Preoperative malnutrition in patients with colorectal cancer

Preoperative malnutrition in patients with colorectal cancer is associated with several postoperative consequences and poorer prognosis. Currently, there is a lack of a universal screening tool to assess nutritional status, and intervention to treat preoperative malnutrition is often neglected. This...

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Autores principales: Gupta, Ashna, Gupta, Eisha, Hilsden, Richard, Hawel, Jeffry D., Elnahas, Ahmad I., Schlachta, Christopher M., Alkhamesi, Nawar A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CMA Joule Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628841/
https://www.ncbi.nlm.nih.gov/pubmed/34824150
http://dx.doi.org/10.1503/cjs.016820
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author Gupta, Ashna
Gupta, Eisha
Hilsden, Richard
Hawel, Jeffry D.
Elnahas, Ahmad I.
Schlachta, Christopher M.
Alkhamesi, Nawar A.
author_facet Gupta, Ashna
Gupta, Eisha
Hilsden, Richard
Hawel, Jeffry D.
Elnahas, Ahmad I.
Schlachta, Christopher M.
Alkhamesi, Nawar A.
author_sort Gupta, Ashna
collection PubMed
description Preoperative malnutrition in patients with colorectal cancer is associated with several postoperative consequences and poorer prognosis. Currently, there is a lack of a universal screening tool to assess nutritional status, and intervention to treat preoperative malnutrition is often neglected. This review summarizes and compares preoperative screening and interventional tools to help providers optimize malnourished patients with colorectal cancer for surgery. We found that nutritional screenings, such as the Subjectibe Global Assessment, Patient-Generated Subjective Global Assessment, Prognostic Nutritional Index, Nutrition Risk Index, Malnutrition Universal Screening Tool, Nutrition Risk Screening 2002, Nutrition Risk Score, serum albumin, and prealbumin, have all effectively predicted postoperative outcome. Physicians should consider which of these tools best fits their needs based on the their mode of assessment, efficiency, and specified parameters. Additionally, preoperative nutritional support, such as trimodal prehabilitation, modified peripheral parenteral nutrition, and N-3 fatty acid and arginine supplementation, which have also benefited patients postoperatively, ought to be implemented appropriately according to their ease of execution. Given the high prevalence of preoperative malnutrition in patients undergoing surgery for colorectal cancer, it is essential that health care providers assess and treat this malnutrition to reduce postoperative complications and length of hospital stay, and to improve prognosis to augment a patient’s quality of care.
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spelling pubmed-86288412021-12-03 Preoperative malnutrition in patients with colorectal cancer Gupta, Ashna Gupta, Eisha Hilsden, Richard Hawel, Jeffry D. Elnahas, Ahmad I. Schlachta, Christopher M. Alkhamesi, Nawar A. Can J Surg Review Preoperative malnutrition in patients with colorectal cancer is associated with several postoperative consequences and poorer prognosis. Currently, there is a lack of a universal screening tool to assess nutritional status, and intervention to treat preoperative malnutrition is often neglected. This review summarizes and compares preoperative screening and interventional tools to help providers optimize malnourished patients with colorectal cancer for surgery. We found that nutritional screenings, such as the Subjectibe Global Assessment, Patient-Generated Subjective Global Assessment, Prognostic Nutritional Index, Nutrition Risk Index, Malnutrition Universal Screening Tool, Nutrition Risk Screening 2002, Nutrition Risk Score, serum albumin, and prealbumin, have all effectively predicted postoperative outcome. Physicians should consider which of these tools best fits their needs based on the their mode of assessment, efficiency, and specified parameters. Additionally, preoperative nutritional support, such as trimodal prehabilitation, modified peripheral parenteral nutrition, and N-3 fatty acid and arginine supplementation, which have also benefited patients postoperatively, ought to be implemented appropriately according to their ease of execution. Given the high prevalence of preoperative malnutrition in patients undergoing surgery for colorectal cancer, it is essential that health care providers assess and treat this malnutrition to reduce postoperative complications and length of hospital stay, and to improve prognosis to augment a patient’s quality of care. CMA Joule Inc. 2021-11-25 /pmc/articles/PMC8628841/ /pubmed/34824150 http://dx.doi.org/10.1503/cjs.016820 Text en © 2021 CMA Joule Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Review
Gupta, Ashna
Gupta, Eisha
Hilsden, Richard
Hawel, Jeffry D.
Elnahas, Ahmad I.
Schlachta, Christopher M.
Alkhamesi, Nawar A.
Preoperative malnutrition in patients with colorectal cancer
title Preoperative malnutrition in patients with colorectal cancer
title_full Preoperative malnutrition in patients with colorectal cancer
title_fullStr Preoperative malnutrition in patients with colorectal cancer
title_full_unstemmed Preoperative malnutrition in patients with colorectal cancer
title_short Preoperative malnutrition in patients with colorectal cancer
title_sort preoperative malnutrition in patients with colorectal cancer
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628841/
https://www.ncbi.nlm.nih.gov/pubmed/34824150
http://dx.doi.org/10.1503/cjs.016820
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