The Role of Nurse in the Multidisciplinary Management of Cancer Cachexia

Zhao, Yiyuan; Pang, Dong; Lu, Yuhan

doi:10.4103/apjon.apjon-2123

Cited by 13 publications

(11 citation statements)

References 67 publications

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“…The condition should be comprehensively assessed; however, doing so is difficult because of a lack of standardized tools and limited human resources. 21 , 23 , 38 Research on clinically usable and effective methods is being conducted currently. 39 , 40 , 41 …”

Section: Discussionmentioning

confidence: 99%

“…45 There are few nurse-led studies for cancer cachexia, and nurses rarely learn about cancer cachexia in pre-graduate education. 23 , 38 Studies have reported that even oncology nurses may not be fully aware of the prevalence of early stage cancer cachexia, which is reversible. 2 , 46 This is consistent with this study's results, which showed that nurses may not have the knowledge of the reversible “cachexia” defined by the EPCRC, such as skeletal muscle mass loss and rate of weight loss.…”

Section: Discussionmentioning

confidence: 99%

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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

Sato

Hayashi

Nakayama

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Sato

Hayashi

Nakayama

et al. 2022

Asia-Pacific Journal of Oncology Nursing

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“…Finally, the case manager nurse represents an increased value of a multidisciplinary team, considering the pivotal role in the interaction among parents, physicians, and the children, in sedation for MRI or UDS preparation, coordinating outpatient activities, and suggesting strategies for urinary or bowel management. The case manager has a defined role among individuals with open spina bifida, facilitating access to team-based, patient- and family-centered coordinated care for medical needs [ 14 , 28 ], as also demonstrated in other fields such as oncology [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary Management of Children with Occult Spinal Dysraphism: A Comprehensive Journey from Birth to Adulthood

Vetrano

Barbotti²,

Erbetta³

et al. 2022

Children

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Occult spinal dysraphism (OSD) comprises different forms of failure in embryogenic development that can lead to genitourinary, spinal, or lower limb alterations, thus determining progressive neurological deterioration. The correct management of children harboring OSD represents a significant issue during their life up to adulthood. However, patients often have to entertain individual consultations with each specialist. We settled on a multidisciplinary team comprising pediatric neurosurgeons, urologists, neurologists, orthopedists, and other supporting physicians. We present the results of such actions by analyzing a series of 141 children with OSD subjected to neurosurgical procedures, evaluating the impact of multidisciplinary management on outcomes. We also evaluated the specific actions according to the different ages of OSD patients from birth to adulthood to provide a schematic plan that could represent a basis for establishing and disseminating the need for a multidisciplinary approach in OSD management. The multidisciplinary team allows all consultants to see the patient together, covering specific aspects of history and examination pertinent to their management. Offering a one-stop service prevents coordination issues between the different medical teams, avoids delays or cancellations of the various appointments, optimizes cost-effectiveness, and improves efficiency and parents’ satisfaction.

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“…The impact of nutrition status throughout the care continuum on QoL, functional and emotional well-being, and on clinical outcomes have been underappreciated in favour of quantifiable, measurable end-points of interest to pharmaceutical regulators [72][73][74][75][76][77]. Despite strong recommendations for multimodal management of cancer-related malnutrition, the implementation of such multidisciplinary care is in its infancy [7,[78][79][80][81][82][83][84].…”

Section: Integrating Nutrition Into Cancer Care Is Evidence-basedmentioning

confidence: 99%

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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The Role of Nurse in the Multidisciplinary Management of Cancer Cachexia

Cited by 13 publications

References 67 publications

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

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

Multidisciplinary Management of Children with Occult Spinal Dysraphism: A Comprehensive Journey from Birth to Adulthood

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

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