Integral nutritional approach to the care of cancer patients: results from a Delphi panel
Clin. transl. oncol. (Print)
; 20(9): 1202-1211, sept. 2018. tab, graf
Artigo
em Inglês
| IBECS
| ID: ibc-173706
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Introduction:
Malnutrition is a common complication in cancer patients and can negatively affect the outcome of treatments. This study aimed to reach a consensus on nutritional needs and optimize nutritional care in the management of cancer patients at a national level.Methods:
A qualitative, multicenter, two-round Delphi study involving 52 specialists with experience in nutritional support in cancer patients was conducted.Results:
Regarding the presence of malnutrition, 57.7% of the participants stated that < 30% of the patients had malnutrition at the time of diagnosis, 40.4% considered that 31-50% had malnutrition during cancer treatment, and 26.9% that > 50% at the end of the treatment. Forty percent of participants believed that the main objective of nutritional treatment was to improve quality of life and 34.6% to improve tolerability and adherence to chemotherapy. The quality nutritional care provided at their centers was rated as medium-low by 67.3%. Enteral and parenteral nutrition was administered to less than 10% and less than 5% of patients in 40.4 and 76.9% of cases, respectively. In relation to nutritional screening at the time of diagnosis, 62.9% of participants considered than screening to assess the risk of malnutrition was performed in < 30% of patients.Conclusions:
There is an important variability in the management of cancer patient nutrition, which is associated with the absence of a national consensus on nutritional support in this field. Given the incidence of nutritional disorders in cancer patients, a specialist in clinical nutrition (regardless of his/her specialty) should be integrated into the strategic cancer planRESUMEN
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Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Desnutrição
/
Terapia Nutricional
/
Neoplasias
Tipo de estudo:
Ensaio clínico controlado
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Pesquisa qualitativa
Aspecto:
Determinantes sociais da saúde
/
Preferência do paciente
Limite:
Humanos
Idioma:
Inglês
Revista:
Clin. transl. oncol. (Print)
Ano de publicação:
2018
Tipo de documento:
Artigo
Instituição/País de afiliação:
Centro Integral Oncológico Clara Campal (HM CIOCC)/Spain
/
Clínica Diagonal/Spain
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Hospital HLA-Vistahermosa/Spain
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Hospital Universitari Sant Joan de Reus/Spain
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Hospital Universitario Central de Asturias (HUCA)/Spain
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Hospital Universitario Rey Juan Carlos/Spain
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Hospital Universitario Virgen del Rocío/Spain