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2.
Endocrinol. diabetes nutr. (Ed. impr.) ; 66(6): 346-352, jun.-jul. 2019. mapas, graf, tab
Artigo em Espanhol | IBECS | ID: ibc-182850

RESUMO

Objetivo: El objetivo de este trabajo es evaluar los cambios en la formación en nutrición clínica y dietética de los residentes de endocrinología y nutrición en los últimos 10 años. Metodología: En el Curso Anual de Actualización en Nutrición Clínica y Dietética que organiza la SEEN se realiza una encuesta de formación a los residentes desde 2006. Se recogen los datos descriptivos de los 10 últimos años. Resultados: Todos los hospitales con docencia acreditada en endocrinología y nutrición disponen de una unidad de nutrición, con dependencia en el 94,5% de los servicios de endocrinología y nutrición. Mientras que en 2006 un 13,3% de residentes necesitaban hacer su rotación en nutrición en otro hospital, en 2018 todos tenían en su hospital recursos suficientes para su formación. Un 62,6% comienzan su formación en nutrición en su tercer año de residencia. La duración de la rotación se ha ido incrementando y está en 6 meses para el 66% de los residentes. Un 41,9% de los residentes considera que su rotación en nutrición debe ser superior a 6 meses. La formación en dietética es la que más consideran que necesitan ampliar. Un 72,5% de los residentes participan en protocolos de estudios o publicaciones, frente a solo un 27,9% en 2009. Existe aún un porcentaje de residentes entre el 10,1 y el 19% que califican como insuficiente su formación global en nutrición. Conclusión: Los residentes consideran que la formación global en nutrición ha mejorado en estos 10 años, aunque aún existen posibilidades de optimización en áreas como dietética


Objective: Our aim is to assess the changes in clinical nutrition and dietetics education of the residents in endocrinology and nutrition for the last 10 years. Methods: During the yearly update course in Clinical Nutrition and Dietetics held by SEEN, a survey about medical training is conducted since 2006. Descriptive data for the last 10 years are reported. Results: Every hospital accredited for medical training in endocrinology and nutrition has a unit of nutrition, depending on endocrinology and nutrition departments in 94.5%. While 13.3% of the residents required a different hospital for training in nutrition in 2006, all of them had enough resources in their own hospital in 2018. The training started in their third year of residency in 62.6%. The rotation has been increasing its length and now it lasts 6 months for 66% of the residents. 41.9% of the residents think it should be longer than 6 months. Education in dietetics should be extended the most. The residents take part in study protocols or publications in 72.5%, against only 27.9% in 2009. There is still a percentage of 10.1% to 19% of the residents grading their training in nutrition as insufficient. Conclusion: The residents consider their global training in nutrition has improved in these last 10 years, although there is still a chance for optimization in areas such as dietetics


Assuntos
Humanos , Internato e Residência , Nutrição em Saúde Pública/educação , Endocrinologia/educação , Dietética/educação
3.
Nutr. hosp ; 36(3): 734-742, mayo-jun. 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-184576

RESUMO

El Grupo de Trabajo de Gestión de SENPE tiene entre sus objetivos el desarrollo de procesos de evaluación en Nutrición Clínica. Con anterioridad se elaboró el documento denominado "Proceso de atención nutricional: guía de autoevaluación", como una herramienta concebida para ayudar a evaluar la calidad de la terapia nutricional en pacientes hospitalizados, fundamentalmente desde la perspectiva de la nutrición artificial. Ahora se presenta un texto complementario del anterior, en el que se describe el proceso por el que alimenta a los pacientes hospitalizados. Hemos dividido el proceso de alimentación hospitalaria en seis secciones, para las que se hace una descripción general y se proponen indicadores de calidad para su evaluación. Confiamos en que este trabajo sirva para mejorar la calidad de las dietas de los hospitales y para ayudar a los profesionales de la alimentación de los hospitales a hacer su labor más satisfactoria y efectiva


The Management Working Group of SENPE has among its objectives the development of evaluation processes in clinical nutrition. Previously, the document entitled "Process of nutritional care: self-evaluation guide" was prepared as a tool designed to help assess the quality of nutritional therapy in hospitalized patients, mainly from the perspective of artificial nutrition. Now, a complementary text of the previous one is presented, describing the process by which hospitalized patients are fed. We have divided the hospital feeding process into six sections, for which a general description is made and quality indicators are proposed. We hope that this work will serve to improve the quality of hospital food and help hospital food professionals to make their work more satisfactory and effective


