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Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)

Malnutrition is a frequent problem in cancer patients, which leads to prolonged hospitalization, a higher degree of treatment-related toxicity, reduced response to cancer treatment, impaired quality of life and a worse overall prognosis. The attitude towards this issue varies considerably and many m...

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Autores principales: Caccialanza, Riccardo, Pedrazzoli, Paolo, Cereda, Emanuele, Gavazzi, Cecilia, Pinto, Carmine, Paccagnella, Agostino, Beretta, Giordano Domenico, Nardi, Mariateresa, Laviano, Alessandro, Zagonel, Vittorina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ivyspring International Publisher 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4716844/
https://www.ncbi.nlm.nih.gov/pubmed/26819635
http://dx.doi.org/10.7150/jca.13818
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author Caccialanza, Riccardo
Pedrazzoli, Paolo
Cereda, Emanuele
Gavazzi, Cecilia
Pinto, Carmine
Paccagnella, Agostino
Beretta, Giordano Domenico
Nardi, Mariateresa
Laviano, Alessandro
Zagonel, Vittorina
author_facet Caccialanza, Riccardo
Pedrazzoli, Paolo
Cereda, Emanuele
Gavazzi, Cecilia
Pinto, Carmine
Paccagnella, Agostino
Beretta, Giordano Domenico
Nardi, Mariateresa
Laviano, Alessandro
Zagonel, Vittorina
author_sort Caccialanza, Riccardo
collection PubMed
description Malnutrition is a frequent problem in cancer patients, which leads to prolonged hospitalization, a higher degree of treatment-related toxicity, reduced response to cancer treatment, impaired quality of life and a worse overall prognosis. The attitude towards this issue varies considerably and many malnourished patients receive inadequate nutritional support. We reviewed available data present in the literature, together with the guidelines issued by scientific societies and health authorities, on the nutritional management of patients with cancer, in order to make suitable and concise practical recommendations for appropriate nutritional support in this patient population. Evidence from the literature suggests that nutritional screening should be performed using validated tools (the Nutritional Risk Screening 2002 [NRS 2002], the Malnutrition Universal Screening Tool [MUST], the Malnutrition Screening Tool [MST] and the Mini Nutritional Assessment [MNA]), both at diagnosis and at regular time points during the course of disease according to tumor type, stage and treatment. Patients at nutritional risk should be promptly referred for comprehensive nutritional assessment and support to clinical nutrition services or medical personnel with documented skills in clinical nutrition, specifically for cancer patients. Nutritional intervention should be actively managed and targeted for each patient; it should comprise personalized dietary counseling and/or artificial nutrition according to spontaneous food intake, tolerance and effectiveness. Nutritional support may be integrated into palliative care programs. “Alternative hypocaloric anti-cancer diets” (e.g. macrobiotic or vegan diets) should not be recommended as they may worsen nutritional status. Well-designed clinical trials are needed to further our knowledge of the nutritional support required in different care settings for cancer patients.
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spelling pubmed-47168442016-01-27 Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE) Caccialanza, Riccardo Pedrazzoli, Paolo Cereda, Emanuele Gavazzi, Cecilia Pinto, Carmine Paccagnella, Agostino Beretta, Giordano Domenico Nardi, Mariateresa Laviano, Alessandro Zagonel, Vittorina J Cancer Review Malnutrition is a frequent problem in cancer patients, which leads to prolonged hospitalization, a higher degree of treatment-related toxicity, reduced response to cancer treatment, impaired quality of life and a worse overall prognosis. The attitude towards this issue varies considerably and many malnourished patients receive inadequate nutritional support. We reviewed available data present in the literature, together with the guidelines issued by scientific societies and health authorities, on the nutritional management of patients with cancer, in order to make suitable and concise practical recommendations for appropriate nutritional support in this patient population. Evidence from the literature suggests that nutritional screening should be performed using validated tools (the Nutritional Risk Screening 2002 [NRS 2002], the Malnutrition Universal Screening Tool [MUST], the Malnutrition Screening Tool [MST] and the Mini Nutritional Assessment [MNA]), both at diagnosis and at regular time points during the course of disease according to tumor type, stage and treatment. Patients at nutritional risk should be promptly referred for comprehensive nutritional assessment and support to clinical nutrition services or medical personnel with documented skills in clinical nutrition, specifically for cancer patients. Nutritional intervention should be actively managed and targeted for each patient; it should comprise personalized dietary counseling and/or artificial nutrition according to spontaneous food intake, tolerance and effectiveness. Nutritional support may be integrated into palliative care programs. “Alternative hypocaloric anti-cancer diets” (e.g. macrobiotic or vegan diets) should not be recommended as they may worsen nutritional status. Well-designed clinical trials are needed to further our knowledge of the nutritional support required in different care settings for cancer patients. Ivyspring International Publisher 2016-01-01 /pmc/articles/PMC4716844/ /pubmed/26819635 http://dx.doi.org/10.7150/jca.13818 Text en © Ivyspring International Publisher. Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited. See http://ivyspring.com/terms for terms and conditions.
spellingShingle Review
Caccialanza, Riccardo
Pedrazzoli, Paolo
Cereda, Emanuele
Gavazzi, Cecilia
Pinto, Carmine
Paccagnella, Agostino
Beretta, Giordano Domenico
Nardi, Mariateresa
Laviano, Alessandro
Zagonel, Vittorina
Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)
title Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)
title_full Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)
title_fullStr Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)
title_full_unstemmed Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)
title_short Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)
title_sort nutritional support in cancer patients: a position paper from the italian society of medical oncology (aiom) and the italian society of artificial nutrition and metabolism (sinpe)
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4716844/
https://www.ncbi.nlm.nih.gov/pubmed/26819635
http://dx.doi.org/10.7150/jca.13818
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