Kristensen Marianne Boll, Wessel Irene, Ustrup Kim Skov, Dieperink Karin B, Zwisler Ann-Dorthe, Beck Anne Marie
Department of Nursing and Nutrition, University College Copenhagen, Copenhagen, Denmark
REHPA, The Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, and Department of Clinical Research, University of Southern Denmark, Nyborg, Denmark.
BMJ Open. 2020 Oct 1;10(10):e037844. doi: 10.1136/bmjopen-2020-037844.
Nutritional challenges are common consequences of cancer, and they do not only occur in the hospital setting. They are also frequent after completion of treatment, and nutritional interventions in community-based post-treatment rehabilitation services are important. The first step towards initiating any nutritional intervention is to identify the individual in need hereof, but evidence is limited on the applicability of different nutrition screening and assessment tools in the post-treatment rehabilitation services. The aim is to systematically review and identify nutrition screening and assessment tools appropriate for use in patients with cancer and survivors of cancer in hospital or community-based healthcare settings.
In this systematic review, the electronic databases PubMed, CINAHL Complete and Embase were searched systematically using comprehensive search strategies. Primary searches were carried out in August 2018 with updated searches performed in November 2019. Clinicaltrials.gov and PROSPERO International Prospective Register of Systematic Reviews will be searched for additional relevant studies. Studies will be included if they validate a nutrition screening or assessment tool in adult patients with cancer or survivors of cancer. No restriction on publication date will be applied, and full-text articles in English, Danish, Norwegian and Swedish are eligible for inclusion. Two reviewers will independently conduct screening of search results, study selection, data extraction and quality assessment. Data will be synthesised narratively.
No ethical approval is required. Results will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and published in an international peer-reviewed journal. Furthermore, results will be presented in relevant research and clinical fora to facilitate transfer of results to clinical practice in benefit of patients.
CRD42018096678.
营养挑战是癌症常见的后果，且不仅发生在医院环境中。在治疗结束后也很常见，因此基于社区的治疗后康复服务中的营养干预很重要。启动任何营养干预的第一步是确定有此需求的个体，但关于不同营养筛查和评估工具在治疗后康复服务中的适用性的证据有限。目的是系统评价并确定适用于医院或基于社区的医疗环境中癌症患者和癌症幸存者的营养筛查和评估工具。
在本系统评价中，使用全面的检索策略系统检索电子数据库PubMed、CINAHL Complete和Embase。2018年8月进行了初步检索，并于2019年11月进行了更新检索。将检索Clinicaltrials.gov和PROSPERO国际前瞻性系统评价注册库以获取其他相关研究。如果研究验证了针对成年癌症患者或癌症幸存者的营养筛查或评估工具，则将其纳入。不限制发表日期，英文、丹麦文、挪威文和瑞典文的全文文章均符合纳入条件。两名评价者将独立进行检索结果筛选、研究选择、数据提取和质量评估。将对数据进行叙述性综合分析。
无需伦理批准。将根据系统评价和Meta分析的首选报告项目声明报告结果，并发表在国际同行评审期刊上。此外，将在相关研究和临床论坛上展示结果，以促进将结果转化为临床实践，造福患者。
PROSPERO注册号：CRD42018096678。
