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Status of hydration assessed by bioelectrical impedance analysis: a valuable predictive factor for radiation-induced oral mucositis in head and neck cancer patients.
Brzozowska, A; Mlak, R; Golebiowski, P; Malecka-Massalska, T.
Afiliação
  • Brzozowska A; Department of Oncology, Medical University of Lublin, Jaczewskiego Street 7, 20-090, Lublin, Poland. annabrzo@poczta.onet.pl.
  • Mlak R; Department of Human Physiology, Medical University of Lublin, Radziwillowska 11, 20-080, Lublin, Poland.
  • Golebiowski P; Department of Oncology, Medical University of Lublin, Jaczewskiego Street 7, 20-090, Lublin, Poland.
  • Malecka-Massalska T; Department of Human Physiology, Medical University of Lublin, Radziwillowska 11, 20-080, Lublin, Poland.
Clin Transl Oncol ; 21(5): 615-620, 2019 May.
Article em En | MEDLINE | ID: mdl-30327938
BACKGROUND: Apart from surgery, the methods of treatment of HNC are radiotherapy (RTH) and/or chemotherapy (CRTH/CHT). One of the most frequent and serious complications of RTH is oral mucositis (OM). There is a strict correlation between the inflammation and the status of hydration. The aim of the study was to evaluate the changes in hydration, occurring in the course of RTH, measured by means of bioelectrical impedance analysis (BIA) and to analyze them in correlation with the intensification of OM in HNC patients. PATIENTS AND METHODS: Data from 49 HNC patients (stages I-IV) were analyzed. All of them were irradiated using IMRT technique with the doses of 50-70 Gy. Oral mucositis (OM) was evaluated according to RTOG/EORTC guidelines. BIA was performed using ImpediMed bioimpedance analysis SFB7 BioImp v1.55. RESULTS: In the fourth week of RTH, 4-5 days before the occurrence of severe OM, it was found that patients with OM grade 3 or higher compared to OM grade 2 or lower had significantly: lower ICW% values (respectively, 53.02% vs 50.72%; p = 0.0047), higher: ECW%: (47.95% vs 46.92%; p = 0.0020), TBW% (respectively, 56.34% vs 51.06%; p = 0.0455), ECW/ICW (respectively, 0.96 vs 0.86; p = 0.0007) and ECW/TBW (respectively, 0.49 vs 0.46, p = 0.0033). CONCLUSION: Our study indicates that HNC patients undergo changes in hydration in the course of RTH. We have also confirmed that the intensification of OM leads to ICW decrease and the increase of ECW, TBW as well as ECW/ICW and ECW/TBW values.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Lesões por Radiação / Radioterapia / Estomatite / Água Corporal / Impedância Elétrica / Estado de Hidratação do Organismo / Neoplasias de Cabeça e Pescoço Tipo de estudo: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Transl Oncol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Polônia País de publicação: Itália
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Lesões por Radiação / Radioterapia / Estomatite / Água Corporal / Impedância Elétrica / Estado de Hidratação do Organismo / Neoplasias de Cabeça e Pescoço Tipo de estudo: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Transl Oncol Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Polônia País de publicação: Itália