Malnutrition in Patients With Cancer: Comparison of Perceptions by Patients, Relatives, and Physicians-Results of the NutriCancer2012 Study.
JPEN J Parenter Enteral Nutr
; 42(1): 255-260, 2018 01.
Article
em En
| MEDLINE
| ID: mdl-29505137
ABSTRACT
BACKGROUND:
Malnutrition is a critical predictor of toxicity and outcome in patients with cancer and may be perceived differently by patients, relatives, and physicians.AIMS:
To assess the prevalence of malnutrition in oncology departments and to compare it with the perceptions of nutrition status by patients themselves, their closest relatives, and attending physicians. MATERIALS ANDMETHODS:
A 1-day multicentric cross-sectional survey on the prevalence of malnutrition was conducted in different oncology departments using patient-, relative-, and physician-specific questionnaires. Malnutrition was defined by a weight loss ≥5% within 1 month or ≥10% within 6 months, a body mass index ≤18.5 kg/m2 in patients aged <70 years or ≤21 kg/m2 in patients aged ≥70 years, and/or albuminemia <35 g/L. Questionnaires for assessing medical condition, knowledge of nutrition status, and perceptions of the impact of malnutrition on daily life were distributed to consenting patients, attending physicians, and closest relatives.RESULTS:
A total of 2197 patients were included, and 2071 and 976 questionnaires were collected from patients and relatives, respectively. Prevalence of malnutrition was 39%. Physicians overestimated malnutrition (44%), whereas patients and relatives underestimated it (22% and 23%, respectively, P < .001). Conversely, malnutrition-associated symptoms were underestimated by physicians compared with patients and relatives.CONCLUSION:
We found a prevalence of malnutrition of 39% it was underestimated by patients and relatives and overestimated by physicians.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Atitude Frente a Saúde
/
Estado Nutricional
/
Desnutrição
/
Neoplasias
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article