 2017, 34 patients received Intensity-Modulated Radiation Therapy ( IMRT) on HN fields at Oswaldo Cruz Hospital Sao Paulo-Brasil. The total dose ranged from 35 to 70 Gy, with mean single dose daily of 2,02Gys. All 34 patients were include in our MP and were prospectively evaluated for OM, radiodermits, weight loss. They received oral care instruction, and low laser therapy was applied an a specific protocol. They received instructions from nurse and nutritionist since the treatment begins. Symptom check-list including measures of pain, oral examination, dysphagia were perfomed weekly.We used WHO scale, RTOG scale and CTC for toxicity criteria.ResultsAt 60 Gy 17,6% ,6 patients had any mucositis ,20 (58,8% GII) and only 8 had GIII OM. Patients had skin events not significant. None of 34 need feeding tube, the nutricionist prescribed oral supplement and specific diet. None of 34 need treatment interruption.