Int. J. Otolaryngology and Head & Neck Surgery high malnutrition risk respectively. Also, Emotional and social functional scales and all symptom scales-including pain, presented significant differences between high and medium risk of malnutrition patients. Fatigue, pain, insomnia, appetite loss and financial difficulties were domains directly related to high risk of malnutrition patients. Pain scores were significantly higher (43.23) in the high-risk patients when compared to medium risk

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... s (11.67). Nutrition support should be considered at any stage of the pathway -especially in high risk group-in order to optimize tumour treatment results, reduction of adverse effects of therapy and improving both QoL and survival.