Riccardo Caccialanza1, Emanuele Cereda1, Carmine Pinto2, Paolo Cotogni3, Gabriella Farina4, Cecilia Gavazzi5, Chiara Gandini6, Mariateresa Nardi7, Vittorina Zagonel8, Paolo Pedrazzoli9. 1. Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. 2. Medical Oncology IRCCS-Arcispedale S. Maria Nuova, Reggio Emilia, Italy. 3. Department of Anesthesiology and Intensive Care, Pain Management and Palliative Care, University of Turin, Torino, Italy. 4. Department of Oncology, Ospedale Fatebenefratelli and Oftalmico, Milan, Italy. 5. Clinical Nutrition Unit, National Cancer Institute, Milan, Italy. 6. Division of Medical Oncology, Department of Hemato-Oncology Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. 7. Clinical Nutrition Service, Veneto Institute of Oncology-IRCCS, Padova, Italy. 8. Medical Oncology 1, Veneto Institute of Oncology-IRCCS, Padova, Italy. 9. Division of Medical Oncology, Department of Hemato-Oncology Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. Electronic address: p.pedrazzoli@smatteo.pv.it.
Abstract
OBJECTIVES: The attitude toward malnutrition varies considerably among oncologists and many malnourished cancer patients receive inadequate nutritional support. The aim of this brief report was to report the results of the exploratory national survey conducted by the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE) before publication of a consensus document aimed at evaluating current attitudes toward malnutrition and management of nutrition, among Italian medical oncologists. METHODS: Between January and July 2015, the AIOM and the SINPE conducted a national web-based exploratory survey to investigate the attitude of oncologists toward malnutrition, and the management of nutritional support, before publication of an intersociety consensus document. RESULTS: Of the 2375 AIOM members, 135 (5.7%) participated in the survey, with a satisfactory distribution across all Italian regions. Nutritional assessment and support were routinely integrated into patient care for 38 (28%) responders. According to 66 (49%) participants, nutritional assessment was carried out only at the patients' request (n = 62), or not at all (n = 4). Availability of clinical nutritionists was reported by 88 (65%) participants. For 131 responders (97%), nutritional status was decisive (n = 63) or often crucial (n = 68) in assessing whether anticancer treatment was practicable or would be tolerated. CONCLUSIONS: The low response rate may reflect the lack of awareness and consideration of nutritional issues among Italian oncologists. Although malnutrition and nutritional support seemed to be perceived by the responders as relevant factors for the efficacy of oncologic treatments, it seems that nutritional care practices may well be inappropriate. The lack of collaboration between oncologists and clinical nutritionists may be the first obstacle to overcome. Educational intersociety initiatives aimed at improving nutritional support management for cancer patients in Italy appear urgently needed.
OBJECTIVES: The attitude toward malnutrition varies considerably among oncologists and many malnourished cancerpatients receive inadequate nutritional support. The aim of this brief report was to report the results of the exploratory national survey conducted by the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE) before publication of a consensus document aimed at evaluating current attitudes toward malnutrition and management of nutrition, among Italian medical oncologists. METHODS: Between January and July 2015, the AIOM and the SINPE conducted a national web-based exploratory survey to investigate the attitude of oncologists toward malnutrition, and the management of nutritional support, before publication of an intersociety consensus document. RESULTS: Of the 2375 AIOM members, 135 (5.7%) participated in the survey, with a satisfactory distribution across all Italian regions. Nutritional assessment and support were routinely integrated into patient care for 38 (28%) responders. According to 66 (49%) participants, nutritional assessment was carried out only at the patients' request (n = 62), or not at all (n = 4). Availability of clinical nutritionists was reported by 88 (65%) participants. For 131 responders (97%), nutritional status was decisive (n = 63) or often crucial (n = 68) in assessing whether anticancer treatment was practicable or would be tolerated. CONCLUSIONS: The low response rate may reflect the lack of awareness and consideration of nutritional issues among Italian oncologists. Although malnutrition and nutritional support seemed to be perceived by the responders as relevant factors for the efficacy of oncologic treatments, it seems that nutritional care practices may well be inappropriate. The lack of collaboration between oncologists and clinical nutritionists may be the first obstacle to overcome. Educational intersociety initiatives aimed at improving nutritional support management for cancerpatients in Italy appear urgently needed.
Authors: Elena Ongaro; Vanessa Buoro; Marika Cinausero; Riccardo Caccialanza; Annalisa Turri; Valentina Fanotto; Debora Basile; Maria Grazia Vitale; Paola Ermacora; Giovanni Gerardo Cardellino; Laura Nicoletti; Lorenzo Fornaro; Andrea Casadei-Gardini; Giuseppe Aprile Journal: Gastric Cancer Date: 2017-05-05 Impact factor: 7.370
Authors: M Durán-Poveda; P Jimenez-Fonseca; M Sirvent-Ochando; P P García-Luna; J L Pereira-Cunill; B Lema-Marqués; M T Parejo-Arrondo; C Belda-Iniesta Journal: Clin Transl Oncol Date: 2018-03-02 Impact factor: 3.405
Authors: L U Kaduka; Z N Bukania; Y Opanga; R Mutisya; A Korir; V Thuita; C Nyongesa; M Mwangi; C F L Mbakaya; E Muniu Journal: J Nutr Sci Date: 2017-12-28
Authors: Stefan Rauh; Andrea Antonuzzo; Paolo Bossi; Robert Eckert; Marie Fallon; Anna Fröbe; Silvia Gonella; Raffaele Giusti; Gabor Lakatos; Daniele Santini; Anna Villarini Journal: ESMO Open Date: 2018-05-05