Nutritional support and parenteral nutrition in cancer patients: An expert consensus report

Bretón, María Julia Ocón; Pérez, Luis Miguel Luengo; Virizuela, Juan Antonio; Hernández, Julia Álvarez; Fonseca, Paula; Peris, Mercedes Cervera; Madroño, M.J. Sendros; Grande, Enrique; Álvarez, Manuel

doi:10.1016/j.endien.2017.10.016

Cited by 3 publications

(8 citation statements)

References 33 publications

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“…Detecting early malnutrition signs is crucial not only at the time of diagnosis, but also at all times of the treatment pathway [ 20 , 22 – 24 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…Cancer patients represent a changing scenario. Malnutrition may occur at any time and will usually be progressive [ 20 , 22 – 24 ]. Recommendation 2: pancreatic cancer patient nutritional status needs to be considered as a dynamic reality, which depends on multiple factors, and should be reassessed periodically during the different phases of disease treatment pathway (strong consensus).…”

Section: Resultsmentioning

confidence: 99%

“…Cancer patients represent a changing scenario. Malnutrition may occur at any time and will usually be progressive [ 20 , 22 – 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…Identifying patients at risk of malnutrition and delivering the most appropriate and early interventions may be beneficial for patients’ outcomes and QoL [ 17 , 22 ]. Nutritional assessment and nutritional intervention at diagnosis and during treatment have been recommended for all cancer patients [ 20 , 22 – 24 ].…”

Section: Introductionmentioning

confidence: 99%

“…Various nutritional screening tools have been developed and validated for identifying patients at risk of malnutrition [ 20 , 22 – 24 ]. These tools, in conjunction with other parameters, including BMI and other markers such as albumin and prealbumin, can help guide strategies to improve patient nutrition [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinical nutrition as part of the treatment pathway of pancreatic cancer patients: an expert consensus

et al. 2021

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Purpose Malnutrition is a common problem among pancreatic cancer (PC) patients that negatively impacts on their quality of life (QoL) and clinical outcomes. The main objective of this consensus is to address the role of Medical Nutrition Therapy (MNT) into the comprehensive therapeutic management of PC patients. Methods A Spanish multidisciplinary group of specialists from the areas of Medical Oncology; Radiation Oncology; Endocrinology and Nutrition; and General Surgery agreed to assess the role of MNT as part of the best therapeutic management of PC patients. Results The panel established different recommendations focused on nutritional screening and nutritional screening tools, MNT strategies according to PC status, and MNT in palliative treatment. Conclusions There is an unmet need to integrate nutritional therapy as a crucial part of the multimodal care process in PC patients. Health authorities, health care professionals, cancer patients, and their families should be aware of the relevance of nutritional status and MNT on clinical outcomes and QoL of PC patients.

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“…Detecting early malnutrition signs is crucial not only at the time of diagnosis, but also at all times of the treatment pathway [ 20 , 22 – 24 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Cancer patients represent a changing scenario. Malnutrition may occur at any time and will usually be progressive [ 20 , 22 – 24 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical nutrition as part of the treatment pathway of pancreatic cancer patients: an expert consensus

et al. 2021

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Heterogeneity of nutrition care procedures in nutrition guidelines for cancer patients

Zhao

Yang

et al. 2020

Clinical Nutrition

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Efecto de la inmunonutrición enteral como estrategia nutricional en pacientes oncológicos hospitalizados sometidos a cirugías mayores gastrointestinales: Revisión sistemática y metaanálisis

Recoba Obregon

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El paciente oncológico con tratamiento quirúrgico gástrico o de colon con desnutrición, pueden presentar alteraciones con respeto a la respuesta inflamatoria y complicaciones post operatorias. El objetivo de este estudio fue evaluar, a partir de una revisión sistemática con metaanálisis, el efecto de la inmunonutrición enteral (arginina, glutamina, omega 3 y nucleótidos) como estrategia nutricional en pacientes oncológicos hospitalizados sometidos a cirugías mayores gastrointestinales para la disminuir las complicaciones post operatorias y modificar los cambios en la respuesta inflamatoria. Se revisó la literatura tanto en español, inglés y portugués para recolectar la información registrada en las bases de datos Medline a través de Ovid, Cochrane (Central), Scopus, Web of Science y EMBASE. Adicionalmente se realizó la búsqueda en los motores como Google Académico y Trip Data Base. Se detectaron 1236 artículos relacionados al tema, de los cuales se seleccionaron 18 ensayos clínicos aleatorizados (ECA) internacionales (5,5 % desarrollados en América, 50 % en Asia y 44,5 % en Europa). Esta selección se basó en los criterios de inclusión-exclusión, y mediante la metodología de la herramienta Cochrane, para la clasificación de la calidad de la evidencia en la tabla de resumen y graduación de la fuerza de recomendación se utilizó el sistema GRADE. Por lo tanto, los criterios de selección de la literatura para este estudio, permitieron identificar un nivel de certeza baja y fuerza de recomendación fuerte para los resultados de complicaciones post operatorias por infecciones (RR 0.74 IC 95%; 0.60-0.90, p=0.003; I2=12%) para el tratamiento con inmunonutrición enteral, aplicada a pacientes con cáncer gástrico y colon. Este resultado avala el efecto favorable de la inmunonutrición enteral en el manejo de las complicaciones post operatorias infecciosas en el paciente oncológico con cirugías mayores gastrointestinales.

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Nutritional support and parenteral nutrition in cancer patients: An expert consensus report

Cited by 3 publications

References 33 publications

Clinical nutrition as part of the treatment pathway of pancreatic cancer patients: an expert consensus

Clinical nutrition as part of the treatment pathway of pancreatic cancer patients: an expert consensus

Heterogeneity of nutrition care procedures in nutrition guidelines for cancer patients

Efecto de la inmunonutrición enteral como estrategia nutricional en pacientes oncológicos hospitalizados sometidos a cirugías mayores gastrointestinales: Revisión sistemática y metaanálisis

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