Eating-related distress in advanced cancer patients with cachexia and family members: a survey in palliative and supportive care settings

Amano, Koji; Morita, Tatsuya; Koshimoto, Saori; Uno, Teruaki; Katayama, Hirofumi; Tatara, Ryohei

doi:10.1007/s00520-018-4590-6

Cited by 37 publications

(62 citation statements)

References 32 publications

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“…Nutrition impact symptoms impairing food intake [21][22][23][24][25][28][29][30][31][32] • Unpredictable occurrence and course…”

Section: A Problem: Eating-related Distress In Patients and Family Mmentioning

confidence: 99%

“…• Physical and psychosocial consequences: body weight loss, altered body image, impaired activities of daily living, reduced well-being Unsuccessful coping strategies of patients and/or family members [10][11][12][13][14][15][16][17][18][19][20][21][22][34][35][36][37] • "Fighting back" against the cancer cachexia…”

Section: A Problem: Eating-related Distress In Patients and Family Mmentioning

confidence: 99%

“…Conflicts over food between patients and family members [10][11][12][13][14][15][16][17][18][19][20][21][22][34][35][36][37] • Changes in both patients' food preferences and eating habits of whole families Manage nutrition impact symptoms [21-25, 28-32, 39] Provide psychosocial support for coping of patients and family members [10][11][12][13][14][15][16][17][18][19][20][21][22][34][35][36][37] Provide nutritional support according to evidence-based clinical practice guidelines [1,2,4,6,8,9,46,47] Provide evidence-based information and advice on nutritional care for patients by family members [10][11][12][13][14]…”

Section: • Feelings Of Loss Of Control Helplessness Frustrationmentioning

confidence: 99%

“…Prior qualitative research have identified eating-related distress as a significant contributor to overall psychosocial distress [10][11][12][13][14][15][16][17]. Eating-related distress encompasses a myriad of intersecting factors including patients' and family members' struggles to cope with cachexia, gross impairment of food intake, disturbance of relationships, and changing roles (Table 1A) [10][11][12][13][14][15][16][17][18][19][20][21][22]. The current management of cancer cachexia is primarily focused on pain and symptom management, nutrition interventions, as well as, development of novel drugs with appetite-enhancing actions.…”

Section: Introductionmentioning

confidence: 99%

“…The current management of cancer cachexia is primarily focused on pain and symptom management, nutrition interventions, as well as, development of novel drugs with appetite-enhancing actions. However, to adequately address eating-related distress, future clinical practice guidelines must consider holistic, multimodal care including education and psychosocial support (Table 1B, Figure 1) [10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

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Integration of palliative, supportive, and nutritional care to alleviate eating-related distress among advanced cancer patients with cachexia and their family members

Amano

Baracos

Hopkinson

2019

Critical Reviews in Oncology/Hematology

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Advanced cancer patients with cachexia and their families can suffer from eating-related distress. This complex entity encompasses patients' struggle to nourish themselves, emotional and social consequences of their inability to maintain food intake, and profound disturbance in family relationships. With evidencebased nutritional care, as well as symptom management to enable food intake, cachexia can be mitigated to some degree. In addition, patients and families require psychosocial support and education to understand and cope with this condition. Only by taking an integrated approach can health care teams alleviate eatingrelated distress, improve quality of life (QOL), reduce interpersonal conflicts, and alter perceptions of nutritional neglect for patients and families. However, few studies have investigated eating-related distress among patients and families. The aim of this narrative review is to describe what is known about eating-related distress and the roles of integrated palliative, supportive, and nutritional care in improving QOL of patients and families.

