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oai:docta.ucm.es:20.500.14352/1148662025-03-18T15:30:45Zcom_20.500.14352_14col_20.500.14352_15

00925njm 22002777a 4500 dc Palma-Milla, Samara author López Plaza, Bricia author Santamaría, Beatriz author de Arriba-Sánchez, Álvaro author Bermejo López, Laura María author Gómez-Candela, Carmen author 2018-02-01 The perioperative use of immunomodulatory nutrition formulas in patients with head and neck cancer reduces the number of postoperative infections and the length of hospital stay. Objective: An exploratory, randomized, controlled, blind, clinical trial was designed to examine the effect of the preoperative consumption of a new, immunomodulatory, oral nutrition formula in patients with head and neck cancer. Methods: Thirty-eight patients were randomized to receive either 400 mL/d of either the new immunomodulatory formula (IF) or that commonly used in clinical practice (CF) over 10 days prior to surgery. Thirty-three patients completed the study. Compliance, tolerance, the length of hospital stay, the incidence of infections and noninfectious complications before discharge, and the same up to 15 and 30 days after discharge were recorded. Results: The percentage of patients who developed infections before discharge was significantly lower in the IF than in the CF group (P =.013), as was the number of infections/100 patients/d (P =.035). The length of hospital stay was significantly shorter in the IF group (P =.001). Both formulas were safe and well tolerated. No other differences were detected. These results suggest preoperative consumption of the new formula to be beneficial for patients with neck and head cancer. Further trials are needed to confirm these results and to test the efficacy of the formula in patients with other conditions. Conclusion: The new formula can be safely prescribed as part of the preoperative treatment of patients with head and neck cancer and might reduce the problem of postoperative infection. Palma-Milla S, López-Plaza B, Santamaría B, de Arriba-Sánchez Á, Bermejo LM, Gómez-Candela C. New, Immunomodulatory, Oral Nutrition Formula for Use Prior to Surgery in Patients With Head and Neck Cancer: An Exploratory Study. JPEN J Parenter Enteral Nutr. 2018 Feb;42(2):371-379. 0148-6071 10.1177/0148607116676839 https://hdl.handle.net/20.500.14352/114866 1941-2444 https://doi.org/10.1177/0148607116676839 https://pubmed.ncbi.nlm.nih.gov/29443404/ https://aspenjournals.onlinelibrary.wiley.com/doi/10.1177/0148607116676839 New, Immunomodulatory, Oral Nutrition Formula for Use Prior to Surgery in Patients With Head and Neck Cancer: An Exploratory Study