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- Title
A Multi-Site, International Audit of Malnutrition Risk and Energy and Protein Intakes in Patients Undergoing Treatment for Head Neck and Esophageal Cancer: Results from INFORM.
- Authors
Martin, Lisa; Findlay, Merran; Bauer, Judith D.; Dhaliwal, Rupinder; de van der Schueren, Marian; Laviano, Alessandro; Widaman, Adrianne; Baracos, Vickie E.; Day, Andrew G.; Gramlich, Leah M.
- Abstract
Patients with foregut tumors are at high risk of malnutrition. Nutrition care focuses on identifying individuals at risk of malnutrition and optimizing nutrient intake to promote the maintenance of body weight and lean body mass. This multi-center prospective, longitudinal study audited nutrition care practices related to screening for risk of malnutrition (Patient-Generated Subjective Global Assessment Short Form; PG-SGA SF), and nutrition interventions prescribed (route; adequacy of energy and protein intakes). Audits occurred at four time periods: baseline (before treatment) and at 2, 4, and 6 months after starting cancer treatment; 170 patients (esophageal (ESO; n = 51); head and neck (HN; n = 119)) were enrolled. Nutrition risk (PG-SGA SF score ≥ 4) was prevalent at every time period: HN (baseline: 60%; 6 months 66%) and ESO (77%; 72%). Both groups had significant (p < 0.001) weight losses over the 6 month audit period (HN = 13.2% ESO = 11.4%). Enteral nutrition (EN) was most likely to be prescribed at 2 months for HN and at 4 and 6 months for ESO. Target prescribed energy and protein intakes were not met with any nutrition intervention; although adequacy was highest for those receiving EN. Nutrition care practices differed for HN and ESO cancers and there may be time points when additional nutrition support is needed.
- Subjects
HEAD &; neck cancer treatment; RESEARCH; AUDITING; RISK assessment; DIET therapy; MALNUTRITION; DESCRIPTIVE statistics; ENTERAL feeding; ESOPHAGEAL tumors; DIETARY proteins; LONGITUDINAL method; DISEASE risk factors
- Publication
Nutrients, 2022, Vol 14, Issue 24, p5272
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14245272