Polak Rani, Reilly Julia M, Elson Lauren E, Gallegos-Kearin Vanessa C, Bhatnagar Saurabha, Schneider Jeffery C, Silver Julie K
Institute of Lifestyle Medicine, Harvard Medical School, Spaulding Rehabilitation Hospital, 300, 1st Avenue, Boston, MA, 02129, USA.
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, 300, 1st Avenue, Boston, MA, 02129, USA.
J Cancer Educ. 2019 Oct;34(5):860-864. doi: 10.1007/s13187-018-1384-y.
For women diagnosed with breast cancer, healthy weight and enhanced nutrition may improve outcomes. The goal of this study is to examine the nutrition education services available on National Cancer Institute (NCI)-Designated Cancer Centers' websites. In 2017, websites of all 61 NCI-Designated Cancer Centers that provide adult clinical care were reviewed at least twice. Websites were analyzed for the existence and type of expert-directed nutrition education services for breast cancer survivors. Of the 61 websites analyzed, 49 (80%) provided information about nutrition education. Twenty (33%) included only nutrition counseling, three (5%) only nutrition classes, and 26 (42%) both counseling and classes. Forty-six websites included information about nutrition counseling; of these, 39 had an easily identifiable description. Thirty-seven class options were offered, 22% were specific to breast cancer, 16% to subgroups such as young women, 41% were nutrition-only classes, and 24% included skills education. Nutrition services are an important part of breast cancer treatment. This study demonstrated that most NCI-designated cancer centers offered counseling. However, the type of information that was offered varied and services were not always specific to patients with breast cancer. Further research is needed to confirm the presence of services, assess patient access, and demonstrate their efficacy in promoting optimal survivor outcomes.
对于被诊断患有乳腺癌的女性来说，保持健康体重和加强营养可能会改善治疗效果。本研究的目的是调查美国国立癌症研究所（NCI）指定癌症中心网站上提供的营养教育服务。2017年，对所有61家提供成人临床护理的NCI指定癌症中心的网站进行了至少两次审查。分析这些网站是否存在针对乳腺癌幸存者的专家指导营养教育服务以及服务类型。在分析的61个网站中，49个（80%）提供了有关营养教育的信息。其中20个（33%）仅包括营养咨询，3个（5%）仅提供营养课程，26个（42%）既提供咨询又提供课程。46个网站包含了营养咨询的信息；其中39个有易于识别的描述。共提供了37种课程选项，22%是针对乳腺癌的，16%针对年轻女性等亚组，41%是纯营养课程，24%包括技能教育。营养服务是乳腺癌治疗的重要组成部分。这项研究表明，大多数NCI指定的癌症中心都提供咨询服务。然而，所提供信息的类型各不相同，而且服务并不总是针对乳腺癌患者。需要进一步研究以确认服务的存在情况，评估患者获取服务的途径，并证明其在促进最佳生存结果方面的效果。
