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. 2018 Feb 1;22(1):63-68.
doi: 10.1188/18.CJON.63-68.

Cancer Anorexia and Cachexia: Screening in an Ambulatory Infusion Service and Nutrition Consultation

Donna L Berry  1 , Traci Blonquist  1 , Manan M Nayak  1 , Kristin Roper  1 , Nancy Hilton  1 , Heidi Lombard  1 , Allison Hester  1 , Anne Chiavacci, Stephanie Meyers  2 , Katherine McManus  2
Affiliations

Cancer Anorexia and Cachexia: Screening in an Ambulatory Infusion Service and Nutrition Consultation

Donna L Berry et al. Clin J Oncol Nurs. .

Abstract

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.

Keywords: Screening; anorexia; cachexia; lung cancer; malnutrition; nursing.

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