Effectiveness of Nutrition Support Team Intervention in Pediatric Patients with Cancer.

IF 0.7 4区医学 Q4 NUTRITION & DIETETICS

Journal of nutritional science and vitaminology Pub Date : 2024-01-01 DOI:10.3177/jnsv.70.328

Midori Shimizu, Akio Shimizu, Tetsuya Takamasu, Hiroaki Goto, Hideki Taniguchi

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Abstract

Malnutrition in children with cancer is associated with poor prognosis. This study aimed to determine whether nutritional support team (NST) interventions prevent adverse events and improve the nutritional status in pediatric patients admitted for cancer treatment. This was a historical cohort study of pediatric patients with acute lymphocytic leukemia, acute myeloid leukemia, neuroblastoma, or brain tumor who received chemotherapy or underwent hematopoietic stem cell transplantation. Patients admitted between June 2013 and October 2014 were classified into the intervention group. Those admitted between January 2011 and December 2012 were classified into the control group. We created a homogeneous probability model using the inverse probability of treatment weighting method, and compared outcomes. A total of 75 patients were included in the study (38 and 37 in the intervention and control groups, respectively). The intervention group had significantly fewer incidents of nothing by mouth (nil per os [NPO]) (p=0.037) and days of NPO (p=0.046) than the control group. There was no significant difference between the intervention and control groups regarding the change in body mass index z-score between admission and discharge (p=0.376). NST interventions for children with cancer were associated with a reduction in the number of NPO occurrences and NPO days. These findings suggest that NST interventions contribute to continued oral intake.

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营养支持团队对儿科癌症患者的干预效果。

癌症儿童营养不良与预后不良有关。本研究旨在确定营养支持小组（NST）的干预措施是否能预防不良事件的发生，并改善接受癌症治疗的儿科患者的营养状况。这是一项历史队列研究，研究对象为接受化疗或造血干细胞移植的急性淋巴细胞白血病、急性髓性白血病、神经母细胞瘤或脑肿瘤儿科患者。2013年6月至2014年10月期间入院的患者被归入干预组。2011年1月至2012年12月期间入院的患者被归入对照组。我们使用治疗的逆概率加权法创建了一个同质概率模型，并对结果进行了比较。研究共纳入 75 名患者（干预组和对照组分别为 38 人和 37 人）。与对照组相比，干预组患者口服无药（nil per os [NPO]）的次数（p=0.037）和无药天数（p=0.046）明显减少。干预组和对照组在入院和出院之间的体重指数 z 值变化方面没有明显差异（p=0.376）。对癌症患儿进行 NST 干预与减少 NPO 发生次数和 NPO 天数有关。这些研究结果表明，NST 干预有助于持续口腔摄入。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of nutritional science and vitaminology 医学-营养学

CiteScore

1.80

自引率

6.20%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Nutritional Science and Vitaminology is an international medium publishing in English of original work in all branches of nutritional science, food science and vitaminology from any country. Manuscripts submitted for publication should be as concise as possible and must be based on the results of original research or of original interpretation of existing knowledge not previously published. Although data may have been reported, in part, in preliminary or abstract form, a full report of such research is unacceptable if it has been or will be submitted for consideration by another journal.