Assuntos
Humanos , Avaliação Nutricional , Apoio Nutricional , Serviço Hospitalar de Nutrição/organização & administração , Qualidade dos Alimentos , Serviço Hospitalar de Nutrição/normas , Qualidade da Assistência à Saúde , Assistência Ambulatorial
4.
Endocrinol Diabetes Nutr ; 66(6): 346-352, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-30954443

RESUMO

OBJECTIVE: Our aim is to assess the changes in clinical nutrition and dietetics education of the residents in endocrinology and nutrition for the last 10 years. METHODS: During the yearly update course in Clinical Nutrition and Dietetics held by SEEN, a survey about medical training is conducted since 2006. Descriptive data for the last 10 years are reported. RESULTS: Every hospital accredited for medical training in endocrinology and nutrition has a unit of nutrition, depending on endocrinology and nutrition departments in 94.5%. While 13.3% of the residents required a different hospital for training in nutrition in 2006, all of them had enough resources in their own hospital in 2018. The training started in their third year of residency in 62.6%. The rotation has been increasing its length and now it lasts 6 months for 66% of the residents. 41.9% of the residents think it should be longer than 6 months. Education in dietetics should be extended the most. The residents take part in study protocols or publications in 72.5%, against only 27.9% in 2009. There is still a percentage of 10.1% to 19% of the residents grading their training in nutrition as insufficient. CONCLUSION: The residents consider their global training in nutrition has improved in these last 10 years, although there is still a chance for optimization in areas such as dietetics.


Assuntos
Endocrinologia/educação , Internato e Residência , Ciências da Nutrição/educação , Espanha
5.
Nutr. hosp ; 36(extr.2): 44-49, 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183915

RESUMO

La gestión eficiente de los servicios sanitarios obliga a obtener el máximo nivel de salud posible con los recursos disponibles. La economía de la salud se ha desarrollado en los últimos años ante la presión de una población más demandante, de más edad y con más comorbilidades en un entorno de recursos limitados y mayores dificultades de financiación. La economía de la nutrición nace como una nueva disciplina que atiende aspectos relacionados con el papel de la economía y la nutrición en la salud de las poblaciones sanas y enfermas. Los análisis económicos forman parte de las herramientas de evaluación de las intervenciones sanitarias. Los estudios de coste-efectividad "los más frecuentemente utilizados" han demostrado que la utilización de los suplementos nutricional orales ofrece ventajas clínicas para los pacientes desnutridos (reducción de morbimortalidad) y económicas para el sistema (reducción de estancia hospitalaria, menores tasas de reingresos y ahorros de costes). La suplementación nutricional oral en la recuperación integral del paciente con desnutrición relacionada con la enfermedad es coste-efectiva


The efficient management of health services requires obtaining the highest level of health possible with the available resources. The health economy has developed in recent years under the pressure of a more demanding population, older and with more comorbidities, in an environment of limited resources and greater financing difficulties. The Economics of Nutrition was born as a new discipline that addresses aspects related to the role of economics and nutrition in the health of healthy and sick populations. The economic analyzes are part of the evaluation tools for health interventions. Cost-effectiveness studies are the most frequently used. Cost-effectiveness studies have shown that the use of oral nutritional supplements offer clinical advantages for undernourished patients (reduction of morbidity and mortality) and economic benefits for the system (reduction of hospital stay, lower re-entry rates and cost savings). Oral nutritional supplementation in the integral recovery of the patient with malnutrition related to the disease is cost effective


Assuntos
Humanos , Terapia Nutricional/métodos , Suplementos Nutricionais , Transtornos Nutricionais/dietoterapia , Transtornos Nutricionais/economia , Transtornos Nutricionais/etiologia , Análise Custo-Benefício , Administração Oral
6.
Nutr Hosp ; 35(6): 1467-1478, 2018 Dec 03.
Artigo em Espanhol | MEDLINE | ID: mdl-30525862

RESUMO

The word "value" encompasses different concepts but it is probably the importance we give to something and its usefulness that best brings us conceptually closer to its meaning. In this text we analyze the reasons why it is necessary to value the usefulness of nutritional therapy. The development of a new discipline, Nutrition Economics, should help us to create value in Clinical Nutrition by incorporating economic evaluation into their research. It also reviews the importance of economic analysis in decision-making and in more detail the very useful tools also used in the field of nutrition economics, such as cost-of-disease studies, cost-effectiveness studies and budget impact. We analyze different works that have allowed us to advance in these fields in recent years. Finally, the difficulties related to the financing of nutrition in the centers as well as the regulation of enteral nutrition in the home are analyzed. The creation of value in clinical nutrition is a task for everyone (healthcare professionals, patients, managers and the pharmaceutical industry).


