Improving the nutritional care of oncology patients - Validation of a multidisciplinary protocol in the Spanish clinical setting

被引：0

作者：

Almeida, Jose Manuel Garcia ^{[1
]}

Pareja, Isabel Maria Cornejo ^{[1
,3
]}

Jimenez, Rocio Fernandez ^{[2
]}

Perez, Yolanda Lupianez ^{[4
]}

Garrido, Maria Jose ^{[5
]}

Padin, Cristina Abreu ^{[6
]}

Alfaro-Martinez, Jose-Joaquin ^{[7
]}

Gosalbez, M. Dolores Andreu ^{[8
]}

Pla, Maria Argente ^{[9
]}

Carril, Vanessa Arosa ^{[10
]}

Artero, Ana ^{[11
]}

Cayon-Blanco, Manuel ^{[12
]}

Olmedo, Luis Angel Cuellar ^{[13
,29
]}

Pereg, Laura de la Maza ^{[14
]}

Perojo, Estrella Diego ^{[15
]}

Muniz-Alique, Margarita Diez ^{[8
]}

Garcia, Patricia Diezhandino ^{[16
]}

de Bobadilla-Pascual, Belen Fernandez ^{[17
]}

Soto, Maria Luisa Fernandez ^{[18
]}

Tudanc, Sergio Fuentes ^{[19
]}

Gascon, Jose M. Gil ^{[20
]}

Irles-Rocamora, Jose Antonio ^{[21
]}

Rodriguez, Lucia Juan ^{[22
]}

Iglesias, Ofelia Llamazares ^{[23
]}

Callau, Francisco Losfablos ^{[24
]}

Garcia, Gregorio Manzano ^{[25
]}

Marco-Alacid, Cristian ^{[26
]}

Cobos, Marta Perez ^{[27
]}

Sierra, Ma. Elena Mendoza ^{[28
]}

Gayos, Luis Olay ^{[29
]}

Alcolea, Josefina Olivares ^{[30
]}

Cunill, Jose Luis Pereira ^{[31
]}

Alonso, Octavio Perez ^{[32
]}

Perez, Maria Isabel Rebollo ^{[33
]}

Paloma, Jose Manuel Ruiz ^{[34
]}

Rodriguez, Juan Jose Silva ^{[35
]}

Carreras, Patricia Sorribes ^{[36
]}

Vizcaino, Begona Vazquez ^{[15
]}

Wu-Xiong, Ning Yun ^{[37
]}

机构：

[1] Hosp Univ Virgen de la Victoria, UGC Endocrinol & Nutr, Malaga, Spain

[2] Hosp Quironsalud Malaga, Serv Endocrinol & Nutr, Malaga, Spain

[3] Inst Invest Biomed Malaga, Malaga, Spain

[4] Hosp Univ Virgen de la Victoria, Unidad Oncol Radioterap & Radiofis Hosp, Malaga, Spain

[5] Hosp Gen Virgen de la Luz, Secc Oncol Med, Consulta Canc Anciano, Cuenca, Spain

[6] Complejo Asistencial Segovia, Segovia, Spain

[7] Complejo Hosp Univ Albacete, Albacete, Spain

[8] Hosp Sierrallana, Torrelavega, Cantabria, Spain

[9] Hosp Univ & Politecn La Fe, Valencia, Spain

[10] Hosp Univ Basurto, Bilbao, Vizcaya, Spain

[11] Hosp Gen Univ Valencia, Valencia, Spain

[12] Hosp Univ Jerez, Cadiz, Spain

[13] Hosp Univ Rio Hortega, Valladolid, Spain

[14] Hosp Univ Burgos, Burgos, Spain

[15] Hosp Univ Cruces, Baracaldo, Vizcaya, Spain

[16] Hosp Clin Univ Valladolid, Valladolid, Spain

[17] Hosp Gen Univ Ciudad Real, Ciudad Real, Spain

[18] Hosp Univ Clin San Cecilio, Granada, Spain

[19] Hosp Univ Rey Juan Carlos, Mostoles, Madrid, Spain

[20] Hosp Univ Punta Europa, Cadiz, Spain

[21] Hosp Univ Nuestra Senora de Valme, Seville, Spain

[22] Hosp Univ Gran Canaria Doctor Negrin, Las Palmas Gran Canaria, Spain

[23] Hosp Univ Toledo, Toledo, Spain

[24] Hosp Univ Miguel Servet, Zaragoza, Spain

[25] Hosp Univ Reina Sofia, Cordoba, Spain

[26] Hosp Virgen de los Lirios, Alicante, Spain

[27] Hosp Univ Fdn Jimenez Diaz, Madrid, Spain

[28] Hosp Cent Def Gomez Ulla CSVE, Madrid, Spain

[29] Hosp Univ Cent Asturias, Oviedo, Spain

[30] Hosp Univ Son Espases, Palma De Mallorca, Spain

[31] Hosp Univ Virgen del Rocio, Seville, Spain

[32] Hosp Univ Araba Txagorritxu, Vitoria, Spain

[33] Hosp Univ Juan Ramon Jimenez, Huelva, Spain

[34] Hosp Gen Univ Elda, Alicante, Spain

[35] Hosp Univ Puerto Real, Cadiz, Spain

[36] Consorcio Hosp Prov Castellon, Castellon de La Plana, Spain

[37] Hosp Clin Univ Valencia, Valencia, Spain

来源：

NUTRICION HOSPITALARIA | 2024年 / 41卷 / 04期

关键词：

Nutritional care; Oncology patient; Multidisciplinary protocol; Malnutrition in cancer; Clinical implementation; Protocol validation; MALNUTRITION; PREVALENCE; GUIDELINES; ATTITUDES;

