Identifying Knowledge and Practices regarding Cancer Patient Malnutrition: A Survey Study among Oncologists

Sönmez, Özlem; Tezcanli, E.; Baş, Dilşat; Kazancı, Hande Büşra; Altinok, A.; Demir, Atakan; Uluç, Başak Oyan

doi:10.1080/01635581.2021.2008987

Cited by 9 publications

(6 citation statements)

References 24 publications

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“…Aspects of PCC are components of the internationally recognized quality standards for nutrition care-yet the integration of professionally delivered evidence-based nutrition care into the multidisciplinary team is lacking across the European Union and globally [5][6][7][8][9][10][11][12][13][14][15][16]. In fact, it has been more than 40 years since awareness of the importance of nutrition status in hospital settings was widely acknowledged as the 'skeleton in the hospital closet' [64] and a large body of supporting evidence has accumulated.…”

Section: Improving Nutrition Status Directly Impacts Clinical Outcomesmentioning

confidence: 99%

“…While healthcare professionals (HCPs) generally appreciate the value of PCC, many may overestimate the level of PCC being achieved in practice. Despite strong evidence for improvements in patient-reported and clinical outcomes, nutrition is poorly integrated into multidisciplinary care in many areas of medicine, including cancer care [5][6][7][8][9][10][11][12][13][14][15][16]. Unfortunately, throughout Europe, there is a lack of consistent, coordinated integration of nutrition care throughout the cancer care continuum, and as such, PCC implementation has not been truly achieved.…”

Section: Introductionmentioning

confidence: 99%

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Nutrition care is an integral part of patient-centred medical care: a European consensus

Erickson

Sullivan

Kalliostra³

et al. 2023

Med Oncol

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While healthcare is becoming more patient-centred, evidence-based nutrition interventions are still not accessible to all patients with cancer. As nutrition interventions directly improve clinical and socioeconomic outcomes, patient-centred care is not complete without nutrition care. While awareness of the negative impact of malnutrition on clinical outcomes, quality of life, and functional and emotional wellbeing in cancer is growing, there is relatively poor awareness amongst patients, clinicians, policymakers, and payers that nutrition interventions -particularly those begun in the early stages of the disease course- are an effective method for improving such outcomes. The European Beating Cancer Plan recognises the need for a holistic approach to cancer but lacks actionable recommendations to implement integrated nutrition cancer care at member state level. When considering nutrition care as a human right, the impact on quality of life and functional status must be prioritized, as these may be equally as important to patients, especially in advanced cancer where improvements in clinical outcomes such as survival or tumour burden may not be attainable. We formulate actions needed at the regional and the European level to ensure integrated nutrition care for all patients with cancer. The 4 main Take Home Messages are as follows: 1. The goals of Europe’s Beating Cancer Plan cannot be achieved without integrating nutrition across the cancer care continuum. 2. Malnutrition negatively impacts clinical outcomes and has socioeconomic consequences for patients and healthcare systems. 3. Championing integrating nutrition care into cancer care is therefore the duty and ethical responsibility of clinicians (Hippocratic Oath—primum non nocere) and 4. Nutrition care is a cost effective, evidence-based therapy.

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Section: Improving Nutrition Status Directly Impacts Clinical Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nutrition care is an integral part of patient-centred medical care: a European consensus

Erickson

Sullivan

Kalliostra³

et al. 2023

Med Oncol

View full text Add to dashboard Cite

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“…The prognosis of colorectal cancer is largely determined by the molecular characteristics of its tumors; however, several studies have recently shown that host-related factors, such as body composition and nutrition, also affect it [ 2 3 4 5 6 ]. Malnutrition and changes in body composition, particularly muscle mass, have prognostic values; however, they tend to be neglected in the absence of recognized guidelines [ 4 7 ]. Sarcopenia, characterized by the loss of skeletal muscle mass and function, has recently been regarded as an objective risk factor for worse survival outcomes, higher surgical complications, and treatment-related toxicities for several cancer types [ 8 9 10 ].…”

Section: Introductionmentioning

confidence: 99%

Prognostic Value of Artificial Intelligence-Driven, Computed Tomography-Based, Volumetric Assessment of the Volume and Density of Muscle in Patients With Colon Cancer

