دورية أكاديمية

Current practices for nutritional evaluation and care during the treatment of pediatric oncology patients: a survey among AIEOP centers.

التفاصيل البيبلوغرافية
العنوان: Current practices for nutritional evaluation and care during the treatment of pediatric oncology patients: a survey among AIEOP centers.
المؤلفون: Venturelli F; Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.; Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy., Leardini D; Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy. davide.leardini3@studio.unibo.it., Baccelli F; Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy., Gottardi F; Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy., Barat V; A.O.U. Città della Salute e della Scienza di Torino Presidio Infantile Regina Margherita S.C. Oncoematologia Pediatrica e Centro Trapianti, Torino, Italy., Vendemini F; Pediatria, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy., Folsi VM; U.C. Oncoematologia e TMO Pediatrico, Ospedale dei Bambini, ASST Spedali Civili di Brescia, Brescia, Italy., Meazza C; Fondazione IRCCS Istituto Nazionale dei Tumori S.C. Pediatrica Oncologica, Milano, Italy., Marinoni M; SSD oncoematologia pediatrica, Ospedale 'Filippo Del Ponte' Pediatria, Varese, Italy., Bernardo ME; Pediatric Immunohematology and Bone Marrow Transplantation, IRCCS San Raffaele Scientific Institute, Milano, Italy.; Vita-Salute' San Raffaele University, Milan, Italy., Tumino M; Oncoematologia Pediatrica, Azienda Ospedale Università Padova, Padova, Italy., Brugiolo A; Azienda ULSS 8 Berica Ospedale San Bortolo, Vicenza, Italy., Pizzato C; UOS Emato-oncologia Pediatrica, UOC di Pediatria, Ospedale Ca' Foncello di Treviso, Treviso, Italy., Battisti L; Oncoematologia Pediatrica, Ospedale Provinciale di Bolzano, Bolzano, Italy., Bertolini P; U.O.C di Pediatria e Oncoematologia, Azienda Ospedaliero universitaria Parma, Parma, Italy., Pancaldi A; UOC Oncoematologia Pediatrica, Azienda Ospedaliero-Universitaria Di Modena, Modena, Italy., Rinieri S; DH Oncoematologia Pediatrica, AOU S.Anna, Ferrara, Italy., Pericoli R; SSI Oncoematologia Pediatrica, Ospedale Infermi, Rimini, Italy., Coccia P; SOSD Oncoematologia Pediatrica, Ospedale Pediatrico G. Salesi AOU delle Marche, Ancona, Italy., Onofrillo D; UOSD di Onco-ematologia Pediatrica, Ospedale Spirito Santo, Pescara, Italy., Fabozzi F; Department of Hematology/Oncology, Cell and Gene Therapy, Bambino Gesù Childrens Hospital, IRCCS, Rome, Italy., Bianchi S; Sezione ematologia, dipartimento di medicina traslazionale e di precisione, Università Sapienza di Roma, Roma, Italy., Rizzo D; U.O.C. Oncoematologia Pediatrica, P.O. 'Vito Fazzi, Lecce, Italy., Daniele RM; UOC di Pediatria ad indirizzo Oncoematologico, AOU Policlinico di Bari, Bari, Italy., Stellato P; Oncohematology Unit, Department of Oncology, Hematology and Cellular Therapies, AORN Santobono-Pausilipon, Napoli, Italy., Prete A; Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy., Masetti R; Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy., Muratore E; Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy.
المصدر: European journal of pediatrics [Eur J Pediatr] 2024 Mar; Vol. 183 (3), pp. 1137-1144. Date of Electronic Publication: 2023 Dec 14.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7603873 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1076 (Electronic) Linking ISSN: 03406199 NLM ISO Abbreviation: Eur J Pediatr Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin, New York, Springer-Verlag.
مواضيع طبية MeSH: Nutrition Assessment* , Neoplasms*/complications , Neoplasms*/therapy , Neoplasms*/epidemiology, Humans ; Child ; Medical Oncology ; Nutritional Support ; Surveys and Questionnaires
مستخلص: Nutritional status plays a crucial role in the mortality rates of the pediatric oncology patients. However, there is a lack of systematic approaches for nutritional assessment in this population. This study aims to assess the current practice for nutritional assessment and care of pediatric cancer patients in Italy. A 25-items web-based, nation-wide questionnaire was circulated as of January 9, 2023 among physicians within the AIEOP network, composed of 49 national centers, out of which 21 routinely perform HCT. This survey examined the practices of 21 Italian pediatric oncology centers, revealing significant heterogeneity in nutritional practices. Only half of the centers routinely assessed all patients, utilizing different clinical and biochemical parameters. The use of neutropenic diets remained prevalent after chemotherapy or stem cell transplantation.
