Awareness, perceptions and practices regarding cancer-related malnutrition and sarcopenia: a survey of cancer clinicians.
Adult
Australia
/ epidemiology
Awareness
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Malnutrition
/ epidemiology
Middle Aged
Neoplasms
/ complications
Nutrition Therapy
/ psychology
Oncologists
/ psychology
Perception
Practice Patterns, Physicians'
/ statistics & numerical data
Sarcopenia
/ epidemiology
Surveys and Questionnaires
Young Adult
Awareness
Cancer
Malnutrition
Oncology
Sarcopenia
Survey
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
10
12
2019
accepted:
19
02
2020
pubmed:
28
2
2020
medline:
31
10
2020
entrez:
28
2
2020
Statut:
ppublish
Résumé
Cancer-related malnutrition and sarcopenia have severe negative consequences including reduced survival and reduced ability to complete treatment. This study aimed to determine the awareness, perceptions and practices of Australian oncology clinicians regarding malnutrition and sarcopenia in people with cancer. A national cross-sectional survey of Australian cancer clinicians was undertaken between November 2018 and January 2019. The 30-item online purpose-designed survey was circulated through professional organizations and health services. The 111 participants represented dietetic (38%), nursing (34%), medical (14%) and other allied health (14%) clinicians. Overall, 86% and 88% clinicians were aware of accepted definitions of malnutrition and sarcopenia, respectively. Perception of responsibility for identification of these conditions varied across participants, although 93% agreed this was a component of their role. However, 21% and 43% of clinicians had limited or no confidence in their ability to identify malnutrition and sarcopenia, respectively. Common barriers to the identification and management of malnutrition were access to the tools or skills required and a lack of services to manage malnourished patients. Common barriers to identification of sarcopenia were lack of confidence and lack of services to manage sarcopenic patients. Enablers for identification and management of malnutrition and sarcopenia were variable; however, training and protocols for management ranked highly. While awareness of the importance of cancer-related malnutrition and sarcopenia are high, participants identified substantial barriers to delivering optimal nutrition care. Guidance at a national level is recommended to strengthen the approach to management of cancer-related malnutrition and sarcopenia.
Identifiants
pubmed: 32103357
doi: 10.1007/s00520-020-05371-7
pii: 10.1007/s00520-020-05371-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
5263-5270Références
International Agency for Research on Cancer Globocan Database(2012) Estimated Incidence, Mortality and Prevalence Worldwide in 2012 Fact Sheet.. http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx . Accessed 3 August 2019
Australian Institute of Health and Welfare (2019) Cancer in Australia 2019. Australian Institute of Health and Welfare, Canberra
Hébuterne X, Lemarié E, Michallet M, de Montreuil CB, Schneider SM, Goldwasser F (2014) Prevalence of malnutrition and current use of nutrition support in patients with cancer. JPEN 38(2):196–204
doi: 10.1177/0148607113502674
Marshall KM, Loeliger J, Nolte L, Kelaart A, Kiss NK (2019) Prevalence of malnutrition and impact on clinical outcomes in cancer services: a comparison of two time points. Clin Nutr 38(2):644–651
doi: 10.1016/j.clnu.2018.04.007
Academy of Nutrition and Dietetics. Oncology Evidence-Based Nutrition Practice Guideline. http://andevidenceanalysislibrary.com . Accessed 6 Auguets 2019
Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, Fearon K, Hütterer E, Isenring E, Kaasa S, Krznaric Z, Laird B, Larsson M, Laviano A, Mühlebach S, Muscaritoli M, Oldervoll L, Ravasco P, Solheim T, Strasser F, de van der Schueren M, Preiser JC (2017) ESPEN guidelines on nutrition in cancer patients. Clin Nutr 36(1):11–48
