Outcomes of parenteral nutrition in patients with advanced cancer and malignant bowel obstruction.
Support Care Cancer
; 32(3): 206, 2024 Mar 04.
Article
in En
| MEDLINE
| ID: mdl-38433169
ABSTRACT
BACKGROUND:
Malignant bowel obstruction (MBO) affects 3% to 15% of all cancer patients. In patients with advanced cancer and inoperable MBO, the average survival varies between four to nine weeks. Parenteral nutrition (PN) may improve survival in specific patient populations with malignant bowel obstruction.AIMS:
This retrospective, single-center cohort study aimed to review individual patient outcomes on PN in the setting of advanced cancer with a diagnosis of MBO and identify clinical and laboratory markers predictive of short- and long-term survival to further highlight patients that would benefit from PN in the setting of an inoperable MBO.RESULTS:
In a retrospective analysis of 68 patients receiving PN for inoperable MBO, the median survival was 142 (IQR 63.3-239.5) days. Patients experienced a median number of two hospital readmissions (range 0-10) and spent a median of 29 days (range 0-105) in the hospital after starting PN. Eighteen (26.5%) patients developed a catheter-related bloodstream infection (CRBSI). A diagnosis of appendiceal cancer was identified as a predictive marker of improved survival (HR 0.53, 95% CI 0.29-0.92, p = 0.023).CONCLUSIONS:
The use of PN in the context of end-of-life cancer care is a practice that necessitates improvement. Recognizing the outcomes and patient experiences of PN utilization is essential to physicians and patients.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Neoplasms
Limits:
Humans
Language:
En
Journal:
Support Care Cancer
/
Support. care cancer
/
Supportive care in cancer
Journal subject:
NEOPLASIAS
/
SERVICOS DE SAUDE
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: