Nutritional Status of Cancer Patients upon Admission

김은경,; 양영희,; 최스미,

doi:10.4040/jkan.1999.29.2.271

Cited by 4 publications

(2 citation statements)

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“…11 Additional studies also suggest that specific patient populations such as patients with cancer diagnoses may derive even more benefit from a prophylactic intervention. 16,17 Due to malnourishment and rapid weight loss in the setting of compromised immune systems, higher systemic inflammatory markers, adjuvant therapies, 26,27 cancer patients are often at a higher risk for wound complications. While the NSQIP database did not include enough oncologic spine patients to specifically analyze this subpopulation, it will be important to use database-driven studies to better understand the unique risk for wound complications associated with specific diagnoses.…”

Section: Discussionmentioning

confidence: 99%

Muscle Flap Closures in Spine Surgery

Price¹,

Tillis

Howell³

et al. 2021

Clinical Spine Surgery: A Spine Publication

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Study Design: Retrospective cohort study using the National Surgical Quality Improvement Program. Objective: The objective of this study was to identify preoperative factors that impact the decision to perform prophylactic muscle flap closure and assess risk factors for wound healing complications in patients undergoing spinal procedures with and without muscle flap closure. Summary of Background Data: Prior studies suggest that muscle flap closure following complex spine surgery results in a lower risk of wound healing complications. However, these studies have been limited to single institutions and/or surgeons. Methods: The National Surgical Quality Improvement Program database was queried for all patients undergoing spine surgery between 2005 and 2017 with and without concomitant muscle flaps. Preoperative and perioperative variables were extracted. Univariate and multivariate analyses were performed to assess risk factors influencing surgical site infection (SSI) and wound disruption, as well as to delineate which preoperative factors increased the likelihood of patients receiving flap closures a priori. Results: Concomitant muscle flaps were performed on 758 patients; 301,670 patients did not receive a flap. Overall 29 (3.83%) patients in the flap group experienced SSI compared to 5154 (1.71%) in the nonflap group (P<0.0001). Preoperative steroid use [odds ratio (OR) 0.5; P<0.0001], wound infection (OR 0.24; P<0.0001), elevated white blood cell count (OR 1.034; P<0.0001), low hematocrit (OR 0.94; P<0.0001), preoperative transfusion (OR 0.22; P=0.0068) were significantly associated with utilization of muscle flaps. Perioperative factors including a contaminated wound (OR 4.72; P<0.0001), the American Society of Anesthesiologists classification of severe disease (OR 1.92; P=0.024), and longer operative time (OR 1.001; P=0.0024) were significantly associated with postoperative wound disruption. In addition, after propensity score matching for these factors that increase risk of wound complications, there was no difference in the rates of SSI between the flap and nonflap group. Conclusion: Our results suggest that patients with a higher burden of illness preoperatively are more likely to receive prophylactic paraspinal flaps which can reduce the rates of wound-related complications.

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Section: Discussionmentioning

confidence: 99%

Muscle Flap Closures in Spine Surgery

Price¹,

Tillis

Howell³

et al. 2021

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

show abstract

“…Nutritional status of patients with cancer is a major factor contributing to the recovery and prevention of complications, and considering that malnutrition can act as a major cause of death in such patients, it is important to detect nutritional problems and improve nutritional health of patients at an early stage to prevent nutrition-related complications [ 7 ]. According to the report ‘Diet, Nutrition, Physical Activity, and Colorectal Cancer’ published by the World Cancer Research Fund (WCRF), the consumption of alcohol, processed meat, and red meat has been reported to be the main factor responsible for the increased risk of colorectal cancer [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

et al. 2023

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Patients with colorectal cancer may experience symptoms such as diarrhea, nausea, and anorexia, during surgery and chemotherapy, which can increase the risk of malnutrition. In addition, dietary habits play a key role in the onset of colorectal cancer; therefore, it is necessary to improve dietary habits to prevent recurrence during treatment after diagnosis. In this study, a clinical nutritionist conducted 4 interviews for patients diagnosed with colorectal cancer and scheduled for colectomy: before surgery, after surgery, 1st chemotherapy, and 2nd chemotherapy, and provided nutrition care for each treatment course to determine its effects on nutrition status and disease prognosis. Significant weight loss but no decrease in muscle mass was observed during treatment. Body fat mass, although not statistically significant, showed a decreasing tendency. The percentage of people who responded ‘yes’ to the below items increased after compared to before receiving nutrition education: ‘I eat meat or eggs more than 5 times a week,’ ‘I eat seafood at least three times a week,’ ‘I eat vegetables at every meal,’ ‘I eat fruits every day,’ and ‘I eat milk or dairy products every day.’ These results indicate that the patients changed their dietary habit from a monotonous eating pattern to a pattern of consuming various food groups after receiving nutrition education. These results suggest that continuous nutrition care by clinical dietitians, according to the patient’s treatment process, can help improve the patient's nutritional status and establish healthy eating habits.

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Body Fat Percentage and Natural Killer Cell Activity of Breast and Rectal Cancer Patients after Diagnosis but before Treatment

Kim

Jun

2008

J Korean Acad Nurs

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Purpose: To examine the relationship between body fat percentage (BFP) and N-K cell activity (NKCA) in Korean breast and rectal cancer patients just after diagnosis. Methods: With 35 subjects enrolled between November 2002 and May 2003, Bioelectrical Impedance Analysis was used to estimate BFP. FACS Analysis was used to measure N-K cell activity. The relationships between BFP and NKCA were identified by using curve estimation, simple regression, and multiple regression. Results: The mean BFPs of the subjects and all the sub-groups were higher than acceptable BFPs. Both the mean NKCAs of male and female subjects were lower than that of healthy women. NKCA was explained by BFP with a 14.9% variance in the total subjects (p<.05). There were significant negative relationships between BFP and NKCA after controlling age, type of cancer, and stage of cancer while no significant relationship was found after controlling for gender. The relationships between BFP and NKCA in the sub-groups of female, breast cancer, and stage I, and II were significant. The relationships between male, rectal cancer, and the stage III, and VI sub-groups were not identified, but they revealed a mild to moderate steep in curve estimation. Conclusion: Weight reduction could prevent the risk and advancement of breast and rectal cancer in Koreans.

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Nutritional Status of Cancer Patients upon Admission

Cited by 4 publications

References 0 publications

Muscle Flap Closures in Spine Surgery

Muscle Flap Closures in Spine Surgery

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

Body Fat Percentage and Natural Killer Cell Activity of Breast and Rectal Cancer Patients after Diagnosis but before Treatment

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