Overcoming barriers to timely recognition and treatment of cancer cachexia: Sharing Progress in Cancer Care Task Force Position Paper and Call to Action

Cachexia is a life-threatening disorder affecting an estimated 50–80% of cancer patients. The loss of skeletal muscle mass in patients with cachexia is associated with an increased risk of anticancer treatment toxicity, surgical complications and reduced response. Despite international guidelines, t...

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Published in:Critical reviews in oncology/hematology 2023-05, Vol.185, p.103965-103965, Article 103965
Main Authors: Arends, Jann, Muscaritoli, Maurizio, Anker, Stefan, Audisio, Riccardo, Barazzoni, Rocco, Bosnjak, Snezana, Bossi, Paolo, Bowman, Jacqueline, Gijssels, Stefan, Krznarić, Željko, Strasser, Florian, Aapro, Matti
Format: Article
Language:English
Subjects:
Cachexia - diagnosis
Cachexia - etiology
Cachexia - therapy
Cancer cachexia
Criteria
Diagnosis
Humans
Malnutrition
Malnutrition - diagnosis
Malnutrition - etiology
Malnutrition - therapy
Neoplasms - complications
Neoplasms - therapy
Nutritional Status
Obesity
Sarcopenia
Sarcopenia - diagnosis
Sarcopenia - etiology
Sarcopenia - therapy
Weight loss
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Summary:Cachexia is a life-threatening disorder affecting an estimated 50–80% of cancer patients. The loss of skeletal muscle mass in patients with cachexia is associated with an increased risk of anticancer treatment toxicity, surgical complications and reduced response. Despite international guidelines, the identification and management of cancer cachexia remains a significant unmet need owing in part to the lack of routine screening for malnutrition and suboptimal integration of nutrition and metabolic care into clinical oncology practice. In June 2020, Sharing Progress in Cancer Care (SPCC) convened a multidisciplinary task force of medical experts and patient advocates to examine the barriers preventing the timely recognition of cancer cachexia, and provide practical recommendations to improve clinical care. This position paper summarises the key points and highlights available resources to support the integration of structured nutrition care pathways.
ISSN:1040-8428
1879-0461
DOI:10.1016/j.critrevonc.2023.103965