Objective
To compare the validated definition of malnutrition with the perceptions of nutrition status by patients, relatives, and physicians. To find out the risk factors of malnutrition.
2020/4/4
8
02 研究方法及对象
Inclusion criteria
patients diagnosed with cancer, aged ≥18 years, and willing to complete a questionnaire. Malnutrition was identified as follows: weight loss ≥5% within 1 month or ≥10% within 6 months, a body mass index (BMI) ≤18.5 kg/m2 in patients aged <70 years or ≤21 kg/m2 in patients aged ≥70 years, albu-minemia (when available) <35 g/L in patients aged ≥70 years.
2020/4/4
9
3 第
部分
2020/4/4
研究结果
10
03 研究结果
2020/4/4
11
03 研究结果
Malnutrition prevalence and statistical analysis:
Overall, 826 patients were malnourished (39%; 95% confidence interval [CI], 37– 41), with a higher prevalence in patients with liver and pancreatic cancers
Patient self-screening for malnutrition has been reported as feasible in cancer, and relatives may also provide external information on nutrition.
4
01 研究背景及目的
Early nutrition interventions are recommended in properly identified patients for improving treatment tolerance and patient survival.
Underestimation of malnutrition remains a significant issue since early recognition of malnutrition may allow for early optimization of nutrition interventions to support patients during treatment.
questions:
Whether patients with cancer and/or their relatives are aware of malnutrition and could improve the efficacy of nutrition interventions is unclear.
1
THE MAIN CONTENTS
01
研究背景及目的
02
研究对象及方法
03
研究结果
04
讨论及总结
2020/4/4
2
1 第
部分
2020/4/4
研究背景及目的
3
01 研究背景及目的
2020/4/4
Malnutrition increases the risk of treatment toxicity and impairs outcomes of patients with cancer.
Malnutrition in Patients With Cancer: Comparison of Perceptions by Patients, Relatives, and Physicians—Results of the
NutriCancer2012 Study
Journal of Parenteral and Enteral Nutrition IF：3.517 Publication: Jan 2017
2020/4/4
6
2 第
部分
2020Methods
The NutriCancer2012 multicentric cross-sectional survey was conducted on 1 predefined day. The survey was conducted in 283 departments of private or public hospitals in 36 cities in France on October 9, 2012,and included 2197 patients. Each included patient had to complete a questionnaire. The attending physician on the day of the visit was included, as well as the closest relative, who also received questionnaires to complete.
However, the subjective awareness of malnutrition by the patients, their relatives, and physicians has not yet been assessed or compared.
2020/4/4
5
01 研究背景及目的