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“…Nutrition impact symptoms impairing food intake [21][22][23][24][25][28][29][30][31][32] • Unpredictable occurrence and course…”

Section: A Problem: Eating-related Distress In Patients and Family Mmentioning

confidence: 99%

Section: A Problem: Eating-related Distress In Patients and Family Mmentioning

confidence: 99%

Section: • Feelings Of Loss Of Control Helplessness Frustrationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Integration of palliative, supportive, and nutritional care to alleviate eating-related distress among advanced cancer patients with cachexia and their family members

Amano

Baracos

Hopkinson

2019

Critical Reviews in Oncology/Hematology

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Significance of fluid retention, body mass index, and weight loss in patients with advanced cancer

Amano

Maeda²,

Ishiki³

et al. 2020

JCSM Clinical Reports

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BackgroundFew studies have investigated the relationship between body mass index (BMI) and mortality or evaluated the prognostic validity of a grading system incorporating BMI and weight loss in Asian cancer patients. We conducted a study to investigate characteristics according to BMI and to confirm the prognostic validity of BMI and the grading system.MethodsThis study involved a secondary analysis of a prospective cohort study. Subjects were divided into six BMI groups and five grades according to the grading system. Characteristics were compared between the six groups. We conducted time‐to‐event analyses using the Kaplan–Meier method, log‐rank test, and univariate and multivariate Cox regression analyses.ResultsA total of 1094 patients were classified into six BMI groups: <17 (n = 244), 17–18.4 (n = 211), 18.5–19.9 (n = 192), 20–21.9 (n = 196), 22–24.9 (n = 161), and 25 ≤ (n = 90). Regarding oedema, the prevalence increased with BMI, being 70% the 25 ≤ group. The prevalence of pleural effusion and ascites were the highest in the 25 ≤ group. Median survival ranged between 18 and 22 days in the six groups. No significant differences were observed in survival rates among the six BMI groups (log rank P = 0.83). No significant differences were observed in survival rates among the five grades (log rank P = 0.25).ConclusionsThe prevalence of fluid retention is high in patients with advanced cancer. BMI and weight loss appear to lose their prognostic significance among them.

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Development and validation of questionnaires for eating‐related distress among advanced cancer patients and families

Hui

Morita

Miura

et al. 2022

J cachexia sarcopenia muscle

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Background Eating-related distress (ERD) is one type of psychosocial distress among advanced cancer patients and family caregivers. Its alleviation is a key issue in palliative care; however, there is no validated tool for measuring ERD. Methods The purpose of this study was to validate tools for evaluating ERD among patients and family caregivers. The study consisted of a development and validation/retest phase. In the development phase, we made preliminary questionnaires for patients and family caregivers. After face validity and content validity, we performed an exploratory factor analysis and discussed the final adoption of items. In the validation/retest phase, we examined factor validity with an exploratory factor analysis. We calculated Pearson's correlation coefficients between the questionnaire for patients, the Functional Assessment of Anorexia/Cachexia Therapy Anorexia Cachexia Subscale (FAACT ACS) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Cachexia 24 (EORTC QLQ-CAX24) and Pearson's correlation coefficients between the questionnaire for family caregivers and the Caregiver Quality of Life Index-Cancer (CQOLC) for concurrent validity. We calculated Cronbach's alpha coefficients (Cronbach's alpha) and intraclass correlation coefficients (ICCs) for internal consistency and test-retest reliability. We performed the Mann-Whitney U test between the questionnaires and cancer cachexia based on criteria from the international consensus for known-group validity. Results In the development phase, 162 pairs of patients and family caregivers were asked to participate, and 144 patients and 106 family caregivers responded. In the validation/retest phase, 333 pairs of patients and family caregivers were asked to participate, and 234 patients and 152 family caregivers responded. Overall, 183 patients and 112 family caregivers did the retest. Seven conceptual groups were extracted for the ERD among patients and family caregivers, respectively.

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Eating-related distress in advanced cancer patients with cachexia and family members: a survey in palliative and supportive care settings

Cited by 37 publications

References 32 publications

Integration of palliative, supportive, and nutritional care to alleviate eating-related distress among advanced cancer patients with cachexia and their family members

Integration of palliative, supportive, and nutritional care to alleviate eating-related distress among advanced cancer patients with cachexia and their family members

Significance of fluid retention, body mass index, and weight loss in patients with advanced cancer

Development and validation of questionnaires for eating‐related distress among advanced cancer patients and families

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