Cancer Anorexia and Cachexia: Screening in an Ambulatory Infusion Service and Nutrition Consultation .
نویسندگان
چکیده
BACKGROUND Cancer anorexia-cachexia syndrome compromises physical function and nutritional and emotional well-being. Systematic screening followed by nutrition referral for appropriate interventions is rare. . OBJECTIVES The purpose of this study was to pilot a screening process followed by nutritional assessment and intervention when warranted for patients with lung malignancies. . METHODS Adult patients with lung malignancies were invited to complete the 12-item Anorexia/Cachexia Scale (A/CS-12) on the day of chemotherapy initiation in ambulatory infusion. Those who scored at a preset threshold were referred to nutrition services for a comprehensive assessment and intervention plan. Those who scored better than the threshold completed the A/CS-12 at each infusion visit for as many as 16 weeks. . FINDINGS 90 participants enrolled, and 46 scored in a moderate-to-severe-risk category; of those, 42 were referred to nutrition services.
منابع مشابه
Nutrition in cancer patients.
Cachexia is defined as an unintended loss of stable weight exceeding 10%. Patients with advanced cachexia express anorexia, early satiety, severe weight loss, weakness, anemia, and edema. Anorexia represents the result of a failure of the usual appetite signals whereas cachexia is the debilitating state of involuntary weight loss. This syndrome, referred to as the cancer anorexia-cachexia syndr...
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Many patients with advanced cancer undergo a wasting syndrome characterized by anorexia, loss of weight, asthenia, and a poor prognosis, referred to as the cancer anorexia/cachexia syndrome. In defining these terms further, anorexia describes loss of appetite and/or an aversion to food. The term “cachexia” refers to a loss of body mass, including lean body mass and fat, in the setting of a dise...
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عنوان ژورنال:
- Clinical journal of oncology nursing
دوره 22 1 شماره
صفحات -
تاریخ انتشار 2018