Clinical nutrition in surgical oncology: Young AIOM-AIRO-SICO multidisciplinary national survey on behalf of NutriOnc research group

Frontiers in Nutrition

Nutrition

Viola Salvestrini¹  Isacco Desideri²  Vittorio Donato³  Luigi Marano⁴  Franco Roviello⁴  Ludovico Carbone⁴  Raffaele De Luca⁵  Alessandro Rizzo⁶  Saverio Cinieri⁷  Federica Marmorino⁸ 

[1] CyberKnife Center, Istituto Fiorentino di Cura ed Assistenza, Florence, Italy;Department of Biomedical, Experimental and Clinical Sciences “Mario Serio”, University of Florence, Florence, Italy;Department of Image Diagnostics, Ospedale San Camillo Forlanini, Rome, Italy;Department of Medicine, Surgery and Neurosciences, University of Siena, Siena, Italy;Department of Surgical Oncology, IRCCS Istituto Tumori “Giovanni Paolo II”, Bari, Italy;Don Tonino Bello Oncology, IRCCS Istituto Tumori Giovanni Paolo II Bari, Bari, Italy;Medical Oncology Division and Breast Unit, Antonio Perrino Hospital, Brindisi, Italy;Unit of Oncology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy;

关键词: clinical nutrition;    cancer;    malnutrition;    nutritional assessment;    survey;   

DOI  :  10.3389/fnut.2023.1045022

 received in 2022-09-15, accepted in 2023-03-17,  发布年份 2023

来源: Frontiers

【 摘 要 】

Malnutrition is a common condition in cancer patients which is usually associated with functional limitations, as well as increased morbidity and mortality. Based on the support of the young sections of Italian Association of Medical Oncology (AIOM), Italian Association of Radiotherapy and Clinical Oncology (AIRO) and Italian Society of Surgical Oncology (SICO) merged into the NutriOnc Research Group, we performed a multidisciplinary national survey with the aim to define the awareness of nutritional issues among healthcare professionals delivering anticancer care. The questionnaire was organized in four sections, as follows: Knowledge and practices regarding Nutritional Management of cancer patients; Timing of screening and assessment of Nutritional Status; Nutritional Treatment and prescription criteria; Immunonutrition and educational topics. The modules focused on esophagogastric, hepato-bilio-pancreatic and colorectal malignancies. Overall, 215 physicians completed the survey. As regards the management of Nutritional Status of cancer patients, many responders adopted the ERAS program (49.3%), while a consistent number of professionals did not follow a specific validated nutritional care protocol (41.8%), mainly due to lack of educational courses (14.5%) and financial support (15.3%). Nearly all the included institutions had a multidisciplinary team (92%) to finalize the treatment decision-making. Cancer patients routinely underwent nutritional screening according to 57.2% of interviewed physicians. The timing of nutritional assessment was at diagnosis (37.8%), before surgery (25.9%), after surgery (16.7%), before radiochemotherapy (13.5%) and after radiochemotherapy (7%). Most of the responders reported that nutritional status was assessed throughout the duration of cancer treatments (55.6%). An important gap between current delivery and need of nutritional assessment persists. The development of specific and defined care protocols and the adherence to these tools may be the key to improving nutritional support management in clinical practice.

【 授权许可】

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Copyright © 2023 Marano, Marmorino, Desideri, Carbone, Rizzo, Salvestrini, Roviello, Cinieri, Donato, De Luca R and NutriOnc Research Group.