Nutritional risk and malnutrition rates at diagnosis of cancer in patients treated in outpatient settings: Early intervention protocol
| Autor: | Marga Garrido Siles, Antonio Rueda Domínguez, Jimena Abilés, Elena Álvaro Sanz, Rosa Villatoro Roldán, Laura Fernández |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male Pediatrics medicine.medical_specialty Cachexia Colorectal cancer Endocrinology Diabetes and Metabolism Nutritional Status 030209 endocrinology & metabolism Digestive System Neoplasms Risk Assessment 03 medical and health sciences 0302 clinical medicine Clinical Protocols Neoplasms Outpatients medicine Prevalence Humans Mass Screening Esophagus Stage (cooking) Referral and Consultation Aged 030109 nutrition & dietetics Nutrition and Dietetics business.industry Stomach Head and neck cancer Malnutrition Cancer Middle Aged medicine.disease medicine.anatomical_structure Early Diagnosis Nutrition Assessment Head and Neck Neoplasms Spain Female business Colorectal Neoplasms Urogenital Neoplasms |
| Zdroj: | Nutrition (Burbank, Los Angeles County, Calif.). 57 |
| ISSN: | 1873-1244 |
| Popis: | Objectives Malnutrition is frequent in patients with cancer and is associated with a higher rate of morbidity and mortality. However, a significant number of patients at nutritional risk remain undetected due to the lack of a routine screening procedure during diagnosis. Costa del Sol Hospital in Marbella (Malaga), Spain has implemented a protocol for outpatients with cancer aimed at identifying and treating malnutrition at an early stage. The aim of this study was to determine the prevalence of nutritional risk and the rate of malnutrition when cancer is diagnosed. Methods We conducted a complete assessment of the nutritional status of patients with cancer of the upper digestive tract (esophagus, stomach, pancreas, or biliary tract) or head and neck cancer. Using the Nutriscore tool at the first oncology consultation, a screening for nutritional risk was performed for patients with other solid tumors. When nutritional risk was detected, a complete nutritional assessment was conducted. Results Of 295 consecutive patients, 21.4% were found to be at nutritional risk (Nutriscore ≥5). After complete assessment, a moderate degree of malnutrition was observed in 76% and severe malnutrition in 12%. Among patients with colorectal cancer or tumors of gynecologic origin, only 7.5% presented nutritional risk, but 52.8% presented cachexia. Conclusion The high rate of malnutrition observed and the identification of cachexia at an early stage highlight the importance of obtaining early identification of patients at risk to improve the efficacy of nutritional interventions. |
| Databáze: | OpenAIRE |
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