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Integral nutritional approach to the care of cancer patients: results from a Delphi panel

Introduction Malnutrition is a common complication in cancer patients and can negatively affect the outcome of treatments. This study aimed to reach a consensus on nutritional needs and optimize nutritional care in the management of cancer patients at a national level. Methods A qualitative, multice...

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Published in:Clinical & translational oncology 2018-09, Vol.20 (9), p.1202-1211
Main Authors: Durán-Poveda, M., Jimenez-Fonseca, P., Sirvent-Ochando, M., García-Luna, P. P., Pereira-Cunill, J. L., Lema-Marqués, B., Parejo-Arrondo, M. T., Belda-Iniesta, C.
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Language:English
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Summary:Introduction Malnutrition is a common complication in cancer patients and can negatively affect the outcome of treatments. This study aimed to reach a consensus on nutritional needs and optimize nutritional care in the management of cancer patients at a national level. Methods A qualitative, multicenter, two-round Delphi study involving 52 specialists with experience in nutritional support in cancer patients was conducted. Results Regarding the presence of malnutrition, 57.7% of the participants stated that  50% at the end of the treatment. Forty percent of participants believed that the main objective of nutritional treatment was to improve quality of life and 34.6% to improve tolerability and adherence to chemotherapy. The quality nutritional care provided at their centers was rated as medium–low by 67.3%. Enteral and parenteral nutrition was administered to less than 10% and less than 5% of patients in 40.4 and 76.9% of cases, respectively. In relation to nutritional screening at the time of diagnosis, 62.9% of participants considered than screening to assess the risk of malnutrition was performed in
ISSN:1699-048X
1699-3055
DOI:10.1007/s12094-018-1846-z