Nutritional Support in Cancer patients: update of the Italian Intersociety Working Group practical recommendations.

cancer patients malnutrition nutritional care nutritional support practical recommendations

Journal

Journal of Cancer
ISSN: 1837-9664
Titre abrégé: J Cancer
Pays: Australia
ID NLM: 101535920

Informations de publication

Date de publication:
2022
Historique:
received: 22 03 2022
accepted: 15 05 2022
entrez: 11 7 2022
pubmed: 12 7 2022
medline: 12 7 2022
Statut: epublish

Résumé

Malnutrition is a frequent problem in cancer patients, which leads to prolonged and repeated hospitalizations, increased treatment-related toxicity, reduced response to cancer treatment, impaired quality of life, a worse overall prognosis and the avoidable waste of health care resources. Despite being perceived as a limiting factor in oncologic treatments by both oncologists and patients, there is still a considerable gap between need and actual delivery of nutrition care, and attitudes still vary considerably among health care professionals. In the last 5 years, the Italian Intersociety Working Group for Nutritional Support in Cancer Patients (WG), has repeatedly revisited this issue and has concluded that some improvement in nutritional care in Italy has occurred, at least with regard to awareness and institutional activities. In the same period, new international guidelines for the management of malnutrition and cachexia have been released. Despite these valuable initiatives, effective structural strategies and concrete actions aimed at facing the challenging issues of nutritional care in oncology are still needed, requiring the active participation of scientific societies and health authorities. As a continuation of the WG's work, we have reviewed available data present in the literature from January 2016 to September 2021, together with the most recent guidelines issued by scientific societies and health authorities, thus providing an update of the 2016 WG practical recommendations, with suggestions for new areas/issues for possible improvement and implementation.

Identifiants

pubmed: 35812181
doi: 10.7150/jca.73130
pii: jcav13p2705
pmc: PMC9254882
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2705-2716

Informations de copyright

© The author(s).

Déclaration de conflit d'intérêts

Competing Interests: The authors have declared that no competing interest exists.

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Auteurs

Riccardo Caccialanza (R)

Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Paolo Cotogni (P)

Pain Management and Palliative Care, Department of Anesthesia, Intensive Care and Emergency, Molinette Hospital, University of Turin, Turin, Italy.

Emanuele Cereda (E)

Clinical Nutrition and Dietetics Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Paolo Bossi (P)

Medical Oncology Unit, ASST Spedali Civili di Brescia, and Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.

Giuseppe Aprile (G)

Department of Oncology, San Bortolo General Hospital, Vicenza, Italy.

Paolo Delrio (P)

Colorectal Surgical Oncology-Abdominal Oncology Department, Istituto Nazionale per lo Studio e la Cura dei Tumori, Fondazione Giovanni Pascale IRCCS, Naples, Italy.

Patrizia Gnagnarella (P)

Division of Epidemiology and Biostatistics, IEO European Institute of Oncology IRCCS, Milan, Italy.

Annalisa Mascheroni (A)

Clinical Nutrition and Dietetics Unit, ASST Melegnano-Martesana, 20077 Melegnano (MI), Italy.

Taira Monge (T)

Clinical Nutrition Unit, S. Giovanni Battista Hospital, Torino, Italy.

Ettore Corradi (E)

Clinical Nutritional Unit, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Michele Grieco (M)

Department of Surgery, Sant' Eugenio Hospital, Rome, Italy.

Sergio Riso (S)

Clinical Nutrition and Dietetics Unit, Maggiore della Carità Hospital, Novara, Italy.

Francesco De Lorenzo (F)

Italian Federation of Volunteer-based Cancer Organizations, Rome, Italy.

Francesca Traclò (F)

Italian Federation of Volunteer-based Cancer Organizations, Rome, Italy.

Elisabetta Iannelli (E)

Italian Federation of Volunteer-based Cancer Organizations, Rome, Italy.

Giordano Domenico Beretta (GD)

Department of Oncology, Humanitas Gavazzeni, Bergamo, Italy.

Michela Zanetti (M)

Department of Medical, Surgical and Health Sciences - University of Trieste, and Azienda Sanitaria Universitaria Giuliano Isontina (ASUGI), Trieste, Italy.

Saverio Cinieri (S)

Medical Oncology Division and Breast Unit, Senatore Antonio Perrino Hospital, ASL Brindisi, Brindisi, Italy.

Vittorina Zagonel (V)

Oncology Unit 1, Department of Oncology, Veneto Institute of Oncology-IRCCS, 35128 Padova, Italy.

Paolo Pedrazzoli (P)

Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo and Department of Internal Medicine, University of Pavia, Pavia, Italy.

Classifications MeSH