{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T08:03:35Z","timestamp":1782893015262,"version":"3.54.5"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T00:00:00Z","timestamp":1638403200000},"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":["Nutrition &amp;amp; Dietetics"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Weight loss and malnutrition occur frequently in patients with head and neck cancer and are associated with reduced survival. This pragmatic study aimed to determine the effect of a novel pre\u2010treatment model of nutrition care on nutrition outcomes for patients with head and neck cancer receiving chemoradiotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This health service evaluation consisted of an evaluation of the new model of care implementation (Phase 1) and an evaluation of patient outcomes (Phase 2) in pre\u2010 and post\u2010implementation cohorts (<jats:italic>n<\/jats:italic>\u00a0=\u00a064 and <jats:italic>n<\/jats:italic>\u00a0=\u00a047, respectively). All Phase 2 patients received a prophylactic gastrostomy. The new model of care consisted of dietary counselling and commencement of proactive supplementary enteral nutrition via a prophylactic gastrostomy, in addition to normal oral intake, prior to treatment commencement. Nutrition outcomes were collected at baseline (pre\u2010treatment) and 3\u2009months post\u2010radiotherapy completion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The new model of care was successfully incorporated into practice with high referral (96.5%) and attendance (91.5%) rates to the counselling session, and high adherence rates to proactive tube feeding (80.9%). Patients in the post\u2010implementation cohort had less weight\u2010loss (1.2%; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.338) and saw less of a decline in nutritional status compared to patients in the pre\u2010implementation cohort (23% vs. 30%, respectively; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.572), deemed clinically important. However, patients still experienced critical weight loss overall (mean 9.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pre\u2010treatment nutrition care was feasible in standard clinical practice and demonstrated clinically relevant outcome improvements for patients. Future high\u2010quality research is warranted to investigate further multidisciplinary strategies to attenuate weight\u2010loss further, inclusive of patient\u2010reported barriers and enablers to nutrition interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1747-0080.12714","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T08:28:57Z","timestamp":1638433737000},"page":"206-216","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Evaluation of a novel pre\u2010treatment model of nutrition care for patients with head and neck cancer receiving chemoradiotherapy"],"prefix":"10.1111","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9128-0954","authenticated-orcid":false,"given":"Claire","family":"Blake","sequence":"first","affiliation":[{"name":"Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0747-0454","authenticated-orcid":false,"given":"Anna","family":"Edwards","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The School of Human Movement and Nutrition Sciences University of Queensland  Brisbane Queensland Australia"},{"name":"Nutrition &amp; Dietetics Toowoomba Hospital, Darling Downs Health  Toowoomba Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Treleaven","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Brown","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The School of Human Movement and Nutrition Sciences University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Hughes","sequence":"additional","affiliation":[{"name":"Cancer Care Services Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The School of Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Lin","sequence":"additional","affiliation":[{"name":"Cancer Care Services Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The School of Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizbeth","family":"Kenny","sequence":"additional","affiliation":[{"name":"Cancer Care Services Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The School of Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merrilyn","family":"Banks","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The School of Human Movement and Nutrition Sciences University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3830-5147","authenticated-orcid":false,"given":"Judy","family":"Bauer","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service  Herston Queensland Australia"},{"name":"The School of Human Movement and Nutrition Sciences University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.22015"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nutres.2017.08.007"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616682684"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21174"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2013.458"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-003-0568-z"},{"key":"e_1_2_7_9_1","volume-title":"Does Nutrition Intervention Improve Outcomes? 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