Assuntos
Terapia Nutricional , Efeitos Psicossociais da Doença , Análise Custo-Benefício , Nutrição Enteral , Financiamento da Assistência à Saúde , Serviços de Assistência Domiciliar , Humanos , Terapia Nutricional/economia , Valor Nutritivo
7.
Nutr Hosp ; 35(6): 1491-1496, 2018 Dec 03.
Artigo em Espanhol | MEDLINE | ID: mdl-30525864

RESUMO

AIM: to communicate HPN data obtained from the HPN registry of the NADYA-SENPE group (www.nadya-senpe.com) for the year 2017. MATERIAL AND METHODS: descriptive analysis of the data collected from adult and pediatric patients with HPN in the NADYA-SENPE group registry from January 1st, 2017 to December 31st, 2017. RESULTS: there were 308 patients from 45 Spanish hospitals (54.5% women), 38 children and 270 adults, with 3,012 episodes, which represent a prevalence rate of 6.61 patients/million inhabitants/year 2017. The most frequent diagnosis in adults was "palliative cancer" (25.6%), followed by "others". In children, it was Hirschsprung's disease with six cases (15.8%). The first indication was short bowel syndrome in both children (55.3%) and adults (33.7%). The most frequently used type of catheter was tunneled in both children (73.4%) and adults (38.2%). Ending 81 episodes, the most frequent cause was death (62.9%) and transition to oral feeding (34.7%). CONCLUSIONS: the progressive increase of collaborating centers and professionals in the registry of patients receiving NPD is maintained. The main indications of HPN and the motive for ending have remained stable.


Assuntos
Nutrição Parenteral no Domicílio/estatística & dados numéricos , Adulto , Criança , Feminino , Doença de Hirschsprung/terapia , Humanos , Masculino , Neoplasias/terapia , Cuidados Paliativos/métodos , Cuidados Paliativos/estatística & dados numéricos , Sistema de Registros , Síndrome do Intestino Curto/terapia , Espanha
8.
Nutr. hosp ; 35(6): 1467-1478, nov.-dic. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-181489

RESUMO

La palabra "valor" engloba distintos conceptos, pero probablemente sea la importancia que damos a algo y su utilidad lo que mejor nos acerca conceptualmente a su significado. En este texto se analizan las razones por las que se hace necesario poner en valor la utilidad de la terapia nutricional. El desarrollo de una nueva disciplina, la nutrieconomía, debe ayudarnos a crear valor en nutrición clínica mediante la incorporación de la evaluación económica en su investigación. También se revisan la importancia del análisis económico en la toma de decisiones y, con más detalle, las herramientas de gran utilidad también empleadas en el campo de la economía de la nutrición, como son los estudios de coste de la enfermedad, los de coste-efectividad y los de impacto presupuestario. Se analizan distintos trabajos que nos han permitido avanzar en estos campos en los últimos años. Por último, se analizan las dificultades relacionadas con la financiación de la nutrición en los centros así como la regulación de la nutrición enteral en el ámbito domiciliario. La creación de valor en nutrición clínica es una tarea de todos (profesionales sanitarios, pacientes, gestores e industria farmacéutica)


The word "value" encompasses different concepts but it is probably the importance we give to something and its usefulness that best brings us conceptually closer to its meaning. In this text we analyze the reasons why it is necessary to value the usefulness of nutritional therapy. The development of a new discipline, Nutrition Economics, should help us to create value in Clinical Nutrition by incorporating economic evaluation into their research. It also reviews the importance of economic analysis in decision-making and in more detail the very useful tools also used in the field of nutrition economics, such as cost-of-disease studies, cost-effectiveness studies and budget impact. We analyze different works that have allowed us to advance in these fields in recent years. Finally, the difficulties related to the financing of nutrition in the centers as well as the regulation of enteral nutrition in the home are analyzed. The creation of value in clinical nutrition is a task for everyone (healthcare professionals, patients, managers and the pharmaceutical industry)


