Standardizing Nutritional Care for Cancer Patients: Implementation and Evaluation of a Malnutrition Risk Screening.

IF 2 4区医学 Q3 ONCOLOGY

Oncology Research and Treatment Pub Date : 2024-11-07 DOI:10.1159/000542460

Viktoria Mathies, Anna P Kipp, Jakob Hammersen, Karin G Schrenk, Sebastian Scholl, Ulf Schnetzke, Andreas Hochhaus, Thomas Ernst

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引用次数: 0

Abstract

Introduction: Cancer-related malnutrition is a highly prevalent, yet often overlooked concern in clinical practice. Although cancer-related management guidelines recommend standardized nutritional care, its implementation is scarce. The aim of this study was to investigate the prevalence of malnutrition and the medical need for nutrition counseling in cancer patients employing a novel standardized nutritional management program (containing malnutrition risk screening, nutritional assessment, and counseling). Furthermore, differences of malnutrition parameters in different cancer patient cohorts were examined.

Methods: Cancer patients were screened for malnutrition using the Patient-Generated Subjective Global Assessment Short Form (PG-SGA SF) on the first day of their inpatient admission to the internal oncology or hematology wards. PG-SGA total score and classification into the three PG-SGA nutrition stages (A, B, C) were used to determine nutritional status. In case of a positive screening, nutritional assessment and individualized counseling by a nutritionist followed. For group comparisons, patients were divided into different groups (e.g., age, gender, tumor entity) and were evaluated accordingly.

Results: A total of 1,100 inpatients were included. 56.8% of the patients had suspected or already existing malnutrition. The most common nutrition impact symptom was loss of appetite (26.7%), followed by fatigue (16.5%) and pain (16.0%). Female (p < 0.001), elderly (p < 0.001), and patients with upper gastrointestinal tract tumors (p < 0.001) showed an unfavorable nutritional status and higher need for counseling. Despite suffering from malnutrition, patients had body mass indices within the upper end of the normal range.

Conclusion: This study shows a high prevalence of malnutrition in hospitalized cancer patients and highlights the need for a standardized nutritional management in the clinical setting. Therefore, it is recommended to provide a malnutrition risk screening for all cancer patients and a following adequate assessment and personalized nutritional care if needed.

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癌症患者营养护理标准化：营养不良风险筛查的实施与评估。

导言癌症相关营养不良是临床实践中一个非常普遍但又经常被忽视的问题。尽管癌症相关管理指南推荐使用标准化营养护理，但其实施却很少。本研究旨在调查癌症患者营养不良的发生率和营养咨询的医疗需求，并采用一种新型的标准化营养管理方案（包括营养不良风险筛查、营养评估和咨询）。此外，还研究了不同癌症患者组群营养不良参数的差异。方法癌症患者在入住肿瘤内科或血液内科病房的第一天，使用患者生成的主观全面评估简表（PG-SGA SF）进行营养不良筛查。PG-SGA 总分和 PG-SGA 营养三阶段（A、B、C）分类用于确定营养状况。如果筛查结果呈阳性，则由营养师进行营养评估和个体化辅导。为了进行分组比较，将患者分为不同的组别（如年龄、性别、肿瘤实体），并进行相应的评估。结果共纳入 1100 名住院患者。56.8%的患者怀疑或已经存在营养不良。最常见的营养影响症状是食欲不振（26.7%），其次是疲劳（16.5%）和疼痛（16.0%）。女性（p < 0.001）、老年人（p < 0.001）和上消化道肿瘤患者（p < 0.001）的营养状况较差，更需要心理咨询。尽管营养不良，但患者的体重指数仍在正常范围的上限。结论本研究表明，住院癌症患者营养不良的发生率很高，并强调了在临床环境中进行标准化营养管理的必要性。因此，建议对所有癌症患者进行营养不良风险筛查，并在需要时进行充分评估和个性化营养护理。

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

Oncology Research and Treatment ONCOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

期刊介绍： With the first issue in 2014, the journal ''Onkologie'' has changed its title to ''Oncology Research and Treatment''. By this change, publisher and editor set the scene for the further development of this interdisciplinary journal. The English title makes it clear that the articles are published in English – a logical step for the journal, which is listed in all relevant international databases. For excellent manuscripts, a ''Fast Track'' was introduced: The review is carried out within 2 weeks; after acceptance the papers are published online within 14 days and immediately released as ''Editor’s Choice'' to provide the authors with maximum visibility of their results. Interesting case reports are published in the section ''Novel Insights from Clinical Practice'' which clearly highlights the scientific advances which the report presents.