Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Anemia, as an adverse event during chemoradiotherapy for head and neck cancer, contributes to a reduction in swallowing muscle mass and leads to dysphagia.
Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundChemoradiotherapy (CRT) for head and neck cancer (HNC) often leads to dysphagia and myelosuppression (e.g., neutropenia and anemia). This study investigated the associations between myelosuppression, muscle mass changes, and dysphagia in patients undergoing CRT for HNC.
methodsThis retrospective observational study included 136 patients with HNC who underwent curative CRT between January 2019 and August 2024. Anemia (hemoglobin ≤ 8.0 g/dL) and neutropenia (absolute neutrophil count < 1000/mm
resultsOn multivariate analysis, anemia was significantly associated with a decline in the TCM cross-sectional area (coefficient: 8.21, P < 0.001) and feeding tube dependency (odds ratio: 5.25, P = 0.02). In contrast, neutropenia had no significant impact on either.
conclusionsAnemia, an adverse effect of CRT for HNC, was an independent risk factor for feeding tube dependency at 3 months post-CRT and was significantly associated with a decline in the TCM cross-sectional area.
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