Increased likelihood of long-term gastrostomy tube dependence in head and neck cancer survivors without partners.

Increased likelihood of long-term gastrostomy tube dependence in head and neck cancer survivors without partners.
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DOI:
10.1002/hed.22996
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发表时间:
2013-03
影响因子:
2.9
通讯作者:
Locher, Julie L.
Locher, Julie L.
中科院分区:
医学2区
文献类型:
--
作者:
Magnuson, J. Scott;Durst, Jennifer;Rosenthal, Eben L.;Carroll, William R.;Ritchie, Christine S.;Kilgore, Meredith L.;Locher, Julie L.

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We evaluated factors associated with long-term dependence on percutaneous endoscopic gastrostomy (PEG) tubes. 154 patients receiving treatment at the University of Alabama at Birmingham between 2002 and 2004 who underwent PEG tube placement were identified through retrospective review of medical records. Using binary logistic regression, we evaluated the association of various factors on long-term dependence on PEG tubes. 25.3% of survivors remained PEG tube dependent at 12 months. The odds of long-term PEG-tube dependence were greater for those who did not have partners compared with those who had partners (OR 3.33, p=0.004), for patients who received radiation therapy (OR 6.21, p=0.018), and for those who had a tracheotomy in place for longer than thirty days (OR 4.328, p=0.035). Data suggest that interventions targeted at reducing long-term dependence on PEG tubes take into account not only treatment-related factors, but also the important role that social support plays.
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