Assuntos
Humanos , Terapia Nutricional/economia , Análise Custo-Benefício , Efeitos Psicossociais da Doença , Nutrição Enteral , Financiamento da Assistência à Saúde , Serviços de Assistência Domiciliar
9.
Nutr. hosp ; 35(6): 1491-1496, nov.-dic. 2018. graf
Artigo em Espanhol | IBECS | ID: ibc-181491

RESUMO

Objetivo: comunicar los datos de nutrición parenteral domiciliaria (NPD) obtenidos del registro del grupo NADYA-SENPE (www.nadya-senpe.com) del año 2017. Material y métodos: análisis descriptivo de los datos recogidos de pacientes adultos y pediátricos con NPD en el registro NADYA-SENPE desde el 1 de enero al 31 de diciembre de 2017. Resultados: se registraron 308 pacientes (54,5% mujeres), 38 niños y 270 adultos, procedentes de 45 hospitales españoles, en total 312 episodios, lo que representa una tasa de prevalencia de 6,61 pacientes/millón de habitantes/año 2017. El diagnóstico más frecuente en adultos fue "oncológico paliativo" (25,6%), seguido de "otros". En niños fue la enfermedad de Hirschsprung, con seis casos (15,8%). El primer motivo de indicación fue síndrome de intestino corto tanto en niños (55,3%) como en adultos (33,7%). El tipo de catéter más utilizado fue el tunelizado tanto en niños (74,3%) como en adultos (38,2%). Finalizaron 81 episodios; la causa más frecuente fue el fallecimiento (62,9%) y que pasaron a vía oral (34,7%). Conclusiones: se mantiene el incremento progresivo de centros y profesionales colaboradores en el registro de pacientes que reciben NPD. Las principales indicaciones de NPD y de motivo de finalización se mantienen estables


Aim: to communicate HPN data obtained from the HPN registry of the NADYA-SENPE group (www.nadya-senpe.com) for the year 2017. Material and methods: descriptive analysis of the data collected from adult and pediatric patients with HPN in the NADYA-SENPE group registry from January 1st, 2017 to December 31st, 2017. Results: there were 308 patients from 45 Spanish hospitals (54.5% women), 38 children and 270 adults, with 3,012 episodes, which represent a prevalence rate of 6.61 patients/million inhabitants/year 2017. The most frequent diagnosis in adults was "palliative cancer" (25.6%), followed by "others". In children, it was Hirschsprung's disease with six cases (15.8%). The first indication was short bowel syndrome in both children (55.3%) and adults (33.7%). The most frequently used type of catheter was tunneled in both children (73.4%) and adults (38.2%). Ending 81 episodes, the most frequent cause was death (62.9%) and transition to oral feeding (34.7%). Conclusions: the progressive increase of collaborating centers and professionals in the registry of patients receiving NPD is maintained. The main indications of HPN and the motive for ending have remained stable


Assuntos
Humanos , Masculino , Feminino , Criança , Adulto , Nutrição Parenteral/estatística & dados numéricos , Doença de Hirschsprung/terapia , Neoplasias/terapia , Cuidados Paliativos/métodos , Cuidados Paliativos/estatística & dados numéricos , Registros , Síndrome do Intestino Curto/terapia , Espanha
16.
Int J Surg Case Rep ; 44: 230-232, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29547850

