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Current practice in assessment and management of malnutrition in surgical oncology practice - An ESSO-EYSAC snapshot analysis
A. Brandl, D. Lundon, L. Lorenzon, Y. Schrage, C. Caballero, CJ. Holmberg, N. Santrac, H. Smith, M. Vasileva-Slaveva, G. Montagna, EA. Bonci, O. Sgarbura, R. Sayyed, A. Ben-Yaacov, JH. Herrera Kok, I. Suppan, P. Kaul, D. Sochorova, N. Vassos, M....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
- MeSH
- chirurgická onkologie * MeSH
- hodnocení stavu výživy * MeSH
- lékařská praxe - způsoby provádění statistika a číselné údaje MeSH
- lidé MeSH
- nádory komplikace chirurgie MeSH
- podvýživa * diagnóza MeSH
- průzkumy a dotazníky MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
INTRODUCTION: Malnutrition is common in patients suffering from malignant diseases and has a major impact on patient outcomes. Prevention and early detection are crucial for effective treatment. This study aimed to investigate current international practice in the assessment and management of malnutrition in surgical oncology departments. MATERIAL AND METHODS: The survey was designed by European Society of Surgical Oncology (ESSO) and ESSO Young Surgeons and Alumni Club (EYSAC) Research Academy as an online questionnaire with 41 questions addressing three main areas: participant demographics, malnutrition assessment, and perioperative nutritional standards. The survey was distributed from October to November 2021 via emails, social media and the ESSO website to surgical networks focussing on surgical oncologists. Results were collected and analysed by an independent team. RESULTS: A total of 156 participants from 39 different countries answered the survey, reflecting a response rate of 1.4%. Surgeons reported treating a mean of 22.4 patients per month. 38% of all patients treated in surgical oncology departments were routinely screened for malnutrition. 52% of patients were perceived as being at risk for malnutrition. The most used screening tool was the "Malnutrition Universal Screening Tool" (MUST). 68% of participants agreed that the surgeon is responsible for assessing preoperative nutritional status. 49% of patients were routinely seen by dieticians. In cases of severe malnutrition, 56% considered postponing the operation. CONCLUSIONS: The reported rate of malnutrition screening by surgical oncologists is lower than expected (38%). This indicates a need for improved awareness of malnutrition in surgical oncology, and nutritional screening.
Breast Center Department of Gynaecology Rottal Inn Kliniken Eggenfelden Germany
Breast International Group Brussels Belgium
Breast Surgery Service Memorial Sloan Kettering Cancer Center New York NY USA
Breast Unit Champalimaud Clinical Centre Champalimaud Foundation Lisbon Portugal
Department of General and Oncological Surgery Surgery C Sheba Medical Center Tel Hashomer Israel
Department of General Visceral and Transplantation Surgery University Hospital Heidelberg Germany
Department of GI Surgery and Cancer Research Institute Ghent Ghent University Hospital Belgium
Department of Surgical Oncology Institut du Cancer Montpellier University of Montpellier France
Department of Surgical Oncology Netherlands Cancer Institute Amsterdam the Netherlands
Department of Surgical Oncology Patel Hospital Karachi Pakistan
Digestive Disease Center Bispebjerg and Frederiksberg Hospitals University of Copenhagen Denmark
Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy
Medical University Pleven Pleven Bulgaria
Mount Sinai Department of Urology New York United States
Nutrition Department Champalimaud Foundation Champalimaud Centre for the Unknown Lisbon Portugal
Peter MacCallum Cancer Centre in Melbourne Australia
Surgical Oncology Clinic Institute for Oncology and Radiology of Serbia Belgrade Serbia
Citace poskytuje Crossref.org
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- $a Brandl, Andreas $u Department of General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Germany. Electronic address: Andreas.Brandl@med.uni.heidelberg.de
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- $a INTRODUCTION: Malnutrition is common in patients suffering from malignant diseases and has a major impact on patient outcomes. Prevention and early detection are crucial for effective treatment. This study aimed to investigate current international practice in the assessment and management of malnutrition in surgical oncology departments. MATERIAL AND METHODS: The survey was designed by European Society of Surgical Oncology (ESSO) and ESSO Young Surgeons and Alumni Club (EYSAC) Research Academy as an online questionnaire with 41 questions addressing three main areas: participant demographics, malnutrition assessment, and perioperative nutritional standards. The survey was distributed from October to November 2021 via emails, social media and the ESSO website to surgical networks focussing on surgical oncologists. Results were collected and analysed by an independent team. RESULTS: A total of 156 participants from 39 different countries answered the survey, reflecting a response rate of 1.4%. Surgeons reported treating a mean of 22.4 patients per month. 38% of all patients treated in surgical oncology departments were routinely screened for malnutrition. 52% of patients were perceived as being at risk for malnutrition. The most used screening tool was the "Malnutrition Universal Screening Tool" (MUST). 68% of participants agreed that the surgeon is responsible for assessing preoperative nutritional status. 49% of patients were routinely seen by dieticians. In cases of severe malnutrition, 56% considered postponing the operation. CONCLUSIONS: The reported rate of malnutrition screening by surgical oncologists is lower than expected (38%). This indicates a need for improved awareness of malnutrition in surgical oncology, and nutritional screening.
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