Conclusion: This study underscores the pressing need for unified recommendations to improve nutritional care and potentially enhance outcomes for pediatric cancer patients.
What Is Known: • The assessment and support of nutrition are gaining interest in the overall care of children with cancer. • The assessment and management of nutritional needs in pediatric cancer patients, including those undergoing hematopoietic cell transplantation, currently lack a systematic approach.
What Is New: • There is considerable variability in the nutritional assessment and support among Italian centers treating pediatric patients with cancer. • To enhance nutritional assessment and support for pediatric cancer patients, it is essential to establish shared national and international guidelines.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
References: Muratore E, Leardini D, Baccelli F et al (2023) The emerging role of nutritional support in the supportive care of pediatric patients undergoing hematopoietic stem cell transplantation. Front Nutr 10. https://doi.org/10.3389/FNUT.2023.1075778.
Barr RD, Stevens MCG (2020) The influence of nutrition on clinical outcomes in children with cancer. Pediatr Blood Cancer 67:e28117. https://doi.org/10.1002/PBC.28117. (PMID: 10.1002/PBC.2811732134218)
Barr RD, Ladas EJ (2020) The role of nutrition in pediatric oncology. Expert Rev Anticancer Ther 20:109–116. https://doi.org/10.1080/14737140.2020.1719834. (PMID: 10.1080/14737140.2020.171983431964179)
Joffe L, Ladas EJ (2020) Nutrition during childhood cancer treatment: current understanding and a path for future research. Lancet Child Adolesc Health 4:465–475. https://doi.org/10.1016/S2352-4642(19)30407-9. (PMID: 10.1016/S2352-4642(19)30407-932061318)
Ladas EJ, Sacks N, Brophy P, Rogers PC (2006) Standards of nutritional care in pediatric oncology: results from a nationwide survey on the standards of practice in pediatric oncology. A Children’s Oncology Group study. Pediatr Blood Cancer 46:339–344. https://doi.org/10.1002/PBC.20435. (PMID: 10.1002/PBC.2043515926168)
Henry L, Aldiss S, Gibson F et al (2022) Nutritional assessment and dietetic resource for children and young people with cancer in the United Kingdom. Pediatr Blood Cancer 69. https://doi.org/10.1002/PBC.29743.
Fabozzi F, Trovato CM, Diamanti A et al (2022) Management of nutritional needs in pediatric oncology : a consensus statement. Cancers (Basel) 1–13.
Ifversen M, Meisel R, Sedlacek P et al (2021) Supportive care during pediatric hematopoietic stem cell transplantation: prevention of infections. A Report From Workshops on Supportive Care of the Paediatric Diseases Working Party (PDWP) of the European Society for Blood and Marrow Transplantation (EB. Front Pediatr 9.  https://doi.org/10.3389/fped.2021.705179.
Arends J, Bachmann P, Baracos V et al (2017) ESPEN guidelines on nutrition in cancer patients. Clin Nutr 36:11–48. https://doi.org/10.1016/j.clnu.2016.07.015. (PMID: 10.1016/j.clnu.2016.07.01527637832)
Zama D, Gori D, Muratore E et al (2021) Enteral versus parenteral nutrition as nutritional support after allogeneic hematopoietic stem cell transplantation: a systematic review and meta-analysis. Transplant Cell Ther 27:180.e1-180.e8. https://doi.org/10.1016/j.jtct.2020.11.006. (PMID: 10.1016/j.jtct.2020.11.00633830034)
Muratore E, Leardini D, Baccelli F et al (2022) Nutritional modulation of the gut microbiome in allogeneic hematopoietic stem cell transplantation recipients. Front Nutr 9. https://doi.org/10.3389/FNUT.2022.993668.
Orgel E, Sposto R, Malvar J et al (2014) Impact on survival and toxicity by duration of weight extremes during treatment for pediatric acute lymphoblastic leukemia: a report from the Children’s Oncology Group. J Clin Oncol 32:1331–1337. https://doi.org/10.1200/JCO.2013.52.6962. (PMID: 10.1200/JCO.2013.52.6962246878363992723)
فهرسة مساهمة: Keywords: AIEOP; GvHD; Nutrition; Nutritional status; Pediatric oncology
تواريخ الأحداث: Date Created: 20231214 Date Completed: 20240320 Latest Revision: 20240320
رمز التحديث: 20240320
DOI: 10.1007/s00431-023-05368-4
PMID: 38095717
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-1076
DOI:10.1007/s00431-023-05368-4