Blum David, Vagnildhaug Ola Magne, Stene Guro Birgitte, Maddocks Matthew, Sørensen Jonas, Laird Barry J A, Prado Carla M, Skeidsvoll Solheim Tora, Arends Jann, Hopkinson Jane, Jones Christopher A, Schlögl Mathias
Competence Center for Palliative Care, Department of Radiation Oncology, University Hospital Zurich, and University of Zurich UZH, Zurich, Switzerland.
European Palliative Care Research Centre (PRC), Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology and Cancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
J Palliat Med. 2023 Aug;26(8):1133-1138. doi: 10.1089/jpm.2022.0598. Epub 2023 Jan 31.
Cachexia is a multifactorial syndrome that is common in cancer and chronic disease. It is often underdiagnosed and therefore goes untreated or undertreated. Cachexia causes suffering across biopsychosocial domains and affects patients and their loved ones. In this article, a group of clinicians and researchers across cancer care, nutrition, and exercise offers tips about assessment, classification, and management of cachexia, with attention to its stage. The required multimodal management of cachexia mirrors well the interprofessional collaboration that is the mainstay of interdisciplinary palliative care and attention to screening, diagnosis, and management of cachexia is critical to maximize patients' quality of life.
恶病质是一种多因素综合征，在癌症和慢性疾病中很常见。它常常未得到充分诊断，因此未得到治疗或治疗不足。恶病质会在生物心理社会各个领域造成痛苦，并影响患者及其亲人。在本文中，一组来自癌症护理、营养和运动领域的临床医生和研究人员提供了有关恶病质评估、分类和管理的建议，并关注其阶段。恶病质所需的多模式管理很好地反映了跨专业协作，而跨专业协作是跨学科姑息治疗的支柱，关注恶病质的筛查、诊断和管理对于最大限度提高患者生活质量至关重要。
