| Added by | adjiane.lab |
|---|---|
| Group name | EquipeAD |
| Item Type | Journal Article |
| Title | Management of Cancer Cachexia and Guidelines Implementation in a Comprehensive Cancer Center: A Physician-Led Cancer Nutrition Program Adapted to the Practices of a Country |
| Creator | Senesse et al. |
| Author | Pierre Senesse |
| Author | Agnès Isambert |
| Author | Chloé Janiszewski |
| Author | Stéphanie Fiore |
| Author | Nicolas Flori |
| Author | Sylvain Poujol |
| Author | Eric Arroyo |
| Author | Julie Courraud |
| Author | Vanessa Guillaumon |
| Author | Hélène Mathieu-Daudé |
| Author | Sophie Colasse |
| Author | Vickie Baracos |
| Author | Hélène de Forges |
| Author | Simon Thezenas |
| Abstract | CONTEXT: Cancer-associated cachexia is correlated with survival, side-effects, and alteration of the patients' well-being. OBJECTIVES: We implemented an institution-wide multidisciplinary supportive care team, a Cancer Nutrition Program (CNP), to screen and manage cachexia in accordance with the guidelines and evaluated the impact of this new organization on nutritional care and funding. METHODS: We estimated the workload associated with nutrition assessment and cachexia-related interventions and audited our clinical practice. We then planned, implemented, and evaluated the CNP, focusing on cachexia. RESULTS: The audit showed a 70% prevalence of unscreened cachexia. Parenteral nutrition was prescribed to patients who did not meet the guideline criteria in 65% cases. From January 2009 to December 2011, the CNP team screened 3078 inpatients. The screened/total inpatient visits ratio was 87%, 80%, and 77% in 2009, 2010, and 2011, respectively. Cachexia was reported in 74.5% (n = 2253) patients, of which 94.4% (n = 1891) required dietary counseling. Over three years, the number of patients with artificial nutrition significantly decreased by 57.3% (P < 0.001), and the qualitative inpatients enteral/parenteral ratio significantly increased: 0.41 in 2009, 0.74 in 2010, and 1.52 in 2011. Between 2009 and 2011, the CNP costs decreased significantly for inpatients nutritional care from 528,895? to 242,272?, thus financing the nutritional team (182,520? per year). CONCLUSION: Our results highlight the great benefits of implementing nutritional guidelines through a physician-led multidisciplinary team in charge of nutritional care in a comprehensive cancer center. |
| Publication | Journal of Pain and Symptom Management |
| Volume | 54 |
| Issue | 3 |
| Pages | 387-393.e3 |
| Date | 09 2017 |
| Journal Abbr | J Pain Symptom Manage |
| Language | eng |
| DOI | 10.1016/j.jpainsymman.2017.01.010 |
| ISSN | 1873-6513 |
| Short Title | Management of Cancer Cachexia and Guidelines Implementation in a Comprehensive Cancer Center |
| Library Catalog | PubMed |
| Extra | PMID: 28778558 |
| Tags | Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, artificial nutrition, Body Mass Index, Cachexia, Cancer Care Facilities, Cancer-associated cachexia, clinic, Counseling, Disease Management, first, Health Care Costs, Hospitalization, Humans, Middle Aged, Neoplasms, nutrition guidelines, Patient Care Team, Physicians, Practice Guidelines as Topic, practices, Prevalence, Young Adult |
| Date Added | 2019/05/14 - 15:54:21 |
| Date Modified | 2024/09/30 - 01:35:59 |
| Notes and Attachments | Full Text (Attachment) PubMed entry (Attachment) PubMed entry (Attachment) |
Institut de Recherche en Cancérologie de
