Multinational Association of Supportive Care in Cancer (MASCC) expert opinion/guidance on the use of clinically assisted nutrition in patients with advanced cancer.

Advanced cancer Clinically assisted nutrition Neoplasms Palliative care Practice guideline

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:
Apr 2022
Historique:
received: 01 09 2021
accepted: 03 10 2021
pubmed: 20 10 2021
medline: 23 2 2022
entrez: 19 10 2021
Statut: ppublish

Résumé

The pro vision of clinically assisted nutrition (CAN) in patients with advanced cancer is controversial, and there is a paucity of specific guidance, and so a diversity in clinical practice. Consequently, the Palliative Care Study Group of the Multinational Association of Supportive Care in Cancer (MASCC) formed a Subgroup to develop evidence-based guidance on the use CAN in patients with advanced cancer. This guidance was developed in accordance with the MASCC Guidelines Policy. A search strategy for Medline was developed, and the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were explored for relevant reviews/trials respectively. The outcomes of the review were categorised by the level of evidence, and a "category of guideline" based on the level of evidence (i.e. "recommendation", "suggestion", or "no guideline possible"). The Subgroup produced 11 suggestions, and 1 recommendation (due to the paucity of evidence). These outcomes relate to assessment of patients, indications for CAN, contraindications for CAN, procedures for initiating CAN, and re-assessment of patients. This guidance provides a framework for the use of CAN in advanced cancer, although every patient needs individualised management.

Identifiants

pubmed: 34665311
doi: 10.1007/s00520-021-06613-y
pii: 10.1007/s00520-021-06613-y
pmc: PMC8857106
doi:

Types de publication

Journal Article Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

2983-2992

Informations de copyright

© 2021. The Author(s).

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Auteurs

Bryony Alderman (B)

Royal Surrey County Hospital, Guildford, UK.

Lindsey Allan (L)

Royal Surrey County Hospital, Guildford, UK.

Koji Amano (K)

Department of Palliative Medicine, National Cancer Center Hospital, Tokyo, Japan.

Carole Bouleuc (C)

Department of Supportive and Palliative Care, Institut Curie, Paris, France.

Mellar Davis (M)

Palliative Care Department, Geisinger Medical System, PA, Danville, USA.

Stephanie Lister-Flynn (S)

St Catherine's Hospice, Crawley, UK.

Sandip Mukhopadhyay (S)

Department of Pharmacology, Burdwan Medical College, Burdwan, India.

Andrew Davies (A)

School of Medicine, Trinity College Dublin, Dublin, Ireland. andavies@tcd.ie.
Education & Research Centre, Our Lady's Hospice Dublin, Harold's Cross, Dublin, Ireland. andavies@tcd.ie.
School of Medicine, University College Dublin, Dublin, Ireland. andavies@tcd.ie.

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Classifications MeSH