The nutritional risk in oncology: a study of 1,453 cancer outpatients
| Autor: | Bozzetti, F, Mariani, L, Lo Vullo, S, SCRINIO Working Group, Amerio, Ml, Biffi, R, Caccialanza, G, Capuano, G, Correja, I, Cozzaglio, L, Di Leo, A, Di Cosmo, L, Finocchiaro, C, Gavazzi, C, Giannoni, A, Magnanini, P, Mantovani, G, Pellegrini, M, Rovera, L, Sandri, G, Tinivella, M, Vigevani, E., Avagnina, Paolo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Nutritional risk Nutritional screening Nutritional assessment Nutritional status Cancer outpatients Risk Assessment Severity of Illness Index Outpatients Severity of illness medicine Humans Prospective Studies Prospective cohort study Aged business.industry Nursing research Nutrition Disorders Cancer Middle Aged medicine.disease Nutrition Assessment Italy Oncology Family medicine Linear Models Original Article Female Risk assessment business |
| Zdroj: | Supportive Care in Cancer |
| Popis: | Purpose There is little information about the nutritional status of cancer outpatients because the practice of nutritional screening is rarely performed. This study aims to define the pattern of scores of nutritional risk in 1,453 outpatients and factors associated with a high nutrition risk score, to facilitate the identification of such patients by the oncologists. Methods We prospectively screened the nutritional status of cancer outpatients according to the NRS-2002 score which combines indicators of malnutrition and of severity of the disease (1–3 points, respectively). A score ≥3 indicates “nutritional risk”. The association of the nutritional scores with some patient/tumour/therapy-related variables was investigated through univariable and multivariable linear regression models. Results Thirty-two percent of outpatients were at nutritional risk. Primary tumour site, Eastern Cooperative Oncology Group score and presence of anorexia or fatigue were significantly associated with the nutrition risk score. Depending on the combination of these variables, it was possible to estimate different probabilities of nutritional risk. Conclusions The frequency of a relevant nutritional risk was higher than expected considering the favourably selected population. The nutritional risk was associated with common clinical variables which are usually recorded in the charts and could easily alert the oncologist on the need of a further nutritional assessment or a nutritional support. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|