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Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy
Patients with cancer frequently experience malnutrition, which is associated with higher rates of morbidity and mortality. Therefore, the implementation of strategies for its early detection and for intervention should improve the evolution of these patients. Our study aim is to design and implement...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7713220/ https://www.ncbi.nlm.nih.gov/pubmed/33273641 http://dx.doi.org/10.1038/s41598-020-78246-w |
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author | Álvaro Sanz, Elena Abilés, Jimena Garrido Siles, Marga Rivas Ruíz, Francisco Tortajada Goitia, Begoña Domínguez, Antonio Rueda |
author_facet | Álvaro Sanz, Elena Abilés, Jimena Garrido Siles, Marga Rivas Ruíz, Francisco Tortajada Goitia, Begoña Domínguez, Antonio Rueda |
author_sort | Álvaro Sanz, Elena |
collection | PubMed |
description | Patients with cancer frequently experience malnutrition, which is associated with higher rates of morbidity and mortality. Therefore, the implementation of strategies for its early detection and for intervention should improve the evolution of these patients. Our study aim is to design and implement a protocol for outpatients starting chemotherapy, by means of which any malnutrition can be identified and treated at an early stage. Before starting chemotherapy for patients with cancer, a complete assessment was made of their nutritional status, using the Nutriscore screening tool. When nutritional risk was detected, an interventional protocol was applied. Of 234 patients included in the study group, 84 (36%) required an individualised nutritional approach: 27 (32.1%) presented high nutritional risk, 12 had a Nutriscore result ≥ 5 and 45 experienced weight loss during chemotherapy. Among this population, the mean weight loss (with respect to normal weight) on inclusion in the study was − 3.6% ± 8.2. By the end of the chemotherapy, the mean weight gain was 0% ± 7.3 (p < 0.001) and 71.0% of the patients had experienced weight gain or maintenance, with respect to the initial weight. More than a third of cancer patients who start chemotherapy are candidates for early nutritional intervention. This finding highlights the importance of early identification of patients at risk in order to improve the efficacy of nutritional interventions, regardless of the stage of the disease. |
format | Online Article Text |
id | pubmed-7713220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-77132202020-12-03 Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy Álvaro Sanz, Elena Abilés, Jimena Garrido Siles, Marga Rivas Ruíz, Francisco Tortajada Goitia, Begoña Domínguez, Antonio Rueda Sci Rep Article Patients with cancer frequently experience malnutrition, which is associated with higher rates of morbidity and mortality. Therefore, the implementation of strategies for its early detection and for intervention should improve the evolution of these patients. Our study aim is to design and implement a protocol for outpatients starting chemotherapy, by means of which any malnutrition can be identified and treated at an early stage. Before starting chemotherapy for patients with cancer, a complete assessment was made of their nutritional status, using the Nutriscore screening tool. When nutritional risk was detected, an interventional protocol was applied. Of 234 patients included in the study group, 84 (36%) required an individualised nutritional approach: 27 (32.1%) presented high nutritional risk, 12 had a Nutriscore result ≥ 5 and 45 experienced weight loss during chemotherapy. Among this population, the mean weight loss (with respect to normal weight) on inclusion in the study was − 3.6% ± 8.2. By the end of the chemotherapy, the mean weight gain was 0% ± 7.3 (p < 0.001) and 71.0% of the patients had experienced weight gain or maintenance, with respect to the initial weight. More than a third of cancer patients who start chemotherapy are candidates for early nutritional intervention. This finding highlights the importance of early identification of patients at risk in order to improve the efficacy of nutritional interventions, regardless of the stage of the disease. Nature Publishing Group UK 2020-12-03 /pmc/articles/PMC7713220/ /pubmed/33273641 http://dx.doi.org/10.1038/s41598-020-78246-w Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Álvaro Sanz, Elena Abilés, Jimena Garrido Siles, Marga Rivas Ruíz, Francisco Tortajada Goitia, Begoña Domínguez, Antonio Rueda Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy |
title | Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy |
title_full | Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy |
title_fullStr | Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy |
title_full_unstemmed | Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy |
title_short | Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy |
title_sort | evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7713220/ https://www.ncbi.nlm.nih.gov/pubmed/33273641 http://dx.doi.org/10.1038/s41598-020-78246-w |
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