D O I：

10.20960/nh.05043

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Introduction: malnutrition is a very frequent problem in oncology patients and may have serious repercussions. Adequate nutritional management is cost-effective in terms of health and survival in this population, but it requires multidisciplinary coordination, specific training, and continuous follow-up. Objective: to validate the applicability and efficacy of a multidisciplinary nutritional support protocol in oncology patients. Methods: a multidisciplinary nutritional protocol was developed for oncology patients, with guidelines for screening and assessment of malnutrition, treatment, re-evaluation, and management of side effects, as well as guidance on supplementation and eating patterns. The protocol would be implemented in various clinical centers, collecting data through a structured questionnaire, registering variables before and after implementation. Results: the protocol and its impact were implemented and evaluated in 39 centers. An improvement in nutritional care was observed, evidenced by an earlier initiation of nutritional assessment and an increase in the number of patients receiving adequate care following the protocol implementation. Problems related to inadequate malnutrition coding in the centers, limited resources, and the need for greater interdepartmental collaboration were identified. Conclusions: the conduct of this study provides insights into how the implementation of a multidisciplinary nutritional support protocol can improve the nutritional care received by patients and informs about the main obstacles to adequate implementation.

引用

页码：758 / 765

页数：8

共 50 条

[41] Study protocol: cost-effectiveness of multidisciplinary nutritional support for undernutrition in older adults in nursing home and home-care: cluster randomized controlled trial
Beck, Anne Marie
Christensen, Annette Gogsig
Hansen, Birthe Stenbk
Damsbo-Svendsen, Signe
Moller, Tina Kreinfeldt Skovgaard
Hansen, Eigil Boll
Keiding, Hans
NUTRITION JOURNAL, 2014, 13
[42] A multidisciplinary team approach for nutritional interventions conducted by specialist nurses in patients with advanced colorectal cancer undergoing chemotherapy: A clinical trial
Lin, Jin-Xiang
Chen, Xiang-Wei
Chen, Zhan-Hong
Huang, Xiu-Yan
Yang, Jin-Jie
Xing, Yan-Fang
Yin, Liang-Hong
Li, Xing
Wu, Xiang-Yuan
MEDICINE, 2017, 96 (26)
[43] Effect of a nutritional support protocol on enteral nutrition and clinical outcomes of critically ill patients: a retrospective cohort study
Park, Heemoon
Lim, Sung Yoon
Kim, Sebin
Kim, Hyung-Sook
Kim, Soyeon
Yoon, Ho Il
Cho, Young-Jae
ACUTE AND CRITICAL CARE, 2022, 37 (03) : 382 - 390
[44] Effect of malnutrition-driven nutritional support protocol on clinical outcomes in autologous stem cell transplantation patients
Heather Lazarow
Ryan Singer
Charlene Compher
Cheryl Gilmar
Colleen R. Kucharczuk
Patricia Mangan
Kelly Salam
Kathleen Cunningham
Edward A. Stadtmauer
Daniel J. Landsburg
Supportive Care in Cancer, 2021, 29 : 997 - 1003
[45] Validation of a Clinical Prediction Model for Early Admission to the Intensive Care Unit of Patients With Pneumonia
Labarere, Jose
Schuetz, Philipp
Renaud, Bertrand
Claessens, Yann-Erick
Albrich, Werner
Mueller, Beat
ACADEMIC EMERGENCY MEDICINE, 2012, 19 (09) : 994 - 1003
[46] Effect of malnutrition-driven nutritional support protocol on clinical outcomes in autologous stem cell transplantation patients
Lazarow, Heather
Singer, Ryan
Compher, Charlene
Gilmar, Cheryl
Kucharczuk, Colleen R.
Mangan, Patricia
Salam, Kelly
Cunningham, Kathleen
Stadtmauer, Edward A.
Landsburg, Daniel J.
SUPPORTIVE CARE IN CANCER, 2021, 29 (02) : 997 - 1003
[47] Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative
Pinto, Anna
Burnett, Susan
Benn, Jonathan
Brett, Stephen
Parand, Anam
Iskander, Sandra
Vincent, Charles
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2011, 17 (01) : 180 - 187
[48] Is organizational justice associated with clinical performance in the care for patients with diabetes in primary care? Evidence from the improving Quality of care in Diabetes study
Elovainio, Marko
Steen, Nick
Presseau, Justin
Francis, Jill
Hrisos, Susan
Hawthorne, Gillian
Johnston, Marie
Stamp, Elaine
Hunter, Margaret
Grimshaw, Jeremy M.
Eccles, Martin P.
FAMILY PRACTICE, 2013, 30 (01) : 31 - 39
[49] Association between nutritional status, daily nutrition delivery and clinical outcomes of critically ill adult patients admitted to the intensive care unit: a protocol for Isfahan multicentre prospective observational cohort ICU study (the Isfahan-ICU study)
Shokri-Mashhadi, Nafiseh
Schlesinger, Sabrina
Feizi, Awat
Rajaii, Somayeh
Nasiri Jounaghani, Milad
BMJ OPEN, 2025, 15 (01):
[50] Improving care for elderly patients living with polypharmacy: protocol for a pragmatic cluster randomized trial in community-based primary care practices in Canada
Greiver, M.
Dahrouge, S.
O'Brien, P.
Manca, D.
Lussier, M. T.
Wang, J.
Burge, F.
Grandy, M.
Singer, A.
Twohig, M.
Moineddin, R.
Kalia, S.
Aliarzadeh, B.
Ivers, N.
Garies, S.
Turner, J. P.
Farrell, B.
IMPLEMENTATION SCIENCE, 2019, 14 (1)

← 1 2 3 4 5 →