Implementation of a standardised perioperative nutrition care pathway in upper gastrointestinal cancer surgery: A multisite pilot study

Background Perioperative nutrition support is recommended for patients undergoing upper gastrointestinal (UGI) cancer surgery; however, limited evidence exists regarding implementation of a nutrition care pathway in clinical practice. The aims of this pilot study were to determine whether implementa...

Full description

Saved in:
Bibliographic Details
Published in:Journal of human nutrition and dietetics 2023-04, Vol.36 (2), p.479-492
Main Authors: Deftereos, Irene, Hitch, Danielle, Butzkueven, Sally, Carter, Vanessa, Arslan, Janan, Fetterplace, Kate, Fox, Kate, Ottaway, Aurora, Pierce, Kathryn, Steer, Belinda, Varghese, Jessie, Kiss, Nicole, Yeung, Justin
Format: Article
Language:English
Subjects:
Cancer
Cancer surgery
Critical Pathways
Data analysis
Dietary guidelines
Dietetics
dietitian
Feasibility studies
Gastric cancer
Gastrointestinal cancer
Gastrointestinal Neoplasms
Gastrointestinal surgery
Hand Strength
Humans
Length of Stay
Malnutrition
Nutrition
nutrition care pathway
nutrition support
Nutritional Status
Patient admissions
Patient care planning
Patients
Pilot Projects
Prospective Studies
Statistical analysis
Surgery
Surgical outcomes
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Perioperative nutrition support is recommended for patients undergoing upper gastrointestinal (UGI) cancer surgery; however, limited evidence exists regarding implementation of a nutrition care pathway in clinical practice. The aims of this pilot study were to determine whether implementation of a standardised perioperative nutrition pathway for patients undergoing UGI cancer surgery improves access to dietetics care, as well as to evaluate study feasibility, fidelity, resource requirements and effect on clinical outcomes. Methods Patients with newly diagnosed UGI cancer from four major metropolitan hospitals in Melbourne, planned for curative intent surgery, were included in the prospective pilot study (n = 35), with historical controls (n = 35) as standard care. Outcomes were dietetics care (dietetics contacts) nutritional status, hand grip strength, weight change, preoperative hospital admissions, complications and length of stay, recruitment feasibility, fidelity and adherence, and resource requirements. Continuous data were analysed using independent samples t test accounting for unequal variances or a Mann–Whitney U test. Dichotomous data were analysed using Fisher's exact test. Results The percentage of participants receiving preoperative dietetic intervention increased from 55% to 100% (p 
ISSN:0952-3871
1365-277X
DOI:10.1111/jhn.13018