Pengaruh Fraksinasi Terapi Radiasi Terhadap Body Mass Index Pada Kanker Kepala Leher Di Beberapa Instalasi Onkologi Radiasi
Abstract
ABSTRACT
Background: Radiotherapy is the main therapy for the treatment of malignancies, one of which is nasopharyngeal cancer. Radiotherapy uses megavolt (mV) energy to kill cancer cells, therefore radiation is given in fractionation so that healthy cells around tumors can repair themselves. The fractionation was given five times a week with a total of 33 fractions. Besides having a curative effect, radiotherapy can also cause side effects. Radiation is given to the head and neck area, causing the upper digestive organs to experience side effects that reduce the patient's food intake and decrease body weight and body mass index (BMI).
Methods: The research design used is descriptive analytic by observing, Analysis using SPSS Version 24.00 Chi-Square test program (p>0.05)., and using a questionnaire. This study was conducted in the Radiotherapy Installation of oncology radiation of MRCCC Siloam Semanggi, RSPAD Gatot Soebroto, Dharmais Cancer Hospital, PS.Minggu Hospital, Santosa Bandung Kopo Hospital and Siloam TB Simatupang in July-October 2021 using primary data with a sample of 108 radiotherapy patients for nasopharyngeal cancer
Results: In average HNC patients experienced decrement of 3.61 of their BMI and weight loss of 9,77 kg until the last week of radiotherapy. The biggest decrement of BMI occured in the third to fourth weeks of radiotherapy. Patients who undergoing radiotherapy and chemotherapy had a bigger BMI decrement than patients who undergoing radiotherapy only. as radiotherapy side effects to BMI decrement in HNC patients after radiotherapy treatment.
Conclusions: Based on the results of this study, it can be concluded that all nasopharyngeal cancer patients who underwent radiotherapy experienced a decrease in BMI and also experienced side effects of xerostomia or dry mouth.
Keywords: Fractionation, radiotherapy, Nasopharyngeal Cancer, Body Mass Index, Xerostomia
Keywords
Full Text:
PDFReferences
References (Daftar Pustaka)
Sinaga PE, Jamnasi J, Pasaribu SM, - H. Faktor-Faktor yang Memengaruhi Penurunan Body Mass Index Sebelum dan Sesudah Radioterapi pada Pasien Kanker Kepala Leher. Radioter Onkol Indones. 2020;10(2):36–42.
World Health Organization. Indonesia Source GLOBOCAN 2018. Int Agency Res Cancer. 2019;256:1–2.
Chua MLK, Wee JTS, Hui EP, Chan ATC. Nasopharyngeal carcinoma Lancet 2016; 387 (10022) :101 2– 24.
Lin YH, Chang KP, Lin YS, Chang TS. Evaluation of effect of body mass index and weight loss on survival of patients with nasopharyngeal carcinoma treated with intensity-modulated radiation therapy. Radiat Oncol . 2015;10(1):1–9.
Mallick I, Gupta SK, Ray R, Sinha T, Sinha S, Achari R, et al. Predictors of weight loss during conformal radiotherapy for head and neck cancers - How important are planning target volumes? Clin Oncol . 2013;25(9):557–63.
Susworo R, Henry K. Dasar - Dasar Radioterapi Tata Laksana Radioterapi. II. Jakarta: UI Press; 2017. 342 p.
Charles M. Washington DTL. Principles and Practice of Radiation Therapy. 4th ed. St. Louis: Elsevier Health Sciences; 2015. 928 p.
Cheng Z, Nakatsugawa M, Hu C, Robertson SP, Hui X, Moore JA, et al. Evaluation of classification and regression tree (CART) model in weight loss prediction following head and neck cancer radiation therapy. Adv Radiat Oncol . 2018;3(3):346–55.
Langius JAE, Twisk J, Kampman M, Doornaert P, Kramer MHH, Weijs PJM, et al. Prediction model to predict critical weight loss in patients with head and neck cancer during (chemo)radiotherapy. Oral Oncol .2016;52:91–6.
Peltonen, Jenni K, Helppi, Henni M, Paakko, Paavo, Turpeeniemi-Hujanen, Taina, Vahakangas KH. p53 in head and neck cancer: Functional consequences and environmental implications of TP53 mutations. Head Neck Oncol. 2010;2:1–10.
Cacicedo, Jon, Cosquero, Fransisco, MartinezIndart, Lorea, Hoyo, Del Olgio, Iturriaga, de Alfonso G, Novarro, Arturo, Bilbao P. A prospective analysis of factors that influence weight loss in patients undergoing radiotherapy. Chin J Cancer. 2014;33(4):204–10. 11. Mangar, Stephen,
Sophian I. Prevalensi Komplikasi Mukosa Oral Akibat Radioterapi pada Pasien Kanker Kepala dan Leher di RSUP H. Adam Malik Medan. Universitas Sumatera Utara; 2017
Fitriatuzzakiyyah N, Sinuraya RK, Puspitasari IM. Terapi Kanker dengan Radiasi : Konsep Dasar Radioterapi dan Perkembangannya di Indonesia. J Farm Klin Indo. 2017;6(4):311–20.
Hovan AJ, Williams PM, Stevenson-moore P, Wahlin YB. A systematic review of dysgeusia induced by cancer therapies. Support Care Cancer. 2010;18:1081–7.
Mangar, Stephen, Slevin, Nicho;as, Mais, Kathleen, Sykes A. Evaluating predictive factors for determining enteral nutrition in patients receiving radical radiotherapy for head and neck cancer : A retrospective review. Radiother Oncol. 2006;78:152–8.
Cacicedo J, Casquero F, Martinez-indart L, Gómez A, Iturriaga D, Muruzabal I, et al. Detection of risk factors that influence weight loss in patients undergoing radiotherapy. Elsevier. 2012;7:269–75.
Hovan AJ, Williams PM, Stevenson-moore P, Wahlin YB. A systematic review of dysgeusia induced by cancer therapies. Support Care Cancer. 2010;18:1081–7.
Hendrata JH. Efek Radioterapi Kanker Kepala dan Leher Terhadap Jaringan Dalam Mulut. Meditek. 2015;11(29):29–35.
Franco P, Martini S, Di J, Chiara M, Arcadipane F, Rampino M, et al. Prospective assessment of oral mucositis and its impact on quality of life and patientreported outcomes during radiotherapy for head and neck cancer. Med Oncol. 2017;34–81
DOI: https://doi.org/10.31983/jimed.v8i1.8159
Article Metrics
Refbacks
- There are currently no refbacks.
JURNAL IMEJING DIAGNOSTIK by http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jimed is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.