Health Condition 1: C069- Malignant neoplasm of mouth, unspecified
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
Tata Memorial Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Retrospective Part of study Step I. Baseline audit Step II. Protocol-based intervention with re-audit Inclusion Criteria - Adults more than 18 years of age - Histologically proven oral cancer - Temporary tracheostomy and/or feeding tube placement Prospective Part of Study Step III. Modified Delphi consensus process Inclusion Criteria - Clinical experts with minimum 5 years experience in, 1.Head and neck surgical oncology 2.Reconstructive surgery 3.Speech and language therapy i.e. SLT 4.Clinical nutrition or dietetics 5.Tracheostomy care i.e. ENT or Anesthetists or ICU 6.Radiation Oncologists or Medical Oncologists - Representation from various geographic regions and institutions, to ensure diversity.
Exclusion criteria
Exclusion criteria: Retrospective Part of study Step I. Baseline audit Step II. Protocol-based intervention with re-audit Exclusion Criteria - Permanent tracheostomy - Palliative cases - Incomplete records Prospective Part of Study Step III. Modified Delphi consensus process Exclusion Criteria - Non-clinicians or those with more than 5 years of experience in head and neck cancer care. - Industry representatives.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Median duration of tracheostomy tube retention 2.Median duration of feeding tube retention Timepoint: Step I January 2023 to December 2025 Retrospective audit of around 140 patient records to assess current tracheostomy and feeding tube practices. Step II February to November 2025 Post intervention re audit of around 120 patients daily after implementation of standardized decannulation and tube removal protocol. Step III Delphi consensus with three online rounds and a final in person or virtual meeting to finalize best practice recommendations. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Tube related complication rates 2.Feeding tube dependence at 6 months 3.Speech & swallowing related quality of life Timepoint: Step I January 2023 to December 2025 Retrospective audit of around 140 patient records to assess current tracheostomy & feeding tube practices. Step II February to November 2025 Post intervention re audit of around 120 patients daily after implementation of standardized decannulation & tube removal protocol. Step III Delphi consensus with three online rounds & a final in person or virtual meeting to finalize best practice recommendations. | — |
Countries
India
Contacts
Public ContactDr ShivaKumar Thiagarajan
TATA MEMORIAL HOSPITAL
Outcome results
None listed