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. 2018 Aug;26(8):2793-2799.
doi: 10.1007/s00520-018-4104-6. Epub 2018 Mar 5.

Perception of need for nutritional support in advanced cancer patients with cachexia: a survey in palliative care settings

Koji Amano  1 , Tatsuya Morita  2 , Jiro Miyamoto  3 , Teruaki Uno  3 , Hirofumi Katayama  3 , Ryohei Tatara  3
Affiliations

Perception of need for nutritional support in advanced cancer patients with cachexia: a survey in palliative care settings

Koji Amano et al. Support Care Cancer. 2018 Aug.

Abstract

Purpose: Few studies have investigated the need for nutritional support in advanced cancer patients in palliative care settings. Therefore, we conducted a questionnaire to examine the relationship between the perception of need for nutritional support and cancer cachexia and the prevalence of specific needs, perceptions, and beliefs in nutritional support.

Methods: We conducted a questionnaire in palliative care settings. Patients were classified into two groups: (1) non-cachexia/pre-cachexia and (2) cachexia/refractory cachexia.

Results: A total of 117 out of 121 patients responded (96.7%). A significant difference was observed in the need for nutritional support between the groups: non-cachexia/pre-cachexia (32.7%) and cachexia/refractory cachexia (53.6%) (p = 0.031). The specific needs of patients requiring nutritional support were nutritional counseling (93.8%), ideas to improve food intake (87.5%), oral nutritional supplements (83.0%), parenteral nutrition and hydration (77.1%), and tube feeding (22.9%). The top perceptions regarding the best time to receive nutritional support and the best medical staff to provide nutritional support were "when anorexia, weight loss, and muscle weakness become apparent" (48.6%) and "nutritional support team" (67.3%), respectively. The top three beliefs of nutritional treatments were "I do not wish to receive tube feeding" (78.6%), "parenteral nutrition and hydration are essential" (60.7%), and "parenteral hydration is essential" (59.6%).

Conclusions: Patients with cancer cachexia expressed a greater need for nutritional support. They wished to receive nutritional support from medical staff when they become unable to take sufficient nourishment orally and the negative impact of cachexia becomes apparent. Most patients wished to receive parenteral nutrition and hydration.

Keywords: Advanced cancer; Cancer cachexia; Nutritional support; Nutritional treatment; Palliative care.

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References

    1. J Cachexia Sarcopenia Muscle. 2012 Dec;3(4):281-301 - PubMed
    1. J Pain Symptom Manage. 2012 May;43(5):855-65 - PubMed
    1. Cochrane Database Syst Rev. 2014 Apr 23;(4):CD006274 - PubMed
    1. J Cachexia Sarcopenia Muscle. 2014 Jun;5(2):89-94 - PubMed
    1. BMJ Support Palliat Care. 2016 Sep;6(3):373-6 - PubMed

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