Neoplasms

All Conditions

Head and Neck Neoplasms

Swallowing therapy in combination with individual dietary counselling

Swallowing therapy only on indication. (usual care)

Weekly swallowing therapy (by speech language therapist) from start of (chemo)radiation until 6 months after last (chemo)radiation. Weekly Individual dietary counselling (by dietician) form the start of (chemo) radiotherapy until 6 months after last (chemo)radiation. With close interaction between the both interventions.

Swallow therapy in combination with individual dietary counselling

Weekly Individual dietary counselling form the start of (chemo) radiotherapy until 6 months after last (chemo)radiation.

Individual dietary counselling

Mattias A. W. Merkx, Prof. Dr.

* Background:

Oral nutrition appears to be a challenge for patients with head and neck cancer after radiotherapy. Many patients desire to (their) 'normal food intake' and return to oral nutrition with normal consistency without modifications and diet formulas. Due to the dysphagia experienced post treatment this seems tremendously difficult. Referral to a speech-language therapist for swallowing therapy is no standard procedure.

* Study design:

A prospective randomized study in patients with a tumor in Oral cavity, Nasopharynx, Oropharynx, Hypopharynx or Larynx with stage II-IV (UICC TNM-tumor classification), ≥ 18 years, eligible for primary treatment with (chemo)radiation or adjuvant radiotherapy with curative intent.

* Intervention:

Individually tailored swallowing therapy by an experienced speech-language therapist in cooperation with individual dietary counselling (by an experienced dietician, 'usual care') pre-, per- and post treatment (until 6 months after treatment). This might improve 'normalcy of food intake', quality (no food modifications) and quantity of food intake and besides decrease the use of tube feeding and/or nutritional supplements. Also patients quality of life and nutritional status may be influenced positively.

* Study hypothesis:

The purpose of this study is to determine whether combined individual swallowing therapy and individual dietary counselling in patients with head and neck cancer receiving (chemo)radiotherapy can improve 'normal food intake'. Food intake without modifications and tube feeding and/or nutritional supplements.

Normalcy of Food Intake in Head and Neck Cancer Patients

Normalcy of Food Intake in Head and Neck Cancer Patients Receiving (Chemo)Radiotherapy Supported by Swallowing Therapy and Individual Dietary Counselling. (Supportive Care)

Increase of "normalcy of food intake" of 10%

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Normalcy of Food Intake in Head and Neck Cancer Patients	NCT01110980	Neoplasms, Head...	Swallow therapy... Individual diet...	18 Years -	Radboud University Medical Center
Normalcy of Food Intake in Head and Neck Cancer Patients	NCT01110980	Neoplasms, Head...	Swallow therapy... Individual diet...	18 Years -	Radboud University Medical Center
Normalcy of Food Intake in Head and Neck Cancer Patients	NCT01110980	Neoplasms, Head...	Swallow therapy... Individual diet...	18 Years -	Radboud University Medical Center

Spots Global Cancer Trial Database for individual dietary counselling