Medical Oncology Department, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Medical Oncology Department, Hospital Universitario Insular de Gran Canaria, Las Palmas, Spain.
Clin Transl Oncol. 2023 Dec;25(12):3479-3491. doi: 10.1007/s12094-023-03212-7. Epub 2023 Jun 8.
Cancer patients often suffer from malnutrition and early detection and raising awareness of nutritional issues is crucial in this population.
The Spanish Oncology Society (SEOM) conducted the Quasar_SEOM study to investigate the current impact of the Anorexia-Cachexia Syndrome (ACS). The study employed questionnaires and the Delphi method to gather input from both cancer patients and oncologists on key issues related to early detection and treatment of ACS. A total of 134 patients and 34 medical oncologists were surveyed about their experiences with ACS. The Delphi methodology was used to evaluate oncologists' perspectives of ACS management, ultimately leading to a consensus on the most critical issues.
Despite widespread acknowledgement of malnutrition in cancer as a significant issue by 94% of oncologists, the study revealed deficiencies in knowledge and protocol implementation. A mere 65% of physicians reported being trained to identify and treat these patients, with 53% failing to address ACS in a timely manner, 30% not monitoring weight, and 59% not adhering to any clinical guidelines. The lack of experience was identified as the primary hindrance to the use of orexigens in 18% of cases. Furthermore, patients reported concerns and a perception of inadequate attention to malnutrition-related issues from their physicians.
The results of this study point to a gap in the care of this syndrome and a need to improve education and follow-up of cancer patients with anorexia-cachexia.
癌症患者常遭受营养不良之苦，因此早期发现并提高对营养问题的认识对该人群至关重要。
西班牙肿瘤学会（SEOM）开展了 Quasar_SEOM 研究，旨在调查厌食-恶病质综合征（ACS）的当前影响。该研究采用问卷调查和德尔菲法，收集癌症患者和肿瘤医生对 ACS 早期检测和治疗的关键问题的意见。共调查了 134 名患者和 34 名肿瘤内科医生，了解他们对 ACS 的经验。德尔菲法用于评估肿瘤医生对 ACS 管理的看法，最终就最关键的问题达成共识。
尽管 94%的肿瘤医生普遍认识到癌症患者的营养不良是一个重大问题，但研究发现知识和方案实施存在不足。只有 65%的医生报告接受过识别和治疗这些患者的培训，53%的医生未能及时治疗 ACS，30%的医生不监测体重，59%的医生不遵循任何临床指南。缺乏经验是 18%的病例中不愿使用食欲刺激剂的主要原因。此外，患者报告称他们对医生关注与营养不良相关问题的程度感到担忧和不满。
这项研究的结果表明，该综合征的护理存在差距，需要加强对厌食-恶病质癌症患者的教育和随访。