doi: 10.1016/j.clnu.2016.07.015
Cotogni P, Pedrazzoli P, De Waele E, Aprile E, Farina G, Stragliotto S, De Lorenzo F, Caccialanza R (2019) Nutritional therapy in cancer patients receiving chemoradiotherapy: should we need stronger recommendations to act for improving outcomes? J Cancer 10(18):4318–4325
doi: 10.7150/jca.31611
Findlay M, Bauer J, Brown T, Davidson W, Hill J, Isenring E, et al. Evidence based practice guidelines for the nutritional managment of adult patients with head and neck cancer. http://wiki.cancer.org.au/australia/COSA:Head_and_neck_cancer_nutrition_guidelines . Accessed 6 August 2019
Isenring E, Zabel R, Bannister M, Brown T, Findlay M, Kiss N et al (2013) Updated evidence-based practice guidelines for the nutritional management of patients receiving radiation therapy and/or chemotherapy. Nutr Diet 70(4):312–324
doi: 10.1111/1747-0080.12013
Cederholm T, Jensen GL, Correia MITD, Gonzalez MC, Fukushima R, Higashiguchi T, Baptista G, Barazzoni R, Blaauw R, Coats A, Crivelli A, Evans DC, Gramlich L, Fuchs-Tarlovsky V, Keller H, Llido L, Malone A, Mogensen KM, Morley JE, Muscaritoli M, Nyulasi I, Pirlich M, Pisprasert V, de van der Schueren M, Siltharm S, Singer P, Tappenden K, Velasco N, Waitzberg D, Yamwong P, Yu J, van Gossum A, Compher C, GLIM Core Leadership Committee, GLIM Working Group (2019) GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community. Clin Nutr 38(1):1–9
doi: 10.1016/j.clnu.2018.08.002
Baracos VE (2018) Cancer-associated malnutrition. Eur J Clin Nutr 72(9):1255–1259
doi: 10.1038/s41430-018-0245-4
Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, Jatoi A, Loprinzi C, MacDonald N, Mantovani G, Davis M, Muscaritoli M, Ottery F, Radbruch L, Ravasco P, Walsh D, Wilcock A, Kaasa S, Baracos VE (2011) Definition and classification of cancer cachexia: an international consensus. Lancet Oncol 12(5):489–495
doi: 10.1016/S1470-2045(10)70218-7
Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC, Deutz NEP, Erickson N, Laviano A, Lisanti MP, Lobo DN, McMillan D, Muscaritoli M, Ockenga J, Pirlich M, Strasser F, de van der Schueren M, van Gossum A, Vaupel P, Weimann A (2017) ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr 36(5):1187–1196
doi: 10.1016/j.clnu.2017.06.017
Arends J, Bodoky G, Bozzetti F, Fearon K, Muscaritoli M, Selga G et al (2006) ESPEN guidelines on enteral nutrition: non-surgical oncology. Clin Nutr 25:249–259
doi: 10.1016/j.clnu.2006.01.020
Baracos VE, Mazurak VC, Bhullar AS (2018) Cancer cachexia is defined by an ongoing loss of skeletal muscle mass. Ann Palliat Med 8(1):3–12
doi: 10.21037/apm.2018.12.01
Cederholm T, Bosaeus I, Barazzoni R, Bauer J, Van Gossum A, Klek S et al (2015) Diagnostic criteria for malnutrition–an ESPEN consensus statement. Clin Nutr 34(3):335–340
doi: 10.1016/j.clnu.2015.03.001
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M, Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2 (2019) Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 48(1):16–31
doi: 10.1093/ageing/afy169
Spiro A, Baldwin C, Patterson A, Thomas J, Andreyev HJN (2006) The views and practice of oncologists towards nutritional support in patients receiving chemotherapy. Br J Cancer 95(4):431–434
doi: 10.1038/sj.bjc.6603280
Warren S (1932) The immediate cause of death in cancer. Am J Med Sci 184:610–613
doi: 10.1097/00000441-193211000-00002
Blauwhoff-Buskermolen S, Versteeg KS, Schueren MAE, Braver NR, Berkhof J, JAE L et al (2016) Loss of muscle mass during chemotherapy is predictive for poor survival of patients with metastatic colorectal cancer. J Clin Oncol 34(12):1339–1344
doi: 10.1200/JCO.2015.63.6043
