识别癌症患者营养不良相关知识和实践:一项针对肿瘤学家的调查研究。

Identifying Knowledge and Practices regarding Cancer Patient Malnutrition: A Survey Study among Oncologists.

机构信息

Department of Medical Oncology, Acibadem University, Istanbul, Turkey.

Radiation Oncology Department, Acibadem Altunizade Hospital, Radiation Oncology Clinic, Istanbul, Turkey.

出版信息

Nutr Cancer. 2022;74(7):2392-2399. doi: 10.1080/01635581.2021.2008987. Epub 2021 Dec 3.

Abstract

Malnutrition is one of the most common complications of cancer and its treatments with a prevalence of up to 80% among cancer patients. Thus, standardized and target-oriented attitudes of oncologists toward nutritional management are particularly important. This study aims to report the questionnaire-based evaluation of different views toward medical nutrition among medical and radiation oncologists with the purpose to underline the problems and requirements of cancer nutrition. A national web-based survey composed of 26 multiple choice questions about participant demographics, level of knowledge about cancer nutrition, and approaches to malnutrition were completed by 247 oncologists. The survey was answered by a total of 247 (34%) radiation and medical oncologists. The majority of the oncologists (77%) were working at the University Hospitals and Education & Research Hospitals. Most of them were specialists with 5-10 years of experience. Nutritional status was routinely assessed in oncology units of 84% of (206) oncologists. However, only 50% reported nutritional evaluation follow-ups without waiting for a patient's declaration and 5 (2%) oncologists reported the absence of nutritional evaluation in their unit. Additionally, more than 79% of participants reported that their knowledge was not enough about enteral and parenteral nutrition while 8% were skeptical about the benefits of medical nutrition. Although the role of nutrition as an essential part of cancer care is widely recognized, the availability of limited high-quality evidence, problems of accessibility, lack of routine nutritional evaluation, and varying indicators for malnutrition are some of the problems preventing standardized nutritional management. Therefore, there are a variety of approaches and barriers to the implementation of guidelines. Further studies are needed to identify areas of improvement, as well as strategies to implement nutritional therapy in cancer care.

摘要

营养不良是癌症及其治疗中最常见的并发症之一,在癌症患者中患病率高达 80%。因此,肿瘤学家对营养管理的标准化和有针对性的态度尤为重要。本研究旨在报告一项基于问卷的医学营养观点评估,涉及医学和放射肿瘤学家,目的是强调癌症营养的问题和需求。一项全国性的网络调查由 26 个关于参与者人口统计学、癌症营养知识水平以及营养不良处理方法的多项选择题组成,由 247 名肿瘤学家完成。共有 247 名(34%)放射肿瘤学家和医学肿瘤学家参与了这项调查。大多数肿瘤学家(77%)在大学医院和教育与研究医院工作。他们中的大多数是拥有 5-10 年经验的专家。有 84%(206 名)的肿瘤学家在肿瘤学单元中常规评估营养状况。然而,只有 50%的人报告在没有等待患者声明的情况下进行营养评估随访,有 5 名(2%)肿瘤学家报告他们的单位没有进行营养评估。此外,超过 79%的参与者表示,他们对肠内和肠外营养的了解不足,而 8%的人对医学营养的益处持怀疑态度。尽管营养作为癌症治疗的重要组成部分的作用得到广泛认可,但有限的高质量证据的可用性、可及性问题、缺乏常规营养评估以及营养不良的不同指标是一些阻碍标准化营养管理的问题。因此,在实施指南方面存在各种方法和障碍。需要进一步的研究来确定需要改进的领域,以及在癌症护理中实施营养治疗的策略。

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