RESUMO

CONTEXT: Bariatric surgery has beneficial effects on obesity and associated comorbidities such as glycaemic control in type 2 diabetes, dyslipidaemia, hypertension, and renal and hepatic function. Nevertheless, this surgery is not free of complications and possible side effects due to restrictive and/or malabsorptive related components. CASE DESCRIPTION: We report the case of a 60-year-old woman whose past medical history included morbid obesity, hypertension and Scopinaro biliopancreatic diversion (BPD) with duodenal switch in 1998. In 2015, she attended the emergency department hypotensive with bad general condition and reporting chronic constitutional symptoms. A wide variety of tests were performed including endoscopic studies as her symptoms were not immediately correlated with the BPD surgery. Finally, she was diagnosed from gastrojejunal stricture which caused her severe malnutrition. The patient underwent successful surgical management. DISCUSSION: BPD is one of the most effective surgical procedures for obesity, with an overall 5-year loss of excess body weight higher than 72%. Nonetheless, it is associated with long-term complications such as protein malnutrition and vitamin deficiencies due to malabsorption. Being surgically challenging, with high risk of nutritional complications and lifelong needed for the follow-up, BPD is rarely performed nowadays. CONCLUSIONS: Bariatric Surgery is a well-known effective therapeutic measure to improve obesity and cardiovascular related disease. However, this case highlights the importance of robust multidisciplinary lifelong surgical and medical follow-up in all BPD patients. BPD complications can be minimised and recognised early with patient and healthcare staff education on the importance of lifetime follow-up and adherence to dietary and supplement regimes.

17.
Nutr Hosp ; 35(1): 224-233, 2018 Jan 10.
Artigo em Espanhol | MEDLINE | ID: mdl-29565172

RESUMO

BACKGROUND: Malnutrition is a frequent medical problem of cancer patients that negatively impacts their quality of life. OBJECTIVE: To analyze and respond to different issues related to the nutritional management of cancer patients in the clinical setting. METHODS: A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Nutrition developed a list of topics related to the nutritional status of cancer patients, which were grouped into three blocks: Nutritional support; Parenteral nutrition (PN); and Home PN (HPN) in cancer patients. A literature search, which included articles published in Spanish, English, and French until February 2017, was carried out. The document was organized as a questionnaire with those questions that, according to the panel's criteria, could generate greater controversy or doubt. RESULTS: Of the 18 questions addressed, 9 focused on nutritional support: 5 were related to PN and 4 about HPN. Among the different recommendations, the panel emphasized that in the cancer patient, PN is indicated mainly when it is not possible to use the digestive tract and/or oral feeding and/or enteral nutrition is not sufficient or possible. Additionally, the objective of the HPN is to improve or maintain the nutritional status of a patient at home. CONCLUSIONS: This document seeks to lay down a set of recommendations and to identify key issues that may be useful for the nutritional management of cancer Patients.


Assuntos
Neoplasias/terapia , Apoio Nutricional/métodos , Nutrição Parenteral/métodos , Consenso , Humanos , Neoplasias/complicações , Apoio Nutricional/normas , Apoio Nutricional/estatística & dados numéricos , Nutrição Parenteral/normas , Nutrição Parenteral/estatística & dados numéricos , Nutrição Parenteral no Domicílio
18.
Endocrinol. diabetes nutr. (Ed. impr.) ; 65(supl.1): 19-23, mar. 2018. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-172973

RESUMO

La desnutrición es un problema médico frecuente de los pacientes oncológicos que impacta de forma negativa en la calidad de vida. El objetivo de este trabajo es analizar y dar respuesta a diferentes cuestiones relacionadas con el manejo nutricional de un paciente oncológico en la práctica clínica. Un grupo multidisciplinar de expertos en Oncología Médica, Endocrinología y Nutrición y Farmacia elaboró una lista de temas relacionados con el estado nutricional del paciente oncológico agrupados en 3 bloques: soporte nutricional, nutrición parenteral (NP) y NP domiciliaria (NPD). Se realizó una revisión de la literatura que incluyó artículos publicados en español, inglés y francés hasta abril de 2017. Este consenso destaca diferentes elementos clave que ayudarán a los médicos a normalizar el manejo del estado nutricional del paciente oncológico en la práctica clínica, estableciendo pautas comunes de indicación, monitorización, requerimientos nutricionales y vías de acceso a la NP


Malnutrition is a common medical problem in cancer patients with a negative impact on quality of life. The aim of this study was to address different issues related to nutritional management of cancer patients in clinical practice. A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Endocrinology and Nutrition prepared a list of topics related to the nutritional status of cancer patients and grouped them into three blocks: nutritional support, parenteral nutrition (PN), and home PN (HPN). A literature review was made of articles published in Spanish, English and French until April 2017. This consensus emphasizes several key elements that help physicians standardize management of the nutritional status of cancer patients in clinical practice, and establishes common guidelines for indication, monitoring, nutritional requirements, and access routes to PN


