Nutritional management of cancer patients in clinical practice in Spain: patients’ and multidisciplinary health care professionals’ perceptions

Sánchez-Sánchez, Eduardo; Orúe, Itxaso; Guerra, Juan Antonio; Estornell, María Ana; Barragán, Begoña; Blanco, Mercedes; Comellas, Marta; Cáncer, Emilia

doi:10.1038/s41430-022-01251-x

Cited by 6 publications

(12 citation statements)

References 32 publications

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“…Four surveys focused on HCPs in medical oncology or palliative/supportive care, 9,10,18,19 while one targeted HCPs in general medicine. 11 In Australia and New Zealand, 36.3% of HCPs lacked confidence in managing cancer cachexia, 19 which aligns with our findings. Additionally, two studies 9,19 reported that 35-83% of HCPs misunderstood the weight loss cut-off.…”

Section: Discussionsupporting

confidence: 87%

“…In Spain, Australia and New Zealand, and the United States, most HCPs prescribed multimodal interventions. 11,18,19 However, an Italian study 10 revealed that 20% of HCPs did not provide nutritional therapy due to resource limitations, reflecting challenges similar to Japan's situation in nutrition specialist availability. Moreover, two studies 11,19 highlighted HCPs' lack of education on nutrition or cancer cachexia, mirroring the situation in Japan.…”

Section: Discussionmentioning

confidence: 99%

“…11,18,19 However, an Italian study 10 revealed that 20% of HCPs did not provide nutritional therapy due to resource limitations, reflecting challenges similar to Japan's situation in nutrition specialist availability. Moreover, two studies 11,19 highlighted HCPs' lack of education on nutrition or cancer cachexia, mirroring the situation in Japan. These findings suggest similarities and differences between Japanese and global medical communities in addressing cancer cachexia.…”

Section: Discussionmentioning

confidence: 99%

“…9 Other surveys in Italy and Spain also found that approximately 40% of HCPs assessed nutritional status only at the patients' request. 10,11 Nurses' awareness of cancer cachexia is also poor because it is not adopted in pre-graduate and postgraduate education curricula in many countries. 12 Moreover, many patients and caregivers are unaware of the term cachexia and its significance 13 because HCPs provide little information about it.…”

Section: Introductionmentioning

confidence: 99%

“…9,10,[17][18][19] Few surveys have targeted HCPs managing patients with cancer in general medicine or home care facilities. 11,16 Similarly, most surveys included medical oncologists, dietitians and nurses specializing in oncology, [9][10][11][17][18][19] while a few have included other professionals involved in interprofessional cachexia care, including pharmacists, rehabilitation therapists, psychotherapists or social workers. 11,16,17,19 Finally, most surveys were weighted towards domains in knowledge, awareness and personal practice, 9,11,17,18 with a few surveys simultaneously asking balanced questions about confidence, team practice and education.…”

Section: Introductionmentioning

confidence: 99%

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The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey

Naito,

Wakabayashi,

Aso

et al. 2023

J cachexia sarcopenia muscle

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BackgroundCancer cachexia is a severe complication of advanced malignancy, with few therapeutic options. To promote interprofessional care for cancer cachexia, healthcare providers' needs should be addressed in detail. This pre‐planned subgroup analysis of the Global Educational Needs Evaluation: a systemic interprofessional study in cancer cachexia (GENESIS‐CC) survey aimed to identify barriers to interprofessional care of cancer cachexia in Japan.MethodsA nationwide survey was electronically conducted for healthcare providers in oncological or general healthcare facilities from January to March 2021 in Japan. The Japanese Regional Advisory Board developed a barrier scoring system with 33 from the 58 original survey items to quantify six domains of barriers: (1) lack of confidence, (2) lack of knowledge, (3) barriers in personal practice, (4) barriers in perception, (5) barriers in team practice and (6) barriers in education. The largest possible barrier score was set at 100 points. We compared the scores by profession.ResultsA total of 1227 valid responses were obtained from 302 (24.6%) physicians, 252 (20.5%) pharmacists, 236 (19.2%) nurses, 218 (17.8%) dietitians, 193 (15.7%) rehabilitation therapists and 26 (2.0%) other professionals. Overall, 460 (37.5%) were not very or at all confident about cancer cachexia care, 791 (84.1%) agreed or strongly agreed that care was influenced by reimbursement availability and 774 (81.9%) did not have cancer cachexia as a mandatory curriculum. The largest mean barrier score (± standard deviation) was 63.7 ± 31.3 for education, followed by 55.6 ± 21.8 for team practice, 43.7 ± 32.5 for knowledge, 42.8 ± 17.7 for perception and 36.5 ± 16.7 for personal practice. There were statistically significant interprofessional differences in all domains (P < 0.05), especially for pharmacists and nurses with the highest or second highest scores in most domains.ConclusionsThere is a need to improve the educational system and team practices of cancer cachexia for most Japanese healthcare providers, especially pharmacists and nurses. Our study suggests the need to reform the mandatory educational curriculum and reimbursement system on cancer cachexia to promote interprofessional care for cancer cachexia in Japan.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey

Naito,

Wakabayashi,

Aso

et al. 2023

J cachexia sarcopenia muscle

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Adenocarcinoma involving the urinary bladder

et al. 2023

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A man in his 70s previously diagnosed with an adenocarcinoma of the prostate, received external beam radiation therapy (EBRT) and brachytherapy 11 years ago. Ten years later, he developed urinary symptoms and a cystoscopy identified a bladder neck tumour. A transurethral resection of a bladder tumour was performed, and pathology revealed a high-grade adenocarcinoma consistent with a colorectal primary. A colonoscopy was unremarkable, and imaging studies showed tumour involving the bladder and prostate. Tumour markers and a CARIS genomic prevalence score also favoured a colorectal cancer primary.The patient refused surgery and underwent chemoradiation with a combination of EBRT and brachytherapy with concurrent capecitabine. Imaging studies obtained 6 months after reirradiation revealed an enlarged left-sided mesorectal lymph node concerning for disease recurrence. The lymph node was treated with Stereotactic Body Radiation Therapy and his post-treatment imaging revealed a response to treatment with no other evidence of disease.

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Improving the nutritional care of oncology patients — Validation of a multidisciplinary protocol in the Spanish clinical setting

García Almeida,

Cornejo Pareja,

Fernández Jiménez

et al. 2024

Nutr Hosp

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Nutritional management of cancer patients in clinical practice in Spain: patients’ and multidisciplinary health care professionals’ perceptions

Cited by 6 publications

References 32 publications

The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey

The barriers to interprofessional care for cancer cachexia among Japanese healthcare providers: A nationwide survey

Adenocarcinoma involving the urinary bladder

Improving the nutritional care of oncology patients — Validation of a multidisciplinary protocol in the Spanish clinical setting

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