{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T04:06:23Z","timestamp":1782965183447,"version":"3.54.5"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Our study assessed post\u2010radiation therapy (RT) G\u2010tube presence, duration, and clinical predictors in patients with head and neck cancer (HNC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified those 1\u20135\u2010years post\u2010RT with stage III\/IV nasopharyngeal, oropharyngeal, hypopharyngeal, laryngeal, or unknown primaries. Logistic regression identified predictors of post\u2010RT G\u2010tube presence, Kaplan\u2013Meier analysis estimated G\u2010tube days, and log\u2010rank test compared by tumor site.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 977 patients had mean age 60.6\u2009\u00b1\u200911.6\u2009years, 804 (82.3%) male, 764 (78.2%) stage IV, and 618 (63.3%) oropharyngeal primaries. All patients received intensity\u2010modulated RT (IMRT), 571 (58.4%) received chemotherapy, and 698 (71.4%) prophylactic G\u2010tube. G\u2010tube prevalence 1\u2010 and 5\u2010years post\u2010IMRT was 7.1% and 4.8%, respectively. Median post\u2010IMRT G\u2010tube days were overall 63 (95%CI: 56\u201370), nasopharynx 119 (95%CI: 109\u2013131), oropharynx 57 (95%CI: 51\u201368), hypopharynx 126 (95%CI: 77\u2013256), larynx 53 (95%CI: 21\u201363), unknown 30 (95%CI: 17\u201355), of which hypopharynx was highest <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>At an institution offering prophylactic G\u2010tube for patients with advanced HNC, no differences were found in yearly G\u2010tube use 1\u20135 years post\u2010IMRT. Across all patients, median post\u2010IMRT days with G\u2010tube was 63\u2009day but those with hypopharyngeal tumors registered the most days.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26638","type":"journal-article","created":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T16:24:00Z","timestamp":1613319840000},"page":"1610-1620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Presence and duration of feeding tube in a 5\u2010year cohort of patients with head and neck cancer treated with curative i<scp>ntensity\u2010modulated<\/scp> radiation therapy"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7504-3169","authenticated-orcid":false,"given":"Elissa","family":"Greco","sequence":"first","affiliation":[{"name":"Rehabilitation Sciences Institute University of Toronto  Toronto Ontario Canada"},{"name":"Department of Speech\u2010Language Pathology University of Toronto  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