Morse Meroë, Christie Aimee J, Cusimano Andrew, Nguyen Chandler, Wagner Richard, Narayanan Santhosshi, Lopez Gabriel
The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
University of Texas Health Science Center, McGovern Medical School, Houston, TX, USA.
Integr Cancer Ther. 2025 Jan-Dec;24:15347354251342756. doi: 10.1177/15347354251342756. Epub 2025 May 24.
Nutrition guidance can affect treatment and survival outcomes for patients with cancer. The effect of a single nutrition consult on patient-reported outcomes is not well known. This study describes characteristics of patients referred for a single outpatient nutrition consult in an integrative oncology center at a cancer hospital, examining effects on self-reported symptoms.
We completed a retrospective chart review of 1517 adult oncology patients who completed a single nutrition consult. Demographics, clinical characteristics, and reasons for referral were extracted. Modified Edmonton Symptom Assessment System (mESAS) and Patient-Reported Outcomes Measurement Information System (PROMIS10) scores were collected. Standard descriptive statistics and the Wilcoxon signed-rank test were used.
Most patients were white, women, overweight/obese with breast cancer and non-advanced disease, mean age 55.3 years. Primary reasons for referral were "lifestyle change," "overweight weight-related," and "nutrition knowledge deficit." PROMIS10 results were average. Other than sleep and hot flashes, mESAS symptom scores at baseline were in the mild range. All change scores after nutrition consult were statistically but not clinically significant.
Patients presenting for nutrition counseling had a mild symptom burden at baseline and experienced statistically, not clinically, significant improvement in self-reported symptoms following a single visit. Additional research is needed to explore strategies to enhance the intervention and understand the effects of multiple follow-up sessions.
营养指导会影响癌症患者的治疗和生存结果。单次营养咨询对患者报告结局的影响尚不明确。本研究描述了一家癌症医院综合肿瘤中心接受单次门诊营养咨询的患者特征，并考察了其对自我报告症状的影响。
我们对1517名完成单次营养咨询的成年肿瘤患者进行了回顾性病历审查。提取了人口统计学、临床特征和转诊原因。收集了改良埃德蒙顿症状评估系统（mESAS）和患者报告结局测量信息系统（PROMIS10）评分。使用了标准描述性统计和Wilcoxon符号秩检验。
大多数患者为白人女性，超重/肥胖，患有乳腺癌且疾病未进展，平均年龄55.3岁。转诊的主要原因是“生活方式改变”、“与超重相关”和“营养知识缺乏”。PROMIS10结果为平均值。除睡眠和潮热外，基线时mESAS症状评分处于轻度范围。营养咨询后的所有变化评分在统计学上有显著差异，但在临床上无显著差异。
接受营养咨询的患者在基线时症状负担较轻，单次就诊后自我报告症状在统计学上有显著改善，但在临床上无显著改善。需要进一步研究以探索增强干预效果的策略，并了解多次随访的影响。
