Preoperative Nutritional Optimization of the Oncology Patient: A Scoping Review.

Autor:	Brajcich BC; From the Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL (Brajcich, Ko).; Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern Medicine, Chicago, IL (Brajcich)., Stigall K; San Antonio Military Medical Center, JBSA-Ft. Sam Houston, San Antonio, TX (Stigall)., Walsh DS; Division of Pediatric Surgery, East Carolina University Brody School of Medicine, Greenville, NC (Walsh)., Varghese TK; Division of Cardiothoracic Surgery, University of Utah, Salt Lake City, UT (Varghese)., Barber AE; Department of Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV (Barber)., Kralovich KA; Department of Surgery, Henry Ford Health System, Detroit, MI (Kralovich)., Wescott AB; Northwestern University Feinberg School of Medicine, Chicago, IL (Wescott)., Pockaj BA; Mayo Clinic, Phoenix, AZ (Pockaj)., Ko CY; From the Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL (Brajcich, Ko).; Department of Surgery, David Geffen School of Medicine at the University of California-Los Angeles, Los Angeles, CA (Ko).; The Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK (Ko)., Laronga C; Department of Breast Oncology, Moffitt Cancer Center, Tampa, FL (Laronga).
Jazyk:	angličtina
Zdroj:	Journal of the American College of Surgeons [J Am Coll Surg] 2022 Mar 01; Vol. 234 (3), pp. 384-394.
DOI:	10.1097/XCS.0000000000000055
Abstrakt:	Background: Malnutrition is common among patients with cancer and is a known risk factor for poor postoperative outcomes; however, preoperative nutritional optimization guidelines are lacking in this high-risk population. The objective of this study was to review the evidence regarding preoperative nutritional optimization of patients undergoing general surgical operations for the treatment of cancer. Methods: A literature search was performed across the Ovid (MEDLINE), Cochrane Library (Wiley), Embase (Elsevier), CINAHL (EBSCOhost), and Web of Science (Clarivate) databases. Eligible studies included randomized clinical trials, observational studies, reviews, and meta-analyses published between 2010 and 2020. Included studies evaluated clinical outcomes after preoperative nutritional interventions among adult patients undergoing surgery for gastrointestinal cancer. Data extraction was performed using a template developed and tested by the study team. Results: A total of 5,505 publications were identified, of which 69 studies were included for data synthesis after screening and full text review. These studies evaluated preoperative nutritional counseling, protein-calorie supplementation, immunonutrition supplementation, and probiotic or symbiotic supplementation. Conclusions: Preoperative nutritional counseling and immunonutrition supplementation should be considered for patients undergoing surgical treatment of gastrointestinal malignancy. For malnourished patients, protein-calorie supplementation should be considered, and for patients undergoing colorectal cancer surgery, probiotics or symbiotic supplementation should be considered. (Copyright © 2022 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu