Early implementation of a perioperative nutrition support pathway for patients undergoing esophagectomy for esophageal cancer

Background Unintentional weight loss and malnutrition are associated with poorer prognosis in patients with cancer. Risk of cancer‐associated malnutrition is highest among patients with esophageal cancer (EC) and has been repeatedly shown to be an independent risk factor for worse survival in these...

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Bibliographic Details
Published in:Cancer medicine (Malden, MA) MA), 2022-02, Vol.11 (3), p.592-601
Main Authors: Carr, Rebecca A., Harrington, Caitlin, Stella, Christina, Glauner, Diana, Kenny, Erin, Russo, Lianne M., Garrity, Meghan J., Bains, Manjit S., Sihag, Smita, Jones, David R., Molena, Daniela
Format: Article
Language:English
Subjects:
Body weight loss
Cancer
cancer‐associated malnutrition
Clinical Cancer Research
Complications
Demographics
Diet
Dietitians
Enteral nutrition
Esophageal cancer
Esophageal Neoplasms - surgery
esophagectomy
Esophagectomy - adverse effects
Esophagectomy - methods
Esophagus
Humans
Malnutrition
Malnutrition - etiology
Malnutrition - prevention & control
Mortality
Nutrition research
Nutritional status
Ostomy
Overweight
Patients
Postoperative
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Retrospective Studies
Risk factors
standardized nutritional pathway
Surgery
Thoracic surgery
Treatment Outcome
Tumors
undernutrition
Weight Loss
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Summary:Background Unintentional weight loss and malnutrition are associated with poorer prognosis in patients with cancer. Risk of cancer‐associated malnutrition is highest among patients with esophageal cancer (EC) and has been repeatedly shown to be an independent risk factor for worse survival in these patients. Implementation of nutrition protocols may reduce postoperative weight loss and enhance recovery in these patients. Methods We retrospectively identified all patients who underwent Ivor Lewis esophagectomy for EC from January 2015 to August 2019 from a prospectively collected institutional database. Patients who underwent surgery after the implementation of this protocol (September 2017–August 2019) were compared with patients who underwent resection before protocol implementation (January 2015–July 2017). Patients undergoing surgery during the month of protocol initiation were excluded. Results Of the 404 patients included in our study, 217 were in the preprotocol group, and 187 were in the postprotocol group. Compared with the preprotocol group, there were significant reductions in length of hospital stay (p 
ISSN:2045-7634
2045-7634
DOI:10.1002/cam4.4360