Prado CMM, Lieffers JR, McCargar LJ, Reiman T, Sawyer MB, Martin L, Baracos VE (2008) Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts: a population-based study. Lancet Oncol 9(7):629–635
doi: 10.1016/S1470-2045(08)70153-0
Malmstrom TK, Morley JE (2013) SARC-F: a simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc 14(8):531–532
doi: 10.1016/j.jamda.2013.05.018
Noronha Barrére A, Lopes G, de Assis T, Fraga Piovacari SM, Toledo DO (2018) Identification of sarcopenia risk in oncology outpatients using the SARC-F method. J Nutr Health Food Sci 6(5):1–5
Wang B, Thapa S, Zhou T, Lui H, Li L, Peng G, Yu S (2019) Cancer-related fatigue and biochemical parameters among cancer patients with different stages of sarcopenia. Support Care Cancer 28:581–588. https://doi.org/10.1007/s00520-019-04717-0
doi: 10.1007/s00520-019-04717-0
pubmed: 31102055
Craven DL, Pelly FE, Isenring E, Lovell GP (2017) Barriers and enablers to malnutrition screening of community-living older adults: a content analysis of survey data by Australian dietitians. Aust J Prim Health 23(2):196–201
doi: 10.1071/PY16054
Green SM, James EP (2013) Barriers and facilitators to undertaking nutritional screening of patients: a systematic review. J Hum Nutr Diet 26(3):211–221
doi: 10.1111/jhn.12011
Morris ZS, Wooding S, Grant J (2011) The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med 104(12):510–520
doi: 10.1258/jrsm.2011.110180
Di Bella A, Blake C, Young A, Pelecanos A, Brown T (2018) Reliability of patient-led screening with the malnutrition screening tool: agreement between patient and health care professional scores in the cancer care ambulatory setting. J Acad Nutr Diet 118(6):1065–1071
doi: 10.1016/j.jand.2017.11.023
Atkins L, Steer B, Ray H, Kiss N (2019) Implementing and sustaining an evidence-based nutrition service in a haematology unit for autologous stem cell transplant patients. Support Care Cancer 27(3):951–958
doi: 10.1007/s00520-018-4384-x
Kiss N, Krishnasamy M, Loeliger J, Granados A, Dutu G, Corry J (2012) A dietitian-led clinic for patients receiving (chemo) radiotherapy for head and neck cancer. Support Care Cancer 20:2111–2120
doi: 10.1007/s00520-011-1321-7
Caccialanza R, Cereda E, Pinto C, Cotogni P, Farina G, Gavazzi C, Gandini C, Nardi M, Zagonel V, Pedrazzoli P (2016) Awareness and consideration of malnutrition among oncologists: insights from an exploratory survey. Nutrition 32(9):1028–1032
doi: 10.1016/j.nut.2016.02.005
Martin L, de van der Schueren MAE, Blauwhoff-Buskermolen S, Baracos V, Gramlich L (2016) Identifying the barriers and enablers to nutrition care in head and neck and esophageal cancers. JPEN 40(3):355–366
doi: 10.1177/0148607114552847
Victorian Cancer Malnutrition Collaborative. The CanEAT pathway. Available from: https://www.petermac.org/CanEATpathway . Accessed 30
British Association of Parenteral and Enteral Nutrition (2018) Introduction to malnutrition 2018. https://www.bapen.org.uk/malnutrition-undernutrition/introduction-to-malnutrition . Accessed 8 August 2019
Dutch Malnutrition Steering Group (2019) Fight malnutrition https://www.fightmalnutrition.eu/ . Accessed 8 Auguest 2019
Macmillan Cancer Support (2019) Principles and guidance for prehabilitation within the management and support of people with cancer
Victorian Cancer Malnutrition Collaborative. Investigating practices relating to malnutrition in Victorian cancer services: Victorian Department of Health and Human Services https://www2.health.vic.gov.au/about/health-strategies/cancer-care/cancer-projects/investigating-practices-relating-to-malnutrition-in-victorian-cancer-services . Accessed 8 August 2019
Chan RJ, Yates P, Li Q, Komatsu H, Lopez V, Thandar M et al (2017) Oncology practitioners’ perspectives and practice patterns of post-treatment cancer survivorship care in the Asia-Pacific region: results from the STEP study. BMC Cancer 17(1):715
doi: 10.1186/s12885-017-3733-3