{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T12:12:43Z","timestamp":1776859963206,"version":"3.51.2"},"reference-count":29,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2015,8,31]],"date-time":"2015-08-31T00:00:00Z","timestamp":1440979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dysphagia\u2010related symptoms in patients with head and neck cancer are common before treatment. We hypothesized greater self\u2010reported baseline dysphagia would predict gastrostomy placement during primary radiation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Swallowing\u2010specific\/general surveys (SwalQOL\/EuroQOL) collected prospectively before definitive radiation were analyzed for associations with gastrostomy placement. Prophylactic gastrostomy was recommended at the discretion of a multidisciplinary team blinded to the surveys.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 84 patients in the cohort, 42 patients (50%) received feeding tubes. Eleven patients (13%) who underwent prophylactic feeding tube placement reported the greatest pretreatment dysphagia, whereas those who avoided gastrostomies reported the least. Prophylactic gastrostomy was more strongly associated with patient\u2010reported measures than other clinical criteria. Controlling for stage IV, T3 to T4 classification, smoking, chemotherapy, and pretreatment weight loss, baseline dysphagia remained an independent predictor of feeding tube placement (odds ratio [OR]\u2009=\u20090.12; 95% confidence interval [CI]\u2009=\u20090.05\u20130.55; <jats:italic>p<\/jats:italic>\u2009=\u2009.01). Patients without gastrostomies during treatment avoided persistent gastrostomy dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Baseline dysphagia\u2010related symptoms before radiation are independent predictors of gastrostomy placement. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>38<\/jats:bold>: E1318\u2013E1324, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24220","type":"journal-article","created":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T17:12:12Z","timestamp":1441213932000},"source":"Crossref","is-referenced-by-count":6,"title":["Impact of baseline patient\u2010reported dysphagia on acute gastrostomy placement in patients with head and neck squamous cell carcinoma undergoing definitive radiation"],"prefix":"10.1002","volume":"38","author":[{"given":"Miriam N.","family":"Lango","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology Fox Chase Cancer Center, Temple Head and Neck Institute, Temple University Health System Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Galloway","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Fox Chase Cancer Center, Temple University Health System Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranee","family":"Mehra","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Fox Chase Cancer Center, Temple University Health System Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Ebersole","sequence":"additional","affiliation":[{"name":"Department of Speech Pathology Fox Chase Cancer Center, Temple Head and Neck Institute, Temple University Health System Philadelphia PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey Chang\u2010Jen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Fox Chase Cancer Center, Temple Head and Neck Institute, Temple University Health System Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Speech Pathology Fox Chase Cancer Center, Temple Head and Neck Institute, Temple University Health System Philadelphia PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Ridge","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology Fox Chase Cancer Center, Temple Head and Neck Institute, Temple University Health System Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0347(200008)22:5<474::AID-HED6>3.0.CO;2-I"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2008.11.041"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29245"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28482"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-8140(02)00404-8"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.120428"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.8.871"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.00419.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-011-9360-2"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21506"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2009.09.036"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2012.03.053"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20697"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i8.1004"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004550010012"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004550010013"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-005-0026-9"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-001-0109-1"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-88441-7"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.20.2441"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.24.6199"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23426"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23538"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21700"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23245"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.5193"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21044"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.4715"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23200"}],"container-title":["Head 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