Integrated nutritional care in cancer; about time?

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Current Opinion in Supportive and Palliative Care Pub Date : 2025-07-21 DOI:10.1097/SPC.0000000000000765

Kristin Solheim Hustad, Stein Kaasa, Barry J A Laird

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引用次数: 0

Abstract

Purpose: Nutritional care is consistently overlooked in oncology practice. It is a critical factor everyone acknowledges, but few actively address, leaving patients neglected. This article explores the challenges of ensuring optimal nutritional care in oncology.

Recent findings: Significant disparities have been identified among key cancer nutrition guidelines issued by the European Society for Clinical Nutrition and Metabolism (ESPEN), the European Society for Medical Oncology (ESMO) and the American Society for Clinical Oncology (ASCO). While some emphasise comprehensive nutritional assessments, others focus on pharmacological interventions. Although aligning guideline recommendations with the Global Leadership Initiative on Malnutrition (GLIM) criteria can be complex, there are shared principles that support effective identification and management of malnutrition and cachexia in clinical settings. The key barriers that oncology health professionals face are also highlighted as these are likely to impeded good nutritional care.

Summary: There is a need for a standardised, pragmatic approach in assessment and management of nutrition in patients with cancer. This will facilitate the integration of nutrition into cancer care and help overcome barriers. Emerging digital solutions may serve as a conduit to improve nutritional cancer care and enhance communication between patients and healthcare providers and streamline evidence-based nutritional care in oncology.

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癌症综合营养护理；约时间吗?

目的：在肿瘤学实践中，营养护理一直被忽视。这是每个人都承认的一个关键因素，但很少有人积极解决，导致患者被忽视。这篇文章探讨了在肿瘤学中确保最佳营养护理的挑战。最近的研究发现：欧洲临床营养与代谢学会（ESPEN）、欧洲肿瘤医学学会（ESMO）和美国临床肿瘤学会（ASCO）发布的主要癌症营养指南之间存在显著差异。一些人强调全面的营养评估，另一些人则侧重于药物干预。尽管将指南建议与全球营养不良领导倡议（GLIM）标准相一致可能很复杂，但在临床环境中，有一些共同的原则可以支持有效识别和管理营养不良和恶病质。肿瘤卫生专业人员面临的主要障碍也被强调，因为这些可能阻碍良好的营养护理。总结：需要一种标准化的、实用的方法来评估和管理癌症患者的营养。这将有助于将营养纳入癌症治疗并帮助克服障碍。新兴的数字解决方案可以作为改善癌症营养护理的渠道，加强患者和医疗保健提供者之间的沟通，并简化肿瘤循证营养护理。

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

Current Opinion in Supportive and Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.70

自引率

0.00%

发文量

期刊介绍： A reader-friendly resource, Current Opinion in Supportive and Palliative Care provides an up-to-date account of the most important advances in the field of supportive and palliative care. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including end-of-life management, gastrointestinal systems and respiratory problems. Current Opinion in Supportive and Palliative Care is an indispensable journal for the busy clinician, researcher or student.