Kim,

Lee,

Son

et al. 2023

Korean J Radiol

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Objective The prognostic value of the volume and density of skeletal muscles in the abdominal waist of patients with colon cancer remains unclear. This study aimed to investigate the association between the automated computed tomography (CT)-based volume and density of the muscle in the abdominal waist and survival outcomes in patients with colon cancer. Materials and Methods We retrospectively evaluated 474 patients with colon cancer who underwent surgery with curative intent between January 2010 and October 2017. Volumetric skeletal muscle index and muscular density were measured at the abdominal waist using artificial intelligence (AI)-based volumetric segmentation of body composition on preoperative pre-contrast CT images. Patients were grouped based on their skeletal muscle index (sarcopenia vs. not) and muscular density (myosteatosis vs. not) values and combinations (normal, sarcopenia alone, myosteatosis alone, and combined sarcopenia and myosteatosis). Postsurgical disease-free survival (DFS) and overall survival (OS) were analyzed using univariable and multivariable analyses, including multivariable Cox proportional hazard regression. Results Univariable analysis showed that DFS and OS were significantly worse for the sarcopenia group than for the non-sarcopenia group ( P = 0.044 and P = 0.003, respectively, by log-rank test) and for the myosteatosis group than for the non-myosteatosis group ( P < 0.001 by log-rank test for all). In the multivariable analysis, the myosteatotic muscle type was associated with worse DFS (adjusted hazard ratio [aHR], 1.89 [95% confidence interval, 1.25–2.86]; P = 0.003) and OS (aHR, 1.90 [95% confidence interval, 1.84–3.04]; P = 0.008) than the normal muscle type. The combined muscle type showed worse OS than the normal muscle type (aHR, 1.95 [95% confidence interval, 1.08–3.54]; P = 0.027). Conclusion Preoperative volumetric sarcopenia and myosteatosis, automatically assessed from pre-contrast CT scans using AI-based software, adversely affect survival outcomes in patients with colon cancer.

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“…Despite the clear benefits of nutrition guidance and intervention on clinical outcomes, quality of life, and functional and emotional well-being 20 for those with cancer, integration of nutrition into cancer care across Europe is lacking. [21][22][23][24] Data from a large French study, including 1903 patients and 157 hospitals, reported that only 28% of non-malnourished and 58% of malnourished patients received any nutrition advice. 25,26 Previous work has found similar findings in Ireland.…”

Section: Introductionmentioning

confidence: 99%

Sources of nutrition advice and desired nutrition guidance in oncology care: Patient's perspectives

Keaver

Richmond

Rafferty³

et al. 2022

J Human Nutrition Diet

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Background: The present study aimed to describe the proportion of cancer patients and survivors who receive nutrition advice, the sources of that advice and to explore the nutrition advice this cohort would like to have received. Methods: A descriptive cross-sectional survey was completed by 211 cancer patients and survivors recruited through two hospitals in the North-West of Ireland. The survey consisted of open-ended and closed questions that aimed to explore the provision of and sources of nutrition advice and desired guidance in this cohort. Descriptive analysis was conducted using SPPS, while open-ended questions underwent thematic analysis. Results: Respondents were mainly female (n = 133; 63%), aged 50-69 years old (n = 118; 56%), attending the outpatient department (n = 128; 60.7%) and < 5 years since diagnosis (n = 150; 71.7%). Breast (n = 69; 32.7%) was the most common cancer type. Respondents experienced a mean ± SD of 5 ± 3.1 nutrition impact symptoms. The most common was changes in taste/ smell (n = 122; 57.8%). Although 53.6% (n = 113) reported being given advice, only 34.1% (n = 72) received this advice from a dietitian. The main sources of nutritional advice were friends and family. Respondents expressed their desire for nutrition advice from a dietitian and that this should be individualised, clear and practical. There was also a desire to avoid misinformation and uncertainty. Conclusions: The results of the present study can be used to help tailor nutrition support for this group. There is a need to ensure that patients and survivors consistently receive evidence-based advice tailored to their needs, cancer type and treatment stage.

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Identifying Knowledge and Practices regarding Cancer Patient Malnutrition: A Survey Study among Oncologists

Cited by 9 publications

References 24 publications

Nutrition care is an integral part of patient-centred medical care: a European consensus

Nutrition care is an integral part of patient-centred medical care: a European consensus

Prognostic Value of Artificial Intelligence-Driven, Computed Tomography-Based, Volumetric Assessment of the Volume and Density of Muscle in Patients With Colon Cancer

Sources of nutrition advice and desired nutrition guidance in oncology care: Patient's perspectives

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