Poor nutrition status associated with low patient satisfaction six months into treatment for head and neck/esophageal cancer treatment: A prospective multicenter cohort study.

Autor: Widaman AM; Department of Nutrition Food Science and Packaging, San Jose State University, San Jose, California, USA.; Department of Otolaryngology, University of California Davis Medical Center, Sacramento, California, USA., Day AG; Department of Public Health Sciences, Queens' University, Kingston, Ontario, Canada., Kuhn MA; Department of Otolaryngology, University of California Davis Medical Center, Sacramento, California, USA., Dhaliwal R; Canadian Nutrition Society, Ottawa, Ontario, Canada., Baracos V; Department of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada., Findlay M; Cancer Services, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.; Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.; Cancer Care Research Unit, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.; Cancer Clinical Academic Group, South Western Sydney Clinical School, Maridulu Budyari Gumal (SPHERE), University of New South Wales, Sydney, New South Wales, Australia., Bauer JD; Department of Nutrition Dietetics and Food, Monash University, Clayton, Victoria, Australia., de van der Schueren M; Department of Nutrition Dietetics and Lifestyle School of Allied Health, HAN University of Applied Sciences, Nijmegen, Gelderland, the Netherlands.; Department of Human Nutrition and Health, Wageningen University and Research, Wageningen, Gelderland, the Netherlands., Laviano A; Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy., Martin L; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada., Gramlich L; Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2024 Sep 22. Date of Electronic Publication: 2024 Sep 22.
DOI: 10.1002/ncp.11211
Abstrakt: Background: Patient-reported outcome measures have been associated with survival in oncology patients. Altered intake and malnutrition are common symptoms for patients treated for head and neck cancer and esophageal cancer (HNC/EC). The purpose of this study was to examine the relationship between patient-reported satisfaction with medical care and nutrition status.
Methods: This prospective cohort study collected data from 11 international cancer care sites.
Results: One hundred and sixtythree adult patients (n = 115 HNC; n = 48 EC) completed a patient satisfaction questionnaire (the Canadian Health Care Evaluation Project Lite) and were included. HNC/EC patient global satisfaction with medical care was 88.3/100 ± 15.3 at baseline and remained high at 86.6/100 ± 16.8 by 6 months (100 max satisfaction score). Poor nutrition status, as defined by the Patient-Generated Subjective Global Assessment Short Form, was associated with lower patient satisfaction with overall medical care, relationship with doctors, illness management, communication, and decision-making 6 months into treatment (P < 0.01). There was no difference in global satisfaction between patients who did and did not report swallowing difficulty (P = 0.99) and patients with and without feeding tube placement (P = 0.36). Patients who were seen by a dietitian for at least one nutrition assessment had global satisfaction with care that was 16.7 percentage points higher than those with no nutrition assessment (89.3 ± 13.8 vs 72.6 ± 23.6; P = 0.005) CONCLUSION: In HNC/EC patient-centered oncology care, decreasing malnutrition risk and providing access to dietitian-led nutrition assessments should be prioritized and supported to improve patient satisfaction and standard of care. Feeding tube placement did not decrease patient satisfaction with medical care.
(© 2024 The Author(s). Nutrition in Clinical Practice published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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