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. 2020 Feb 7:18:AE4530.
doi: 10.31744/einstein_journal/2020AE4530. eCollection 2020.

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Adults

[Article in English, Portuguese]
Juliana Bernardo Barban  1 , Belinda Pinto Simões  2 , Bruna Del Guerra de Carvalho Moraes  3 , Cássia Rehem da Anunciação  4 , Cristiane Santos da Rocha  5 , Daniela Cristina Querino Pintor  3 , Daiane Cristina Guerra  6 , Deise Andrade Silva  7 , Edith de Castro Martins Brandão  2 , Fábio Kerbauy  8 , Fernanda Ramos de Oliveira Pires  9 , Graciele Lima Morais  10 , Jayr Schmidt Filho  3 , Juliana Maria Faccioli Sicchieri  2 , Karine Sampaio Nunes Barroso  11 , Luciana Verçoza Viana  12 , Mariana Hollanda Martins da Rocha  3 , Maysa Penteado Guimarães  13 , Natalia Leonetti Couto Lazzari  9 , Nelson Hamerschlak  14 , Patricia Ramos  4 , Plinio Nascimento Gomes  6 , Priscila da Silva Mendonça  11 , Raquel Candido de Oliveira  4 , Renata Corrêa Scomparim  15 , Ricardo Chiattone  13 , Rosa Wanda Diez-Garcia  2 , Thaís de Campos Cardenas  7 , Thais Manfrinato Miola  9 , Thalita Cristina de Mello Costa  2 , Vanderson Rocha  3 , Andrea Z Pereira  14
Affiliations

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Adults

[Article in English, Portuguese]
Juliana Bernardo Barban et al. Einstein (Sao Paulo). .

Abstract
in English, Portuguese

The nutritional status of patients submitted to hematopoietic stem cell transplant is considered an independent risk factor, which may influence on quality of life and tolerance to the proposed treatment. The impairment of nutritional status during hematopoietic stem cell transplant occurs mainly due to the adverse effects resulting from conditioning to which the patient is subjected. Therefore, adequate nutritional evaluation and follow-up during hematopoietic stem cell transplant are essential. To emphasize the importance of nutritional status and body composition during treatment, as well as the main characteristics related to the nutritional assessment of the patient, the Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplant: Adults was prepared, aiming to standardize and update Nutritional Therapy in this area. Dietitians, nutrition physicians and hematologists from 15 Brazilian centers thar are references in hematopoietic stem cell transplant took part.

RESUMO: O estado nutricional do paciente submetido ao transplante de células-tronco hematopoéticas é considerado fator de risco independente, podendo influenciar na qualidade de vida e na tolerância ao tratamento proposto. O comprometimento do estado nutricional durante o transplante de células-tronco hematopoéticas ocorre principalmente devido aos efeitos adversos decorrentes do condicionamento ao qual o paciente é submetido. Desta forma, a adequada avaliação nutricional e o acompanhamento durante o transplante de células-tronco hematopoéticas tornam-se imprescindíveis. Com o objetivo de salientar a importância do estado nutricional e da composição corporal durante o tratamento, bem como as principais características relacionadas à avaliação nutricional do paciente, o Consenso Brasileiro de Nutrição em Transplante de Células-Tronco Hematopoiéticas: Adulto foi elaborado visando uniformizar e atualizar a Terapia Nutricional nesta área. Com a participação de nutricionistas, nutrólogos e hematologistas de 15 centros brasileiros referências em transplante de células-tronco hematopoéticas

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Conflict of interest statement

Conflict of interest: none.

Figures

Figure 1
Figure 1. Flow chart for decision-making regarding admission for hematopoietic stem cell transplantation
SGA: Subjective Global Assessment; PG-SGA: Patient-Generated Subjective Global Assessment; RDA: Recommended Daily Allowance; ONT: oral nutrition therapy; EN: enteral nutrition; GVHD: graft-versus-host disease; PNT: parenteral nutrition therapy.
Figure 2
Figure 2. Flow chart for decision-making in nutritional assessment before hematopoietic stem cell transplant (HSCT)
SGA: Subjective Global Assessment; PG-SGA: Patient-Generated Subjective Global Assessment; IAB: intraaortic balloon; US: ultrasound; ONT: oral nutrition therapy; EN: enteral nutrition.
Figura 1
Figura 1. Fluxograma para tomada de decisão em admissão para o transplante de células-tronco hematopoéticas
ASG: Avaliação Subjetiva Global; ASG-PPP: Avaliação Subjetiva Global Produzida pelo Paciente; IDR: Ingestão Dietética Recomendada TNO: terapia nutricional oral; TNE: terapia nutricional enteral; DECH: doença do enxerto contra o hospedeiro; TNP: terapia nutricional parenteral.
Figura 2
Figura 2. Fluxograma para tomada de decisão em avaliação nutricional pré-transplante de células-tronco hematopoéticas (TCTH)
ASG: Avaliação Subjetiva Global; ASG-PPP: Avaliação Subjetiva Global Produzida pelo Próprio Paciente; BIA: balão intra-aórtico; USG: ultrassonografia; TNO: terapia nutricional oral; TNE: terapia nutricional enteral.
See this image and copyright information in PMC

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