1. Measuring Nutritional & Functional Outcomes in Head & Neck Cancer Patients Receiving Curative Treatment Ryna Levy-Milne, RD, PhD, BC Cancer Agency February 26, 2014

2. BC Cancer Agency Experience Nutrition Assessment Module head & neck patients receiving chemoradiation treatment January 2012-present Three time points ◦ First nutrition consultation ◦ Treatment summary ◦ Post treatment consultation  During treatment  at point of feeding tube insertion  at point of feeding tube removal

3. Nutrition Assessment Data Collection Tool

5. CentreStart Date# of 1 st Consults Entered # Nasopharynx (%) AbbotsfordSeptember, 201360 Centre for the North April, 2013110 Fraser ValleyApril, 20133710 (27%) Southern InteriorApril, 20134010 (25%) VancouverJanuary, 201216746 (28%) Vancouver IslandApril, 2013130 Number of First Nutrition Consultations entered & % Nasopharynx at BCCA

6. Percent Weight Loss Over Time

7. Proportion of Patients with Symptoms of Dysphagia and Odynophagia at 3 Time Points Proportion of patients %

8. Proportion of NPC Patients and “Other” HN Patients with Dysphagia at 3 Time Points Proportion of patients

9. Proportion of NPC Patients and “Other” HN Patients with Odynophagia at 3 Time Points Proportion of patients

10. Thank you! Planning Committee: Tricia Hutchison, Alberta Health Services Brittany Oster, Alberta Health Services Lorena Gerl, Cancer Care Manitoba Megan McLeod, CancerCare Manitoba Ryna Levy-Milne, B.C. Cancer Agency Elaine Shearer, B.C. Cancer Agency Courtney McKay, Saskatchewan Cancer Agency Rhonda Brockman, Saskatchewan Cancer Agency Telehealth Support: Saskatoon RUH Admin telehealth Suite Michelle Zahayko, Allan Blair Cancer Centre, Sask Jennifer Cassidy, Provincial Health Services Authority, B.C. Jennifer Hesse, Alberta Health Services Corey Bateman, Alberta Health Services Laurie Stringer, Alberta Health Services Pam McLeod, CancerCare Manitoba Johnny Colatruglio and Tamara Finley, Manitoba e- Health