Prevalence of Upper Gastrointestinal Symptoms and Their Influence on Nutritional State and Performance Status in Patients With Different Primary Tumors Receiving Palliative Care

被引：6

作者：

Bovio, Giacomo ^{[1
,2
]}

Fonte, Maria Luisa ^{[3
,4
]}

Baiardi, Paola ^{[5
]}

机构：

[1] IRCCS Rehabil Inst Pavia, Salvatore Maugeri Fdn, Metabolic Nutrit Unit, I-27100 Pavia, Italy

[2] IRCCS Rehabil Inst Pavia, Salvatore Maugeri Fdn, Palliat Care Unit, I-27100 Pavia, Italy

[3] Univ Pavia, Dept Publ Hlth & Neurosci, I-27100 Pavia, Italy

[4] Univ Pavia, Sect Human Nutr, I-27100 Pavia, Italy

[5] IRCCS Rehabil Inst Pavia, Salvatore Maugeri Fdn, Cent Sci Direct, I-27100 Pavia, Italy

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2014年 / 31卷 / 01期

关键词：

palliative care; malnutrition; nutritional status; upper gastrointestinal symptoms; performance status; advanced cancer; QUALITY-OF-LIFE; CANCER STATISTICS; WEIGHT-LOSS; IMPACT; STAGE; CARCINOMA;

D O I：

10.1177/1049909112474713

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The aim of this study was to investigate the relationship between gastrointestinal symptoms, nutritional balance, and performance status in patients receiving palliative care for advanced cancers originating in different sites. We studied a total of 105 patients. Upper gastrointestinal symptoms, Eastern Cooperative Oncology Group Performance Status score (ECOG-PS), dietary intakes, anthropometric measures, and some serum proteins were determined. Unintentional weight loss, alterations in anthropometric measures, and highest number of symptoms were greater in patients with lung and stomach cancer. No differences were found in ECOG-PS according to cancer site. Patients with gastric or lung cancer have most evidence of protein-calorie malnutrition and a higher prevalence of upper gastrointestinal symptoms. The performance status is not affected by tumor site. Early nutritional support should be planned for all patients with cancer, especially for patients with gastric or lung cancer.

引用

页码：20 / 26

页数：7

共 44 条

[1]

[Anonymous], 1990, Antropometric standards for the assessment of growth and nutritional status

[2]

[Anonymous], 2000, WHO TECHN REP SER

[3]

[Anonymous], TABELLE COMPOSIZIONE

[4] A population-based study of the impact of specific symptoms on quality of life in women with breast cancer 1 year after diagnosis [J].

Arndt, Volker ;

Stegmaier, Christa ;

Ziegler, Hartwig ;

Brenner, Hermann .

CANCER, 2006, 107 (10) :2496-2503

[5] ASPEN Clinical Guidelines: Nutrition Support Therapy During Adult Anticancer Treatment and in Hematopoietic Cell Transplantation [J].

August, David Allen ;

Huhmann, Maureen B. .

JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2009, 33 (05) :472-500

[6]

Blackburn G L, 1977, JPEN J Parenter Enteral Nutr, V1, P11, DOI 10.1177/014860717700100111

[7]

Bovio G, 2008, Minerva Gastroenterol Dietol, V54, P243

[8] Upper gastrointestinal symptoms in patients with advanced cancer: relationship to nutritional and performance status [J].

Bovio, G. ;

Montagna, G. ;

Bariani, C. ;

Baiardi, P. .

SUPPORTIVE CARE IN CANCER, 2009, 17 (10) :1317-1324

[9] IMPACT OF CANCER, TYPE, SITE, STAGE AND TREATMENT ON THE NUTRITIONAL-STATUS OF PATIENTS [J].

BOZZETTI, F ;

MIGLIAVACCA, S ;

SCOTTI, A ;

BONALUMI, MG ;

SCARPA, D ;

BATICCI, F ;

AMMATUNA, M ;

PUPA, A ;

TERNO, G ;

SEQUEIRA, C ;

MASSERINI, C ;

EMANUELLI, H .

ANNALS OF SURGERY, 1982, 196 (02) :170-179

[10]

Caro MMM, 2007, CLIN NUTR, V26, P289, DOI 10.1016/j.clnu.2007.01.005

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