Dynamic changes in serum albumin, prealbumin, and retinol-binding protein after head and neck cancer surgery: a retrospective cohort study - Scorecard - MDSpire

Dynamic changes in serum albumin, prealbumin, and retinol-binding protein after head and neck cancer surgery: a retrospective cohort study

  • By

  • Linjian Huang

  • Simin Deng

  • Xiahan Sheng

  • Hanwen Chu

  • July 3, 2026

  • 0 min

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Clinical Scorecard: Postoperative Fluctuations in Serum Albumin, Prealbumin, and Retinol-Binding Protein Levels in Head and Neck Cancer Patients: A Retrospective Analysis

At a Glance

CategoryDetail
ConditionHead and Neck Malignancies
Key MechanismsDynamic changes in serum albumin, prealbumin, and retinol-binding protein levels post-surgery.
Target PopulationPatients with head and neck malignancies undergoing surgery.
Care SettingPerioperative nutritional management.

Key Highlights

  • Intensive nutritional intervention improved serum ALB, PA, and RBP levels postoperatively.
  • Lower CRP and NLR levels were observed in the intervention group.
  • Shorter time to first oral intake and reduced hospital stay in the intervention group.
  • Higher rates of energy and protein target achievement in the intervention group.
  • PA and RBP are more sensitive indicators for perioperative nutritional assessment.

Guideline-Based Recommendations

Diagnosis

  • Nutritional risk assessed using the Nutritional Risk Screening 2002 (NRS2002) tool.

Management

  • Individualized nutritional support based on comprehensive assessment.

Monitoring & Follow-up

  • Dynamic monitoring of nutritional adequacy and adjustment of nutritional support.

Risks

  • Patients with head and neck malignancies are at risk of nutritional deficiencies due to tumor-related catabolism and surgical trauma.

Patient & Prescribing Data

200 patients with head and neck malignancies.

Comparison of conventional vs. intensive nutritional support strategies.

Clinical Best Practices

  • Implement early nutritional intervention in surgical patients.
  • Use multiple visceral protein markers for nutritional assessment.

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