Factors affecting the assessment of cancer cachexia by nurses caring for patients with advanced cancer undergoing chemotherapy: A cross-sectional survey

Sato, Rika Sakuma; Hayashi, Nariyuki; Nakayama, Naoko; Okimura, Aiko

doi:10.1016/j.apjon.2022.100075

Cited by 4 publications

(8 citation statements)

References 51 publications

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“…In addition, nurses are the major health care workforce in terms of numbers, and they routinely assess items specific to cancer cachexia with or without awareness. 21 Therefore, nurses have an important role in the management of cancer cachexia. There is potential to develop nurse-led multimodal interventions, such as the Macmillan Approach to Weight and Eating 22 and the PiCNIC, 23 , 24 and for nurses to coordinate hubs of multimodal care teams.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Health Care Professionals on Multimodal Interventions for Cancer Cachexia

Hui

Koshimoto

Hopkinson

et al. 2022

Palliative Medicine Reports

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Background: Holistic multimodal interventions have not been established for cancer cachexia. The beliefs and perceptions of health care professionals (HCPs) based on their experiences influence the interventions. Objectives: HCPs' knowledge, perceptions, and practices in cancer cachexia management were evaluated. Design/Setting/Subjects/Measurements: A nationwide questionnaire survey was conducted that focused on the perspectives of HCPs on interventions in 451 designated cancer hospitals across Japan. Descriptive statistics were applied. Results: Among 2255 participants, 1320 responded (58.5%), and 1188 in 258 institutes were included in the analysis. The current international definition of cancer cachexia is not commonly known and recent clinical practice guidelines have not been widely adopted. More than 50% of participants considered ≥5% weight loss in six months and ECOG PS (Eastern Cooperative Oncology Group Performance Status) 2–4 to be cancer cachexia, whereas 50% answered that there was no relationship between life expectancy and cancer cachexia. Participants tended to consider it important to initiate nutritional and exercise interventions before cancer cachexia becomes apparent. The majority of participants recognized the importance of holistic multimodal interventions, particularly for the management of physical and psychological symptoms; however, only 20% reported that they educated patients and families. Furthermore, 33% of participants considered themselves to have provided patients and families with sufficient nutritional and exercise interventions and evidence-based information. Conclusion: The results reveal that HCPs are not regularly providing education and emotional support to patients and families suffering from cancer cachexia. The results also show the need for education for HCPs to enhance implementation of holistic multimodal interventions for cancer cachexia.

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Section: Discussionmentioning

confidence: 99%

Perspectives of Health Care Professionals on Multimodal Interventions for Cancer Cachexia

Hui

Koshimoto

Hopkinson

et al. 2022

Palliative Medicine Reports

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show abstract

“… 49 It is reported that knowledge and education related to cancer cachexia is lacking among medical professionals; that multidisciplinary cooperation cannot be practiced; that the roles and responsibilities of each team member are not clearly defined. 50 , 51 , 52 , 53 Clinical trials of multidisciplinary interventions which combine drug therapy, nutritional therapy, and exercise therapy are currently underway, and it is hoped that the results will lead to the broad development and implementation of multidisciplinary patient support systems across medical institutions.…”

Section: Future Challenges In the Treatment Of Cancer Cachexia By Mul...mentioning

confidence: 99%

The role of pharmacists in multimodal cancer cachexia care

Fujii,

Yamada,

Iihara

et al. 2023

Asia-Pacific Journal of Oncology Nursing

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“…However, recent surveys investigating clinicians’ perspectives on cancer cachexia conducted in multiple countries revealed the insufficiency of knowledge, skills, and confidence in management of cancer cachexia. 23 , 24 , 30 , 31 , 32 , 33 , 34 …”

Section: Clinicians’ Perspectives On Cancer Cachexia and Professional...mentioning

confidence: 99%

“…Additionally, participating nurses had limited knowledge about cancer cachexia and were not confident in their ability to assess associated problems. 33 Furthermore, a recent scoping review on barriers in nursing practice in cancer cachexia revealed individual and environmental barriers to nursing practice. However, nurses who are in close contact with patients and family caregivers can make a difference in the worsening trajectory of cachectic patients if they recognize the patient's condition and integrate multidisciplinary care early.…”

Section: Clinicians’ Perspectives On Cancer Cachexia and Professional...mentioning

confidence: 99%

“…Proposed contents of the cancer cachexia education for nurses are categorize into topics as follows: (1) knowledge about responsible mechanisms of cancer cachexia, (2) knowledge about common symptoms and distress associated with cancer cachexia among patients and family caregivers, (3) awareness of nurses’ roles in management of cancer cachexia, (4) utilization of existing evidence-based clinical practice guidelines for management of cancer cachexia, (5) collaboration within multiple health disciplines to perform holistic multimodal care for cancer cachexia. 23 , 33 This categorization can help nurse educators know what should be covered in a teaching session and course about management of cancer cachexia.…”

Section: Clinicians’ Perspectives On Cancer Cachexia and Professional...mentioning

confidence: 99%

See 1 more Smart Citation

Holistic multimodal care for patients with cancer cachexia and their family caregivers

Hui

Hopkinson

Baracos

2023

Asia-Pacific Journal of Oncology Nursing

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Factors affecting the assessment of cancer cachexia by nurses caring for patients with advanced cancer undergoing chemotherapy: A cross-sectional survey

Cited by 4 publications

References 51 publications

Perspectives of Health Care Professionals on Multimodal Interventions for Cancer Cachexia

Perspectives of Health Care Professionals on Multimodal Interventions for Cancer Cachexia

The role of pharmacists in multimodal cancer cachexia care

Holistic multimodal care for patients with cancer cachexia and their family caregivers

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