Nutrition risk screening and implications for patients with gynaecological cancers undergoing pelvic radiotherapy and/or other treatment modalities: A retrospective observational study
| العنوان: | Nutrition risk screening and implications for patients with gynaecological cancers undergoing pelvic radiotherapy and/or other treatment modalities: A retrospective observational study |
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| المؤلفون: | Emilie Croisier, Teresa Brown, Judy Bauer, Jeffrey C. Goh, Philip Chan, Alice Grigg, Alana Morrissy |
| المصدر: | Nutrition & Dietetics. 79:217-228 |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Pediatrics, medicine.medical_specialty, Referral, Genital Neoplasms, Female, Population, Pain, Weight loss, Weight Loss, medicine, Humans, Medical nutrition therapy, education, Early Detection of Cancer, Fatigue, Retrospective Studies, education.field_of_study, Nutrition and Dietetics, business.industry, Incidence (epidemiology), Malnutrition, Weight change, Retrospective cohort study, Female, Observational study, medicine.symptom, business |
| الوصف: | AIM There is scarcity of research for the nutritional management of pelvic radiotherapy in gynaecological malignancies and delivery of specialised nutrition care is limited due to the current knowledge gap in guidelines. This study aimed to better understand the nutritional risk, weight changes and pattern of nutrition impact symptoms occurring at various treatment timepoints in this population, to inform an effective model of care. METHODS This retrospective, observational study included women with gynaecological cancers receiving pelvic radiotherapy at a tertiary hospital from January 2017 to December 2018 (n = 104). Information was collected on: first day of radiotherapy; weekly during treatment; acute-phase post-treatment (0-6 weeks); and intermediate-phase post-treatment (6 weeks to 6 months). This study reported on incidence of clinically significant weight change (±5%), documented nutrition impact symptoms and the current nutrition care model (nutrition screening, referral, assessment and interventions). RESULTS Clinically significant weight loss was experienced by 38% (n = 40/104) of patients prior to commencing treatment and 19% (n = 14/73) during treatment. Diarrhoea (n = 40/79), fatigue (n = 54/79), nausea (n = 38/79) and pain (n = 31/79) were frequently reported during treatment, and fatigue (n = 33/92) and pain (n = 25/92) continued acutely post-treatment. Despite high rates of weight loss and prevalence of nutrition impact symptoms, only 38% (n = 40/104) of patients were referred to a dietitian. CONCLUSIONS A considerable proportion of patients with gynaecological cancers are at nutrition risk before and during treatment due to clinically significant weight loss and prevalence of nutrition impact symptoms experienced. This highlights the importance of nutrition-risk screening and access to specialised dietetic care as part of their model of care. |
| تدمد: | 1747-0080 1446-6368 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e0525a84d05e7a69e26d75ec1f9e8020 https://doi.org/10.1111/1747-0080.12712 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....e0525a84d05e7a69e26d75ec1f9e8020 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17470080 14466368 |
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