Assuntos
Humanos , Apoio Nutricional/métodos , Nutrição Parenteral/métodos , Neoplasias/dietoterapia , Desnutrição/dietoterapia , Qualidade de Vida , Padrões de Prática Médica , Nutrição Parenteral Total no Domicílio/métodos , Nutrição Enteral/métodos , Terapia Nutricional/métodos
19.
Nutr. hosp ; 35(1): 224-233, ene.-feb. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-172111

RESUMO

Introducción: la malnutrición es un problema médico frecuente de los pacientes oncológicos que impacta de forma negativa en la calidad de vida. Objetivo: analizar y dar respuesta a diferentes cuestiones a la hora de afrontar el manejo nutricional de un paciente oncológico en la práctica clínica. Métodos: un grupo multidisciplinar de expertos en Oncología Médica, Farmacia y Nutrición elaboró una lista de temas relacionados con el estado nutricional del paciente oncológico que fueron agrupados en tres bloques: soporte nutricional; nutrición parenteral (NP); y nutrición parenteral domiciliaria (NPD) en el paciente oncológico. Se realizó una revisión de la literatura que incluyó artículos publicados en español, inglés y francés hasta febrero de 2017. El documento se estructuró como un cuestionario con aquellas preguntas que, según el criterio del panel, podrían generar mayor controversia o duda. Resultados: de las 18 cuestiones abordadas, 9 versaron sobre el soporte nutricional: 5 relacionadas con la NP y 4 trataron sobre la NPD. Dentro de las recomendaciones del panel destacar que, en el paciente oncológico, la NP está indicada principalmente cuando no es posible el uso del tubo digestivo y/o la alimentación oral y/o nutrición enteral no es suficiente o posible. Además, el objetivo de la NPD es mejorar o mantener, el estado de nutrición de un paciente en el ámbito domiciliario. Conclusiones: esta revisión constituye una herramienta para oncólogos y especialistas responsables del manejo nutricional del paciente con cáncer (AU)


Background: Malnutrition is a frequent medical problem of cancer patients that negatively impacts their quality of life. Objective: To analyze and respond to different issues related to the nutritional management of cancer patients in the clinical setting. Methods: A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Nutrition developed a list of topics related to the nutritional status of cancer patients, which were grouped into three blocks: Nutritional support; Parenteral nutrition (PN); and Home PN (HPN) in cancer patients. A literature search, which included articles published in Spanish, English, and French until February 2017, was carried out. The document was organized as a questionnaire with those questions that, according to the panel’s criteria, could generate greater controversy or doubt. Results: Of the 18 questions addressed, 9 focused on nutritional support: 5 were related to PN and 4 about HPN. Among the different recommendations, the panel emphasized that in the cancer patient, PN is indicated mainly when it is not possible to use the digestive tract and/or oral feeding and/ or enteral nutrition is not sufficient or possible. Additionally, the objective of the HPN is to improve or maintain the nutritional status of a patient at home. Conclusions: This document seeks to lay down a set of recommendations and to identify key issues that may be useful for the nutritional management of cancer patients (AU)


Assuntos
Humanos , Neoplasias/dietoterapia , Apoio Nutricional/métodos , Nutrição Parenteral , Desnutrição/dietoterapia , Padrões de Prática Médica , Nutrição Parenteral Total no Domicílio , Soluções de Nutrição Parenteral/farmacologia
20.
Endocrinol Diabetes Nutr ; 65 Suppl 1: 17-23, 2018 Mar.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-29292219

RESUMO

Malnutrition is a common medical problem in cancer patients with a negative impact on quality of life. The aim of this study was to address different issues related to nutritional management of cancer patients in clinical practice. A multidisciplinary group of experts in Medical Oncology, Pharmacy, and Endocrinology and Nutrition prepared a list of topics related to the nutritional status of cancer patients and grouped them into three blocks: nutritional support, parenteral nutrition (PN), and home PN (HPN). A literature review was made of articles published in Spanish, English and French until April 2017. This consensus emphasizes several key elements that help physicians standardize management of the nutritional status of cancer patients in clinical practice, and establishes common guidelines for indication, monitoring, nutritional requirements, and access routes to PN.


Assuntos
Desnutrição/terapia , Apoio Nutricional , Algoritmos , Humanos , Desnutrição/etiologia , Neoplasias/complicações , Nutrição Parenteral
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