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| Name | Class |
|---|---|
| Oslo University Hospital | OTHER |
| University of South-Eastern Norway | OTHER |
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Patients with cancer have increased risk of malnutrition due to the disease itself and the treatment regimen they undergo. This is particularly relevant for patients with head and neck cancer (HNC), where 74%-95% are malnourished. HNC is a heterogenous group of cancers, including oral cavity, larynx, pharynx and salivary glands. The present project will study the effectiveness and implementation of remote patient monitoring of nutrition and tailored nutrition support throughout the treatment course in patients with head and neck cancer. The implementation will be evaluated in a randomized controlled trial (RCT), and the aim of the project is to reduce the prevalence of malnutrition and increase the quality of life among patients with HNC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MyFood (App for diet record) | Experimental | Use of an App for diet record |
|
| Usual care | No Intervention | Usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| App for diet record (MyFood) | Other | Patients in the intervention group will record their food intake, tube feeding, nutrition-related symptoms and body weight in the MyFood app in at least three consecutive days in advance of follow-up.The patients will thus be able to keep track of their nutrition status. They will also have access to nutrition tips for how to reach requirements if they struggle to eat sufficiently or relief symptoms that can affect food intake.Healthcare staff at the hospital and outpatient clinics will use MyFood to monitor the patient's nutrition and document this information in the electronic patient record. They will also receive decision support tailored to each individual patient, e.g. recommendations for how to use oral nutrition supplements if the patient's intake of energy or protein is too low. Patients who struggle to fulfill their requirements will receive an additional referral to a registered dietitian for nutrition treatment between week 5 and 11. |
| Measure | Description | Time Frame |
|---|---|---|
| Malnutrition_PGSGA | Measured by the: Patient-Generated Subjective Global Assessment (PG-SGA). The tool categories participants into: category A (Well-nourished), B (Moderately malnutrition or possible malnutrition), or C (serious malnutrition) | 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Malnutrition GLIM | Malnutrition measured by the objective method developed by the Global Leadership Initiative on Malnutrition (GLIM). The GLIM-criteria also categories the participants i three groups: Well-nourished, moderate malnutrition and severe malnutrition. | 18 weeks |
| Weight change |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Oslo | Oslo | Oslo | 0316 | Norway | ||
| Oslo University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42011252 | Derived | Severinsen F, Varsi C, Andersen LF, Henriksen C, Paulsen MM. Implementation of Digital Seamless Nutrition Care throughout the Treatment Course for Patients with Head and Neck Cancer: A Process Evaluation. Curr Dev Nutr. 2026 Mar 21;10(4):107677. doi: 10.1016/j.cdnut.2026.107677. eCollection 2026 Apr. | |
| 41088125 | Derived |
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| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D000682 | Amyloid |
| D015930 | Diet Records |
| ID | Term |
|---|---|
| D046912 | Multiprotein Complexes |
| D046911 | Macromolecular Substances |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
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|
weight measurements |
| 18 weeks |
| Nutrition intake | 24-hour recall interviews | 18 weeks |
| Body composition | Bioelectrical Impedance Analysis (BIA) | 18 weeks |
| Health-related quality of life | EuroQol Research Foundation, Netherlands (EQ5D-5L). Assess health in 5 dimensions each of which has three response levels (1: No problems, 2: some problems and 3: extreme problems/unable to do). | 18 weeks |
| Number of Participants compliant to the intervention | Review of reported use of the MyFood app in the electronic patient record | 18 weeks |
| Number of patients with non-elective readmissions | Review of readmissions in the electronic patient record | 18 weeks |
| Oslo |
| Norway |
| Severinsen F, Varsi C, Andersen LF, Henriksen C, Paulsen MM. Experiences with nutritional follow-up and barriers and opportunities of implementing digital seamless nutrition care in the head and neck cancer treatment course: a qualitative study from patient, family caregiver, and healthcare professional perspectives. BMC Health Serv Res. 2025 Oct 14;25(1):1358. doi: 10.1186/s12913-025-13542-7. |
| D011996 | Records |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |